Effect of local anesthesia on pain sensation during colposcopy

ISRCTN ISRCTN20548888
DOI https://doi.org/10.1186/ISRCTN20548888
EudraCT/CTIS number 2012-005106-21
Secondary identifying numbers 2012-005106-21
Submission date
05/11/2012
Registration date
05/03/2013
Last edited
24/01/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Traditionally colposcopy [is a procedure where the surface of the cervix is closely examined using a magnifying instrument called a colposcope] with punch biopsies [a biopsy that is performed by using a punch, an instrument for cutting and removing a disk of tissue] is performed without any local anesthesia in Finland. We have observed that using local anesthesia reduces pain and discomfort during this treatment.

Who can participate?
Any woman who have been referred to diagnostic colposcopy in Helsinki University Hospital. Only if they have allergy to anesthetic agent, if they are pregnant, or if there is a suspicion of cancer they are not asked to participate in this study.

What does the study involve?
Half of the participants will be randomly allocated to receive local anesthesia before punch biopsies. Other half will be treated without local anesthesia. Pain will be measured by visual analogue scale (VAS). Participants from both groups will be asked to fill in a questionnaire, Beck's anxiety inventory before the treatment.

What are the possible benefits and risks of participating?
The possible benefit is probably less pain during the punch biopsies.
The only additional risk for participating in the study is possible allergy to anaesthetic agent that the subject is not aware of. All the subjects would be treated the same way despite of participating in the study or not.

Where is the study run from?
The study takes place in Helsinki University Hospital, Department of Obsterics and Gynaecology.

When is the study starting and how long is it expected to run for?
The study started in November, 2012 and will last until May 2013.

Who is funding the study?
This study has received funding from Helsinki University Research Foundation.

Who is the main contact?
Dr Mari Kiviharju
mari.kiviharju@hus.fi

Contact information

Dr Pekka Nieminen
Scientific

Helsinki University Hospital
Bo-BOX 140
Helsinki
00029
Finland

Study information

Study designRandomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet (in Finnish only)
Scientific titleEffect of local anesthesia on pain sensation during colposcopy: a randomized trial
Study hypothesisThe main objective is to measure pain by using visual analogy scale (VAS) during colposcopy and biopsies. We hypothesize that local anesthesia will reduce pain and discomfort.
Ethics approval(s)Helsinki University Institutional Review Board, 2.10.2012, ref: (292/13/03/03/2012)
ConditionColposcopy: pain during punch biopsies
InterventionWoman referred to colposcopy will be randomized into two groups
1. Colposcopy with local anesthesia
2. Colposcopy without local anesthesia

Pain will be measured by VAS scale after biopsies. We will also ask Beck's anxiety inventory for both groups before the treatment.
Intervention typeProcedure/Surgery
Primary outcome measurePain, measured using the Visual Analogue Scale (VAS) score (0 = no pain, 10 = unbearable pain) after punch biopsies.
Secondary outcome measures1. Abnormal bleeding after colposcopy
2. Beck's anxiety inventory score
Overall study start date12/11/2012
Overall study end date30/05/2013

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants200
Participant inclusion criteriaAll eligible women who have been referred to diagnostic colposcopy for any cytological abnormality
Participant exclusion criteria1. Allergy to local anesthesia (prilocain + felypressin)
2. Pregnancy
3. Suspicion of cancer
Recruitment start date12/11/2012
Recruitment end date30/05/2013

Locations

Countries of recruitment

  • Finland

Study participating centre

Helsinki University Hospital
Helsinki
00029
Finland

Sponsor information

Helsinki University Hospital (Finland)
Hospital/treatment centre

Bo-BOX 140
Helsinki
00029
Finland

Website http://www.med.helsinki.fi
ROR logo "ROR" https://ror.org/02e8hzf44

Funders

Funder type

University/education

Helsinki University Research Foundation (Finland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/04/2017 24/01/2019 Yes No

Editorial Notes

24/01/2019: Publication reference added