Does minimally invasive fibroid removal change whether fallopian tubes are open?
Official title: Assessment of Tubal Occlusion During Minimally Invasive Myomectomy
Run by Medstar Health Research Institute · NCT06988774 · Data updated 2026-11-12
This study will test if fallopian tubes are open before and after minimally invasive fibroid removal in people having myomectomy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 50 (estimated) |
| Sponsor | Medstar Health Research Institute Academic / other |
| Locations | 1 site (Washington D.C., District of Columbia) |
| Status | Recruiting |
| Started | June 2, 2025 |
| Main results expected | April 30, 2026 |
| Study ends | April 30, 2026 |
| Registry record updated | June 29, 2025 |
| Trial ID | NCT06988774 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
People scheduled for minimally invasive uterine-preserving myomectomy at MedStar who have at least one fallopian tube, can have a uterine manipulator placed, are not pregnant, and have no methylene blue allergy or G6PD deficiency.
✕Probably not a fit
Patients with absent tubes, known tubal disease or prior tubal surgery, allergy to methylene blue or G6PD deficiency, inability to place a uterine manipulator, or those not undergoing myomectomy are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This single-center interventional study uses chromopertubation during laparoscopic or robotic uterine-preserving myomectomy to document tubal patency before and after fibroid removal. A dilute methylene blue solution is introduced into the uterus during surgery to see whether dye spills from the fallopian tubes, with the minimum dye dose used to reduce risk. Patients with prior tubal surgery, known tubal occlusion, absent tubes, pregnancy, methylene blue allergy, or G6PD deficiency are excluded. The goal is to clarify whether fibroids or their surgical removal affect tubal openness and thus could influence fertility counseling and management.
Why it matters
Potential benefit: If successful, the results could help doctors know whether removing fibroids restores or preserves tubal openness and may improve guidance on chances for natural pregnancy.
How similar studies have gone: Chromopertubation itself is an established technique for checking tubes, but there are very few prospective studies specifically measuring tubal patency before and after myomectomy, so this application is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients undergoing minimally invasive laparoscopic or robotic-assisted uterine-preserving gynecologic surgery for removal of uterine fibroids (myomectomy) by a minimally invasive gynecologic surgeon at MedStar. Exclusion Criteria: * Patients with both fallopian tubes absent * Patients in whom it is not possible to place a uterine manipulator or catheter * Patient with known tubal disease or occlusion, or patients who have undergone prior tubal surgery * Patients with allergy to methylene blue dye or G6PD deficiency * Patients with positive pregnancy test on day of surgery
Where it's running
-
MedStar Washington Hospital Center
Washington D.C., District of Columbia, United States Recruiting
Study contacts
- Study coordinator: Alexandra Snyder, MD
- Email: alexandra.snyder@medstar.net
- Phone: 202-877-6526
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Spraying low‑concentration lidocaine under the diaphragm to reduce shoulder pain after single‑port gynecologic laparoscopy
This will try spraying 0.08% lidocaine under the diaphragm at the start of single‑port laparoscopic surgery to see if it reduces immediate postoperative shoulder pain and improves mood for women having benign gynecologic operations.
-
Preventing bleeding during myomectomy with misoprostol
This will test whether giving misoprostol before myomectomy reduces surgical bleeding in women aged 18–43 having surgery for symptomatic uterine fibroids.
-
Rotating hinge vs condylar constrained knee implants in revision knee replacement
This study tests whether rotating hinge knee implants perform similarly to condylar constrained implants when used to revise knee replacements in adults.
-
Patient and caregiver perspectives on bladder instillations for urinary symptoms
This project talks with adults who have neurogenic bladder and their caregivers to see what they prefer and experience with bladder instillations of Lactobacillus, gentamicin, or both.
-
Collared versus collarless femoral stems for primary total hip replacement
This trial will test whether adding a collar to a femoral stem reduces sinking (subsidence) and lowers fracture risk in adults having an uncemented total hip replacement for osteoarthritis.
-
Virtual reality cognitive behavioral therapy for chronic cancer pain
This project tests whether a virtual reality program that delivers cognitive behavioral therapy can help adults with chronic cancer pain feel less pain than a two-dimensional tablet program.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.