Unique ID issued by UMIN | UMIN000058761 |
---|---|
Receipt number | R000067189 |
Scientific Title | Prospective evaluation of preoperative MRI-based uterine volume assessment to predict the feasibility of transvaginal extraction in laparoscopic and robot-assisted hysterectomy |
Date of disclosure of the study information | 2025/08/11 |
Last modified on | 2025/08/11 18:29:47 |
Prospective evaluation of preoperative MRI-based uterine volume assessment to predict the feasibility of transvaginal extraction in laparoscopic and robot-assisted hysterectomy
Prospective research on preoperative volume assessment by MRI for evaluating transvaginal extraction feasibility in minimally invasive hysterectomy
Prospective evaluation of preoperative MRI-based uterine volume assessment to predict the feasibility of transvaginal extraction in laparoscopic and robot-assisted hysterectomy
Prospective research on preoperative volume assessment by MRI for evaluating transvaginal extraction feasibility in minimally invasive hysterectomy
Japan |
Benign uterine tumors (uterine fibroids and adenomyosis)
Obstetrics and Gynecology |
Others
NO
To prospectively investigate the relationship between preoperative MRI-estimated uterine volume and maximum fibroid diameter, and the need for transvaginal morcellation in laparoscopic or robot-assisted total hysterectomy, and to develop a predictive model for the feasibility of transvaginal extraction.
Others
To evaluate whether preoperative MRI-based uterine volume assessment can predict the feasibility of transvaginal extraction.
Exploratory
Explanatory
Not applicable
Cut-off values of preoperative MRI-estimated uterine volume and maximum fibroid diameter for predicting the feasibility of extraction without transvaginal morcellation, determined by ROC curve analysis.
1. Correlation between MRI-estimated uterine volume and actual uterine weight (Pearson's correlation coefficient)
2. Comparison of uterine volume, weight, and maximum fibroid diameter between cases with and without transvaginal morcellation
3. Association between history of vaginal delivery and the performance of transvaginal morcellation
4. Cut-off values of uterine volume and maximum fibroid diameter for extraction without morcellation stratified by history of vaginal delivery
5. Factors associated with extraction without morcellation (history of vaginal delivery, BMI, MRI-estimated uterine volume) analyzed by logistic regression
6. Correlation between MRI-estimated uterine volume and operative time/blood loss
Observational
30 | years-old | <= |
60 | years-old | >= |
Female
1. Patients scheduled to undergo laparoscopic or robot-assisted total hysterectomy
2. Patients suspected of having uterine fibroids or adenomyosis
3. Patients who have received a full explanation of the study and have provided written informed consent, either personally or via a legal representative
1. Patients with malignant disease (including endometrial cancer and atypical endometrial hyperplasia) or suspected malignancy
2. Patients deemed inappropriate for inclusion in this study by the principal investigator or sub-investigators
40
1st name | Yoshimasa |
Middle name | |
Last name | Kawarai |
Dokkyo Medical University
Obstetrics and Gynecology
321-0293
880 Kitakobayashi, Mibu, Shimotsuga, Tochigi
+81-282-87-2166
y-kawarai@dokkyomed.ac.jp
1st name | Yoshimasa |
Middle name | |
Last name | Kawarai |
Dokkyo Medical University
Obstetrics and Gynecology
321-0293
880 Kitakobayashi, Mibu, Shimotsuga, Tochigi
+81-282-87-2166
y-kawarai@dokkyomed.ac.jp
Dokkyo Medical University
None
Other
Obstetrics and Gynecology, Dokkyo Medical University
880 Kitakobayashi, Mibu, Shimotsuga, Tochigi
+81-282-87-2166
y-kawarai@dokkyomed.ac.jp
NO
2025 | Year | 08 | Month | 11 | Day |
Unpublished
Open public recruiting
2025 | Year | 07 | Month | 18 | Day |
2025 | Year | 07 | Month | 18 | Day |
2025 | Year | 08 | Month | 11 | Day |
2028 | Year | 03 | Month | 31 | Day |
This study is a single-center, prospective observational study conducted at the Department of Obstetrics and Gynecology, Dokkyo Medical University Hospital. The results will be presented at gynecological and international conferences and published in peer-reviewed journals. All collected data will be anonymized and strictly managed to prevent personal identification. No multicenter collaboration is planned for this study.
2025 | Year | 08 | Month | 11 | Day |
2025 | Year | 08 | Month | 11 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067189