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Topical Anesthetic Use In Pessary Management

Loyola University logo

Loyola University

Status and phase

Completed
Phase 2

Conditions

Pain

Treatments

Drug: Placebo cream
Drug: lidocaine-prilocaine cream

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

The purpose of this study is to evaluate if lidocaine-prilocaine (EMLA 5%) cream can reduce pain and discomfort at the time of vaginal pessary removal and insertion. Half of the participants will receive lidocaine-prilocaine (EMLA 5%) cream and the other half will receive a placebo cream.

Full description

Lidocaine-prilocaine (EMLA 5%) cream has been shown to be effective in reducing pain during minor gynecologic procedures. The primary objective of this trial is to determine if the use of 5% EMLA cream at the time of pessary removal and insertion reduces pain when compared to the use of placebo cream.

Participants will be randomized to receive either 10 grams of 5% EMLA cream (4 mL) or 4 mL of placebo cream (aqueous cream BP). Cream will be applied in office at the time of pessary removal and insertion.

Enrollment

54 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Women in the Loyola Urogynecology clinic who use a pessary for management of pelvic organ prolapse (POP) or urinary incontinence (UI)
  • Read and speak the English language

Exclusion criteria

  • Non-English speaking
  • Allergy or contraindication to topical anesthetic
  • Participation/randomization in the study at a previous visit
  • Currently pregnant or lactating or planning a pregnancy within the next 6 months

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

54 participants in 2 patient groups, including a placebo group

lidocaine-prilocaine
Experimental group
Description:
4 mL of lidocaine-prilocaine cream
Treatment:
Drug: lidocaine-prilocaine cream
Placebo
Placebo Comparator group
Description:
4 mL of placebo cream
Treatment:
Drug: Placebo cream

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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