ISRCTN ISRCTN50938901
DOI https://doi.org/10.1186/ISRCTN50938901
Secondary identifying numbers RD-5103-012-07
Submission date
27/11/2009
Registration date
27/01/2010
Last edited
04/07/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Urological and Genital Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Ade Apoola
Scientific

Derby Hospitals NHS Foundation Trust
London Road Community Hospital
Genito-Urinary Department
London Road
Derby
DE1 2QY
United Kingdom

Study information

Study designSingle centre randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeDiagnostic
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleHow painful is a urethral swab? A single centre, randomised controlled trial.
Study hypothesisTo investigate the intensity of the discomfort felt during the insertion of the first urethral swab, when different swab types are used.

1. To determine if there is any difference in the discomfort felt during the insertion of the first of three urethral swabs using different types.
2. To investigate the intensity of the discomfort felt during the insertion of the second and the third urethral swab using different types.
3. To determine if there is an association between particular healthcare workers (HCW) and the discomfort experienced during a urethral swab procedure.
4. To assess if previous experience of swab taking in the patient has an effect on the perception of discomfort felt during the procedure.
5. To assess if urethral inflammation affects the discomfort felt during the procedure.
Ethics approval(s)Derbyshire Research Ethics Committee (REC) approved on the 3rd of March 2008 (ref: 07/H0401/158)
ConditionGenito-urinary medicine
InterventionFollowing informed consent, participants will be randomised to receive one of the following types of swab first:
1. To have a gonorrhoea Dacron tipped swab first
2. To have a chlamydia Rayon tipped swab first
3. To have a plastic urethral loop swab first

All patients will have the other 2 types of swab taken as routine practice in an order pre-specified by the pre-randomised envelopes.
Participants will be given a short questionnaire to complete before the first swab is taken for investigations.
Participants will be given a numerical rating scale to measure intensity of discomfort felt after each of the 3 swabs have been taken.
All three swabs are routinely taken in clinics in accordance with manufacturers instructions.
The duration of the study will be 6 months
Intervention typeOther
Primary outcome measureThe discomfort felt during urethral swab procedure after the first of 3 different swab types are used, will be assessed using the Visual Analogue Scale (0-100mm)
Secondary outcome measures1. The discomfort during the procedure using each of the other two types of swab using the Visual Analogue Scale (0-100mm) will be assessed.
2. Data on presence and severity of urethral symptoms prior to swab taking will be collected using the Data Collection form.
3. Data will also be collected on the identity of the HCW taking the swab and the presence of epithelial cells (a marker of an adequately taken swab) and polymorphonuclear cells (a marker of inflammation) in the specimen and voided urine after swabs.
Overall study start date19/05/2008
Overall study end date19/11/2008

Eligibility

Participant type(s)Patient
Age groupAdult
SexMale
Target number of participants121
Participant inclusion criteriaAll male patients over 16 attending the Genito-Urinary clinic during the study period and having swab tests will be invited to participate in the study.
Participant exclusion criteria1. Subjects who have passed urine within 2 hours of planned procedure (swab)
2. Subjects who have taken analgesics, anti-depressants or anti-epileptic drugs in the previous 24 hours
Recruitment start date19/05/2008
Recruitment end date19/11/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Derby Hospitals NHS Foundation Trust
Derby
DE1 2QY
United Kingdom

Sponsor information

Derby Hospitals NHS Foundation Trust (UK)
Hospital/treatment centre

Royal Derby Hospital
Uttoxeter Road
Derby
DE22 3NE
England
United Kingdom

Phone +44 (0)1332 340131
Email teresa.grieve@derbyhospitals.nhs.uk
Website http://www.derbyhospitals.nhs.uk/

Funders

Funder type

Hospital/treatment centre

Derby Hospitals NHS Foundation Trust (UK)

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 01/03/2011 Yes No