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TUbal LIgation Per Differents Endoscopic Routes and Sexuality (TULIPES)

Not Applicable
Recruiting
Conditions
Gynecologic Surgery
Interventions
Procedure: vnotes
Procedure: laparoscopy
Registration Number
NCT05910385
Lead Sponsor
University Hospital, Clermont-Ferrand
Brief Summary

The goal of this clinical trial is compare the quality of sexual life at 6 months after tubal ligation, depending on whether it was performed by abdominal laparoscopy or by vNOTES, on the basis of a non-inferiority hypothesis. Participants will answer on the FSFI-19 questionnaire and quality of sexual life will be evaluated according to the score obtained at 6 months post-operative compared to pre-operative.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
140
Inclusion Criteria
  • Adult woman, eligible for tubal ligation by total salpingectomy or tubal section coagulation, sexually active at the time of inclusion
  • Able to give informed consent to participate in research
  • Affiliated to a social security system.
Exclusion Criteria
  • Current pregnancy or breastfeeding
  • Indications of another concomitant surgical procedure (other than procedure on the appendix)
  • History of upper genital infection
  • Proven or suspected rectovaginal endometriosis on clinical examination
  • History of rectal surgery
  • Virgin patient
  • Any concomitant pathology deemed incompatible with the study.
  • Uncured COVID or SARS-COv2 positivity dated less than 3 days prior to surgery.
  • Protected adult patient, under guardianship or curatorship
  • Patients not affiliated to the social security system
  • Patients who do not speak French
  • Patients under legal protection
  • Refusal to participate.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
vnotesvnotes-
laparoscopiclaparoscopy-
Primary Outcome Measures
NameTimeMethod
quality of sexual life6 months

To compare, on the basis of a non-inferiority hypothesis, the quality of sexual life at 6 months after tubal ligation, depending on whether it is performed by abdominal laparoscopy or by vNOTES, using the Female Sexual Function Index - 19 (FSFI-19) questionnaire (19 questions with 6 possible answers for each, with scores ranging from 0=worse outcome to 5=better outcome).

Secondary Outcome Measures
NameTimeMethod
consumption of postoperative analgesics.6 months

Compare the consequences of tubal ligation, depending on whether it is performed by abdominal laparoscopy or by vNOTES, in term of consumption of postoperative analgesics (e.g. name of the analgesics, dose and duration of intake in days).

postoperative pain6 months

Compare the consequences of tubal ligation, depending on whether it is performed by abdominal laparoscopy or by vNOTES, in term of postoperative pain, using EVA Scale (from 0 to 10).

characteristics of the course of surgery for tubal ligation (duration of installation and intervention in minutes)6 months

- Compare the characteristics of the course of surgery for tubal ligation (duration of installation and intervention in minutes), depending on whether it is performed by abdominal laparoscopy or by vNOTES.

quality of life after surgery6 months

- Compare the consequences of tubal ligation, depending on whether it is performed by abdominal laparoscopy or by vNOTES, in term of patient quality of life after surgery, using EQ-5D-5L questionnaire (with five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems).

consumption of peroperative analgesics.6 months

Compare the consequences of tubal ligation, depending on whether it is performed by abdominal laparoscopy or by vNOTES, in term of consumption of peroperative analgesics (e.g. name of the analgesics, dose and duration of intake in days).

number of days of sick leave6 months

- Compare the number of days of sick leave, depending on whether it is performed by abdominal laparoscopy or by vNOTES.

per and post-operative complications6 months

- Compare the consequences of tubal ligation, depending on whether it is performed by abdominal laparoscopy or by vNOTES, in terms of per and post-operative complications.

patient satisfaction6 months

- Compare the consequences of tubal ligation, depending on whether it is performed by abdominal laparoscopy or by vNOTES, in term of patient satisfaction (Very dissatisfied, Moderately dissatisfied, Neither satisfied nor dissatisfied, Moderately satisfied, Very satisfied).

Trial Locations

Locations (2)

CHU de Clermont-Ferrand

🇫🇷

Clermont-Ferrand, France

CH d'Issoire

🇫🇷

Issoire, France

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