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Lipofilling as a Treatment for Vestibulodynia

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University Hospital, Ghent

キーワード

概要

The investigators would like to investigate if lipofilling with its adipose derived stem cells (ADSC) could be a new, less invasive but equally or more effective therapeutic option for women with vestibulodynia than vestibulectomy. The investigators expect the study to be successful because of the anti-inflammatory effects of the ADSC and its effectiveness -although not thoroughly studied- in some neuropathic pain disorder like pudendal neuralgia or post mastectomy pain syndrome.
Method: A controlled intervention study: one group receiving golden standard therapy 'vestibulectomy' and one group receiving vestibular lipofilling.

日付

最終確認済み: 04/30/2018
最初に提出された: 01/24/2018
提出された推定登録数: 02/11/2018
最初の投稿: 02/12/2018
最終更新が送信されました: 05/01/2018
最終更新日: 05/02/2018
実際の研究開始日: 04/30/2018
一次完了予定日: 11/30/2019
研究完了予定日: 07/31/2020

状態または病気

Vestibulodynia

介入/治療

Procedure: Adipose derived stem cell transplantation via lipofilling

Procedure: Surgical excision

段階

-

アームグループ

介入/治療
Experimental: Adipose derived stem cell transplantation via lipofilling
Liposuction of 60cc abdominal fat with its adipose derived stem cells which will be reinjected (10-20 cc) in the vestibular area after centrifugation for 3 minutes at 1000 rpm and decantation of oil and red blood cells.
Procedure: Adipose derived stem cell transplantation via lipofilling
Liposuction of 60cc abdominal fat with its adipose derived stem cells which will be reinjected (10-20 cc) in the vestibular area after centrifugation for 3 minutes at 1000 rpm and decantation of oil and red blood cells.
Active Comparator: Surgical excision
Excision of painful areas
Procedure: Surgical excision
Excision of painful areas

適格基準

研究の対象となる年齢 18 Years に 18 Years
研究に適格な性別Female
健康なボランティアを受け入れるはい
基準

Inclusion Criteria:

- Vestibulodynia requesting surgery

Exclusion Criteria:

-

結果

主な結果の測定

1. Q-tip scores (Cotton swab assessment of vaginal pain) 3 months after surgery [3 months after surgery]

Very light pressure along specific points in the area of the vulvar vestibule and where there is tenderness, asking the patient to characterize the tenderness on a scale of 0-10, whether it's no pain or exquisite pain and then plotting that on a diagram. Most physicians will find that in women with vestibulitis, the tenderness is most pronounced just below the hymenal margin and around the orifices of the so-called "Bartholin" gland ducts.

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