ClinicalTrials.gg
CompletedNCT03268525Updated Jun 9, 2020

The Effect of Local Anesthesia on Postoperative Pain in Vaginal Hysterectomy

An Early Phase 1 interventional study of Marcaine 0.5 % Injectable Solution and Sodium Chloride 0.9% in Pain, Postoperative, sponsored by Wolfson Medical Center. Completed at 1 site in Israel. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-06-09.

Sponsored by Wolfson Medical Center · Early Phase 1, Interventional, and Supportive care

Phase
Early Phase 1
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 362 studies testing bupivacaine in Pain, Postoperative — 55 open to participants now, 58 under way, 5 of them phase 3. Bupivacaine · Pain, Postoperative.

Enrollment
203rd of 362
60 · median 70
Started
2017
with 30 others
Phase 1
21 of 362
4 open now
Registered
126th of 362
by date

Among the 362 studies testing bupivacaine in Pain, Postoperative, this one is the 203rd largest by enrollment, is one of 31 that started in 2017, is one of 21 in phase 1, and was the 126th registered.

By phase

362 studies; the count open now beside each. This study's row is marked.

Phase 4133 · 18 open
No phase109 · 24 open
Phase 243 · 4 open
Phase 342 · 2 open
Phase 1this study21 · 4 open
Phase 2/311 · 3 open
Phase 1/23 · 0 open

By the year they started

First in 2004; this study’s year is marked. 31 started in 2017.

Size and results

Median enrollment 70 across the 362 interventional studies. Of the 258 that completed or were terminated, 106 (41%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 362 studies testing bupivacaine in Pain, Postoperative, or all of them as a file.
02

Study summary

The investigators aim is to study the effect of pre-operative local anesthetic on post vaginal hysterectomy pain.

Read the detailed description

This is a double-blinded, randomized, controlled trial. Women who undergone elective vaginal hysterectomy and gave their informed consent were included. Exclusion criteria included additional abdominal, chronic pelvic pain, malignancy, and allergy to Bupivacaine.

Solutions of either Bupivacaine-Hydrochloride 0.5%, or Sodium-Chloride 0.9% as a placebo, were prepared prior to surgery, according to randomization. The chosen solution was injected before incision, as a modified paracervical block, and in each resection line (sacro-uterine and cardinal ligaments). The amount of fluid administered was 10 ml. When colporrhaphy was also performed, an additional 5 ml of solution were injected in the midline of the vaginal wall prior to each incision line.

By utilizing the 10 cm Visual-analogue-scale (VAS) we examined the differences in post-operative pain at rest at 3, 8, and 24 hours, and during ambulation at 8 and 24 hours using multivariate linear regression models. We also assessed the differences in analgesics given at the different time points between the groups using multivariate negative binomial regression models.

03

Conditions studied

  • Pain, Postoperative

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Elective vaginal hysterectomy on benign indication

Exclusion criteria

Exclusion Criteria:

additional abdominal, chronic pelvic pain, , and allergy to Bupivacaine.

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Early Phase 1
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (actual)

Study arms

  • Active comparator
    Study

    Marcaine 0.5 % Injectable Solution will be injected before incision, and in a systematic fashion as a modified paracervical block. First, 2 ml will be injected through the vaginal fornices at 03.00, 06.00, 09.00, and 12.00 hours at 2 cm depth. Thus, 8 ml will be systematically injected around the cervical circumference before incision. In addition, 1 ml of the solution will be injected in each resection line (sacro-uterine and cardinal ligaments), adding up to a total of 10 ml. In case of performing additional anterior/ posterior colporrhaphy, additional solution of Marcaine 0.25%will be prepared: 5 ml of the solution will be injected to the cutting line of the anterior/ posterior vaginal wall, respectively, prior to incision.

    Drug: Marcaine 0.5 % Injectable Solution

  • Placebo comparator
    Control

    Sodium Chloride 0.9% will be injected before incision, and in a systematic fashion as a modified paracervical block. First, 2 ml will be injected through the vaginal fornices at 03.00, 06.00, 09.00, and 12.00 hours at 2 cm depth. Thus, 8 ml will be systematically injected around the cervical circumference before incision. In addition, 1 ml of the solution will be injected in each resection line (sacro-uterine and cardinal ligaments), adding up to a total of 10 ml. In case of performing additional anterior/ posterior colporrhaphy, additional solution of Sodium Chloride 0.9% will be prepared: 5 ml of the solution will be injected to the cutting line of the anterior/ posterior vaginal wall, respectively, prior to incision.

    Drug: Sodium Chloride 0.9%

Interventions

  • Local infiltration by Marcaine 0.5% Injectable Solution prior to incision

    Also known as: Study

  • DrugSodium Chloride 0.9%

    Local infiltration by Sodium Chloride 0.9% prior to incision

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Pain at movement

    Movement-evoked pain will be scored after the operation

    Time frame: 24 hours

Secondary outcomes

  1. pain at rest

    Pain at rest will be scored with the woman lying in bed after the operation

    Time frame: 24 hours

07

Study locations

1 site
  • Wolfson medical center
    H̱olon, Israel
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 9, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03268525
Responsible party
Ohad Gluck (OBGYN resident, Wolfson Medical Center) — Principal investigator
First posted
Aug 31, 2017
Start date
Sep 1, 2017
Primary completion
Nov 30, 2019
Completion
Nov 30, 2019
Last update
Jun 9, 2020

Study contacts

Shimon Ginat, MD
study director · Wolfson Medical Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2020. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Bupivacaine

Start the discussion