SALpingectomy for STERilization (SALSTER) (SALSTER)

  • STATUS
    Recruiting
  • End date
    Dec 31, 2050
  • participants needed
    900
  • sponsor
    Göteborg University
Updated on 9 February 2022
Accepts healthy volunteers

Summary

The SALSTER study is a register-based randomized clinical trial (R-RCT) that examines if laparoscopic salpingectomy instead of tubal ligation, as a contraceptive method, has no increased risk for complications and has no negative impact on ovarian function.

Description

SALSTER Study

In the last years, the management of Fallopian tubes in benign surgery has drawn a lot of attention due to rising evidence showing that some aggressive forms of ovarian cancer may originate from the distal Fallopian tubes. Concerns were raised about the implications of salpingectomy to surgical outcome and function of the ovaries. The SALSTER study attempts to evaluate the effect of salpingectomy, in regards to surgical outcomes and ovarian function, in women seeking permanent contraception with tubal ligation.

The SALSTER study is a register-based randomized clinical trial (R-RCT) that examines if laparoscopic salpingectomy instead of tubal ligation, as a contraceptive method, has no increased risk for complications and has no negative impact on ovarian function. Complications will be assessed primarily at eight weeks post-surgery according to the Clavien-Dindo classification and the existing complications questionnaires in the Swedish National Quality Register of Gynecological Surgery (GynOp). Ovarian function will be primarily assessed by determining the age of natural menopause, measured through questionnaires on bleeding pattern in GynOp every other year. Approximately 900 patients will be recruited.

In a subset of patients, the difference in Anti-Mllerian Hormone (AMH) levels from the time of surgery and 1-year after surgery will be compared between the groups. Approximately 180 patients will be recruited.

The study is expected to start in the beginning of 2019 and the first results are expected in 2021.

Details
Condition Sterilization Tubal, Salpingectomy, Laparoscopy, Ovarian Reserve
Treatment Laparoscopic tubal ligation, Laparoscopic bilateral salpingectomy
Clinical Study IdentifierNCT03860805
SponsorGöteborg University
Last Modified on9 February 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Planned laparoscopic sterilization
Willing to be randomized

Exclusion Criteria

Women older than 49
Not understanding the oral or written study information
Previous malignancy involving radiation, chemotherapy or endocrine treatment affecting ovarian function
Clear my responses

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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