Uterine Preserving Apical Prolapse Correction With Laparoscopic Lateral Mesh Suspension: Initial Experience by Defining Anatomic and Subjective Success
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pelvic Organ Prolapse
- Sponsor
- Fatih Sultan Mehmet Training and Research Hospital
- Enrollment
- 15
- Primary Endpoint
- Change from baseline POP-Q measurements (mm) at 18th month.
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This study is aimed to share our clinical experience in an uterine-preserving laparoscopic lateral suspension of apical prolapses with mesh operation after minor modifications in technique. Transperineal ultrasonography and several questionnaires are used for objective and subjective outcomes.
Detailed Description
Vaginal length, bladder neck mobility and pelvic floor biometry with anteroposterior hiatal diameter and pelvic organ descent measurements are measured by transperineal ultrasonography to assess anatomic success in the preoperative and at postoperative 18th months if available. Female Sexual Function Index (FSFI), Michigan Incontinence Severity Index (M-ISI), Prolapse Quality of Life questionnaire (PQoL), Pelvic Organ Prolapse Symptom Score (POP-SS) and Visual Analog Score (VAS) are used to assess subjective success in the preoperative and at postoperative 18th months if available. ,
Investigators
MURAT YASSA
Principal Investigator
Fatih Sultan Mehmet Training and Research Hospital
Eligibility Criteria
Inclusion Criteria
- •\>18 years old symptomatic women with pelvic organ prolapse needing surgery.
- •Patients who are not comfortable with using or refusing pessary
- •Refusing sacrocolpopexy due to its serious surgical risk
Exclusion Criteria
- •Patients who prefer sacrocolpopexy
- •Any cue for gynecologic oncological condition
- •Patients who approves Le Fort colpocleisis among who does not have any sexual intercourse
Outcomes
Primary Outcomes
Change from baseline POP-Q measurements (mm) at 18th month.
Time Frame: 18 months
Prolapse degree; Point Ba/C/Bp
Secondary Outcomes
- Subjective Success - Change from baseline Female Sexual Function Index (FSFI) to measure sexual dysfunction at 18th month.(18 months)
- Subjective Success - Change from baseline Prolapse Quality of Life questionnaire (PQoL) to measure quality of life according to pelvic organ prolapse at 18th month.(18 months)
- Failure (%)(18 months)
- Subjective Success - Change from baseline Pelvic Organ Prolapse Symptom Score (POP-SS) to measure quality of life according to pelvic organ prolapse at 18th month.(18 months)
- Subjective Success - Change from baseline Visual Analog Score (VAS) for pain at 18th month.(18 months)
- Change from baseline Pelvic Hiatus measurements (mm) at 18th month.(18 months)
- Change from baseline Pelvic biometry measurements at 18th month.(18 months)
- Subjective Success - Change from baseline Michigan Incontinence Severity Index (M-ISI) to measure urinary incontinence at 18th month.(18 months)
- Change from baseline bladder neck mobility measurements at 18th month.(18 months)