MedPath

National Registry of Surgical Treatment and Percutaneous Cryoablation of Parietal Endometriosis

Recruiting
Conditions
Cryotherapy Effect
Endometriosis
Surgical
Radiology
Registration Number
NCT06356831
Lead Sponsor
Centre Hospitalier Intercommunal Creteil
Brief Summary

National multicentric registry of a cohort of patient with suffering parietal endometriosis, carried out by a multidisciplinary radiosurgery team

Detailed Description

Patient who suffering of parietal endometriosis treat by cryoablation or chirurgical will be recorded in national registry. the patient will be follow during 3 years after treatement.

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
300
Inclusion Criteria
  • Presence of parietal endometriosis: with suggestive clinical and imaging criteria (MRI and ultrasound)
  • Symptomatic parietal endometriosis (VAS > 3 OR bothersome bleeding OR reported impact on quality of life)
Exclusion Criteria
  • Endometriosis not affecting the anterior wall of the abdomen (as deep pelvic muscle: ilio-psoas, obturators, perineal, ischio-anal fossa)
  • Minor patient (< 18 years)
  • Pregnant patient at any trimester
  • Patient with hemostasis disorders (constitutional or acquired)
  • Patient with systemic infection or localized scar infection upon inclusion.
  • Patient with contraindications to MRI
  • Female patient with a planned medical or surgical procedure for the duration of the study that may interfere with the proper conduct of the study.
  • Patient unable to understand the information provided
  • Patient who is not affiliated to the social security system
  • Patient under curatorship or tutorship
  • Patient with a nodule of primary or secondary malignant tumor origin

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
creation of a national registry for the removal of nodules by cryoablation or surgery for parietal endometriosisat inclusion

number of Endometriosis 's patient treat by cryoablation or surgical

Secondary Outcome Measures
NameTimeMethod
Evaluate the aesthetic impact of the treatmentsat 1 month after treatmeant

number of complication

Assess the complication rate between the two groupsat 1 month, 6month 1year 2 years and 3 years after treatmeant

number of complication between the two groups

Assess the quality of life between the two groups with PGIC-7 questionnaireat inclusion,1 month, 6 months 1year 2 years and 3 years after treatmeant

average Patient Global Impression of Change PGIC-7 score : PGIC is a 7 point scale depicting a patient's rating of overall improvement. Patients rate their change as "very much improved," "much improved," "minimally improved," "no change," "minimally worse," "much worse," or "very much worse."

Assess the quality of life between the two groups with asses VAS questionnaireat inclusion,1 month, 6 months 1year 2 years and 3 years after treatmeant

average VAS score ( Analog Visual Scale) : VAS measures pain intensity on a scale from 0 to 10 (or sometimes from 0 to 100)

Evaluate pre- and post-treatment imaging characteristics of parietal endometriosisthrough study completion average 3 years

compare the size of of endometriosis nodules pre- and post-treatment

Assess the Severity of Complications according to Clavien Dindo for the surgeonat inclusion

average of Complications according to Clavien Dindo for the surgeon

Assess the recidivism rate at 3 yearsat 3 years

number of recidivism at 3 years

Characterize the epidemiology of parietal endometriosis nodulesat inclusion

average of parietal endometriosis nodules

To assess the impact of hormone treatment on parietal endometriosisat 1 month, 6month 1year 2 years and 3 years after treatmeant

number of hormone treatment on parietal endometriosis

Assess the Severity of Complications according to Society (SIR) of Interventional Radiology or Cardiovascular and Interventional Radiological Society of Europe ( CIRSE) for Radiologistsat inclusion

average of Complications according to SIR or CIRSE for Radiologists

Assess the quality of life between the two groups with asses EHP-5 questionnaireat inclusion,1 month, 6 months 1year 2 years and 3 years after treatmeant

average EHP-5 score ( Endometriosis Health Profil -5). Each item is rated on a four-point scale (never = 0, rarely = 1, sometimes = 2, often = 3, always = 4 and not relevant if not applicable). Scores on the EHP-5 core and modular questionnaire then are transformed on a scale of 0 (indicating best possible health status) to 100 (indicating worst possible health status)

Evaluate signal and morphology changes on imaging MRI of parietal endometriosis nodules after cryoablation treatmentat inclusion,1 month, 6 months 1year 2 years and 3 years after treatmeant

average of size of endometriosis nodules after cryoablation treatment

Evaluate signal and morphology changes on ultrasound imaging of parietal endometriosis nodules after cryoablation treatmentat inclusion,1 month, 6 months 1year 2 years and 3 years after treatmeant

average of size endometriosis nodules after cryoablation treatment

Assess the demographic distribution of parietal endometriosisAt inclusion

compare the size of of endometriosis nodules pre- and post-treatment

Trial Locations

Locations (18)

Lyon Hôpital La Croix Rousse

🇫🇷

Lyon, France

Lyon Hôpital Sud

🇫🇷

Lyon, France

Lyon Louis Pradel

🇫🇷

Lyon, France

APHM-Hôpital Nord

🇫🇷

Marseille, France

APHP-Hôpital de la Conception

🇫🇷

Marseille, France

APHP-La Pitié

🇫🇷

Paris, France

Clinique Tivoli

🇫🇷

Bordeaux, France

CHU bordeaux

🇫🇷

Bordeau, France

CHU Clermont Ferrand

🇫🇷

Clermont-Ferrand, France

CHI Creteil

🇫🇷

Créteil, France

CHU Montpellier

🇫🇷

Montpellier, France

CHU Nime

🇫🇷

Nîmes, France

AP-HP - Tenon

🇫🇷

Paris, France

AP-HP Hôpital Européen Georges Pompidou

🇫🇷

Paris, France

APHP Cochin-Port Royal

🇫🇷

Paris, France

CHU Strasbourg

🇫🇷

Strasbourg, France

CHU Toulouse

🇫🇷

Toulouse, France

CH Valencienne

🇫🇷

Valenciennes, France

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