Heavy Menstrual Bleeding
Conditions
Keywords
submucosal fibroids, heavy menstrual bleeding, quality of life
Brief summary
This study aims to evaluate the quality of life in patients treated for submucosal leiomyomas using the Truclear hysteroscopic morcellator compared to women managed medically. Study population includes women age 18 and older with symptomatic submucosal myomas. Patients will be asked to complete the Uterine Myoma Symptom and Health-related Quality of Life Questionnaire (UFS-QOL) at enrollment and at 1, 3, and 6 months after treatment.
Detailed description
Submucosal myomas are a common cause of pelvic complaints and abnormal uterine bleeding (AUB) and there are many available modalities for treatment. Hysteroscopic myomectomy is a minimally invasive approach for removal of submucosal leiomyomas. Alternatively, medical management can be attempted. This study aims to evaluate the quality of life in patients treated for submucosal leiomyomas using the Truclear hysteroscopic morcellator compared to women managed medically. Study population includes women age 18 and older with symptomatic submucosal myomas. Patients will be asked to complete the Uterine Myoma Symptom and Health-related Quality of Life Questionnaire (UFS-QOL) at enrollment and at 1, 3, and 6 months after treatment.
Interventions
Hysteroscopic myomectomy with Truclear done on patients with abnormal uterine bleeding and submucosal fibroid(s).
Medical therapy for patients with abnormal uterine bleeding/ heavy menses and submucosal fibroids.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with abnormal uterine bleeding and submucosal fibroid(s) undergoing hysteroscopic myomectomy or medical therapy with oral contraceptive pills * Patients with Type 0, 1 or 2 submucosal myomas
Exclusion criteria
* Pregnant women * Patients with suspicion of uterine malignancy * Patients without submucosal fibroid seen during planned hysteroscopic myomectomy * Patients with active vaginal infection * Patients with contraindication to hysteroscopic myomectomy * Patients with cognitive impairment who are unable to provide consent and adequately complete the questionnaire.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life score | Two years | Primary outcome is the health-related quality of life (HR-QOL) as reflected from UFS-QOL scores. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary surgical outcomes | Two years | Secondary surgical outcomes include estimated blood loss (EBL), operating time (OT), pedal resection time, fluid deficit, total fluid use, pathology report (including total myoma weight), surgical outcome and complications. |
Countries
United States