Home pelvic floor physical therapy after endometriosis excision
The Role of a Postoperative Home Physical Therapy Program for the Treatment of Pelvic Pain in Patients Undergoing Endometriosis Excision
This study tests whether a home pelvic floor physical therapy program helps people recovering from endometriosis excision surgery (without hysterectomy) have less pain and better quality of life.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 30 (estimated) |
| Ages | 18 Years to 50 Years |
| Sex | Female |
| Sponsor | Oregon Health and Science University Academic / other |
| Locations | 1 site (Portland, Oregon) |
| Trial ID | NCT07127783 on ClinicalTrials.gov |
What this trial studies
This single-site randomized pilot compares a home-based pelvic floor physical therapy program to routine post-operative care for patients who undergo endometriosis excision without hysterectomy. Participants are randomized to receive written instructions and exercise videos developed with pelvic floor physical therapists or to standard post-operative instructions. Outcomes including quality of life, pain scores, and endometriosis symptoms are measured preoperatively and at 6 and 12 weeks after surgery. Patients are recruited from a referral gynecologic surgery practice and must meet criteria such as premenopausal status and a diagnosis of high-tone pelvic floor dysfunction.
Who should consider this trial
Good fit: Ideal candidates are premenopausal, English-speaking patients with chronic pelvic pain and exam evidence of high-tone pelvic floor dysfunction who are having endometriosis excision without hysterectomy and can use email/phone for study communication.
Not a fit: Patients unlikely to benefit include those who undergo hysterectomy, lack histologic endometriosis, use chronic opioids, require extended pelvic rest, cannot do moderate activity, need mobility aids, or are pregnant/planning pregnancy within 12 weeks.
Why it matters
Potential benefit: If successful, the program could speed recovery and reduce pain and symptom burden using a low-cost, home-based physical therapy approach.
How similar studies have performed: Pelvic floor physical therapy has shown benefit for pelvic pain in prior work, but home-based post-operative programs after endometriosis excision are less well studied, so this is a pilot approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Premenopausal * English speaking * Undergoing endometriosis excision surgery without hysterectomy at Legacy Health with subspecialty-trained surgeons specializing in endometriosis care * History of chronic pelvic pain (defined as \>= 6 months of pain in the anatomic pelvis) * Diagnosis of high tone pelvic floor dysfunction on examiniation * Have access to reliable email and phone for study-related communication Exclusion Criteria: * Non-English speaking * Unable to consent * Unable to sustain 30 minutes of moderate activity at baseline * Uses a mobility assistive device at baseline * Chronic opioid use * No histologic diagnosis of endometriosis on surgical pathology * Need for additional pelvic rest (\>2 weeks) postoperatively * Pregnancy or planning to pursue pregnancy or undergo fertility treatments within 12 weeks postoperatively
Where this trial is running
Portland, Oregon
- Oregon Health & Science University — Portland, Oregon, United States (Recruiting)
Study contacts
- Principal investigator: Jacqueline Wong — Oregon Health and Science University
- Study coordinator: Women's Health Research Unit Department of Ob/Gyn
- Email: whru@ohsu.edu
- Phone: 503-494-3666
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.