Actively Recruiting

Phase Not Applicable
Age: 45Years - 65Years
FEMALE
ID07150442

The Effects of Platelet Rich Plasma Adjuvant to Type I/III Collagen Ratio, Matrix Metalloproteinase-2 and Matrix Metalloproteinase-9 in Pelvic Organ Prolapse Repair

Led by Andalas University · Updated on 2025-09-08

30

Participants Needed

1

Research Sites

17 weeks

Total Duration

On this page

Sponsors

A

Andalas University

Lead Sponsor

D

Dr. M Djamil Hospital, Padang

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to evaluate the effects of Platelet Rich Plasma (PRP) as an additional treatment during pelvic organ prolapse (POP) surgery. The study focuses on whether PRP affects the ratio of type I to III collagen and the levels of enzymes MMP-2 and MMP-9, which play roles in tissue repair. Researchers will compare patients undergoing prolapse surgery with PRP injection to those receiving surgery with a placebo injection. Participants will be randomly assigned to one of two groups: one receiving POP surgery combined with PRP injection, and the other receiving POP surgery with a placebo injection. PRP is prepared from the patient's own blood collected shortly before surgery and injected into the anterior vaginal wall. Biopsies from the vaginal mucosa will be taken before surgery and again eight weeks after to examine changes in collagen ratio and enzyme levels. Throughout the study, participants will undergo medical history review, physical exams, pelvic floor muscle strength tests, and pelvic organ prolapse quantification (POP-Q). Tissue samples from biopsies will be analyzed in a pathology lab to measure the primary outcomes of collagen ratio and enzyme levels. Secondary outcomes include pelvic floor muscle strength and recurrence of prolapse. The study involves follow-up assessments eight weeks after surgery to monitor these outcomes.

CONDITIONS

Brief Title

The Effects of Platelet Rich Plasma Adjuvant to Type I/III Collagen Ratio, Matrix Metalloproteinase-2 and Matrix Metalloproteinase-9 in Pelvic Organ Prolapse Repair

Who Can Participate

Age: 45Years - 65Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with second-degree or higher pelvic organ prolapse
  • Postmenopausal pelvic organ prolapse patients
  • Patients with pelvic organ prolapse who will undergo surgery
  • Willingness to participate in the study
Not Eligible

You will not qualify if you...

  • Patients with gynecological malignancies
  • Patients with a history of collagen disease
  • Patients with blood disorders

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit

Treatment

Duration - Up to 8 weeks

Participants undergo pelvic organ prolapse surgery with either PRP injection or placebo injection to study effects on collagen ratio and enzyme levels.

Hospitalization for surgery and 1 visit for injection on surgery day

Follow-up

Duration - 8 weeks

Participants are observed for 8 weeks after surgery, including punch biopsies to assess treatment effects.

1 follow-up visit approximately 8 weeks after surgery

Trial Site Locations

Total: 1 location

1

Biomedical Science Doctoral Programme Faculty of Medicine Andalas University/ Urogynecology Division Obstetrics and Gynecology Department M Djamil Hospital Padang

Padang, West Sumatera, Indonesia

Actively Recruiting

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Research Team

Y

Yulia Margaretta Sari Yulia Margaretta, Sari, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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