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Trial Title: Prospective Evaluation of Infectious Vulvovaginitis on Wound Complication Rates After Vulvar Excision for Premalignant Lesions

NCT ID: NCT06070454

Condition: Vaginitis
Vulvar Diseases

Conditions: Official terms:
Precancerous Conditions
Vaginitis
Vulvovaginitis
Vulvar Diseases

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Screening

Masking: None (Open Label)

Intervention:

Intervention type: Diagnostic Test
Intervention name: Vaginitis panel
Description: vulvovaginal swab to test for the most common causes of vulvovaginitis - bacterial vaginosis (BV), trichomonas, and candida
Arm group label: Positive Perioperative Vaginitis

Summary: Primary: - To measure the rate of perioperative vulvovaginitis in a population of patients in central VA with non-malignant vulvar disease who require surgical excision - To correlate the rate of vulvovaginitis with rate of wound cellulitis and incisional breakdown in patients undergoing SPV/WLE for vulvar disease We will use a vulvovaginal swab to test for the most common causes of vulvovaginitis - bacterial vaginosis (BV), trichomonas, and candida. The swab will be collected preoperatively on day of surgery. The outcome will be evaluated by phone call to patient at 1 week after surgery and physical exam at the postoperative visit between 4-6 weeks.

Detailed description: Primary: - To measure the rate of perioperative vulvovaginitis in a population of patients in central VA with non-malignant vulvar disease who require surgical excision - To correlate the rate of vulvovaginitis with rate of wound cellulitis and incisional breakdown in patients undergoing SPV/WLE for vulvar disease We will use a vulvovaginal swab to test for the most common causes of vulvovaginitis - bacterial vaginosis (BV), trichomonas, and candida. The swab will be collected preoperatively on day of surgery. The outcome will be evaluated by phone call to patient at 1 week after surgery and physical exam at the postoperative visit between 4-6 weeks.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Must be 18 years of age - Has histologically confirmed non-malignant vulvar pathology - Is scheduled or planning for WLE/SPV - Signed informed consent obtained prior to any protocol specific procedures Exclusion Criteria: - Unable to give informed consent - Women who are pregnant or nursing (lactating) women at time of consent - No prior RT - No recent antibiotic use within the last 3 weeks or 5.5 times the half-life of the antibiotic (whichever is shorter) - No history of prior malignancy within the last 3 years that required systemic chemotherapy or radiation - Not immunosuppressed or compromised - No active HIV (must have undetectable viral load) - Chronic treatment with corticosteroids or other immunosuppressive agents including topical corticosteroids in the pelvis. Inhaled corticosteroids are allowed - No active uncontrolled severe infections (not responding to antibiotics), except acute or chronic pelvic inflammatory disease - Uncontrolled diabetes mellitus

Gender: Female

Gender based: Yes

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University of Virginia

Address:
City: Charlottesville
Zip: 22908
Country: United States

Status: Recruiting

Contact:
Last name: Rachel Lacy, MPH

Phone: 434-243-0126
Email: rmc9p@virginia.edu

Contact backup:
Last name: Alice Chen, MD

Start date: April 25, 2024

Completion date: August 1, 2026

Lead sponsor:
Agency: University of Virginia
Agency class: Other

Source: University of Virginia

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06070454

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