Status:

ACTIVE_NOT_RECRUITING

The Influence of Simultaneous Posterior Colporrhaphy and Perineoplasty on the Efficiency and Safety of Mesh-augmented Sacrospinal Fixation (Apical Sling) in Advanced POP Repair.

Lead Sponsor:

Saint Petersburg State University, Russia

Conditions:

Pelvic Organ Prolapse

Eligibility:

FEMALE

45-80 years

Phase:

NA

Brief Summary

This is a prospective randomized controlled study, designed to assess the influence of posterior colporrhaphy and perineoplasty performed simultaneously with mesh-augmented sacrospinal fixation (apica...

Detailed Description

BACKGROUND Pelvic organ prolapse (POP) is revealed by the gynecological examination in 40-60 % of parous women. A pelvic floor defect is represented by cystocele almost in a half of cases. At the same...

Eligibility Criteria

Inclusion

  • The age of a subject is 45 to 80 years.
  • Leading point of prolapse is at the level of the hymen or distal to the hymen (Ba, C\>=0 according to POP-Q classification)
  • Patient's ability to read and sign the informed consent form.
  • Socialized patient who is able to fill in validated questionnaires and arrive for control postoperative examination in future.
  • Patient's consent for participation in the study.

Exclusion

  • The subject has presence of oncologic disease which was diagnosed earlier or is active now.
  • The subject had prior surgery for POP, SUI or hysterectomy
  • The subject has gynecological deseases (recurrent uterine bleeding, endometrial hyperplasia, the presence of atypical cells in cervical smears, adenomyosis, multiple uterine myoma)
  • The subject has urinary incontinence
  • The subject is planning pregnancy
  • The subject has an active urinary tract infection or skin infection in the region of surgery or acute infectious desease
  • The subject is unable to visit postoperative check-ups
  • Refusal from participation.
  • Bp \> C according to POP-Q system.
  • gh \< 4 cm and \> 6 cm according to POP-Q system.

Key Trial Info

Start Date :

September 9 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 9 2025

Estimated Enrollment :

310 Patients enrolled

Trial Details

Trial ID

NCT05422209

Start Date

September 9 2022

End Date

May 9 2025

Last Update

July 3 2024

Active Locations (1)

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1

Saint-Petersburg State University Hospital

Saint Petersburg, Russia, 190103