Anterior Elevate or Laparoscopic Abdominal Sacrocolpopexy in women with post hysterectomy apical prolapse – a Randomised Controlled Trial
- Conditions
- post hysterectomy vaginal vault prolapseRenal and Urogenital - Other renal and urogenital disorders
- Registration Number
- ACTRN12611001111965
- Lead Sponsor
- Anna Rosamilia
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Female
- Target Recruitment
- 116
1.patients with symptomatic post hysterectomy Apical Prolapse greater or equal to Stage 2 (point C greater than or equal to -1) referred for surgery
2.Willing to participate and return for follow up
3.able to provide informed consent
1.Unable to undergo GA
2.Unable to understand questionnaires, give informed consent or return for review
3.BMI >35
4. more than or equal to 5 laparotomies
5. Previous synthetic mesh used for POP
6. Previous sacro colpopexy
7. total vaginal length < 6cm
8. chronic pelvic pain
9. Genito urinary anomaly (congenital)
10.Neurogenic bladder disorders
11.Previous radiation therapy to pelvis
12.Past history of any form of fistula involving the vagina
13.Allergy to polypropylene or local anaesthetic
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Incidence of apical prolapse greater or equal to stage 2 (Point C below -1cm)[12 months & 36 months]
- Secondary Outcome Measures
Name Time Method Incidence of overall prolapse greater or equal to stage 2[12 months & 36 months];subjective prolapse symptom score using PFDI-20[12 months & 36 months];(prolapse) symptom impact using PFIQ 7[12 months & 36 months];global impression of improvement using PGI-I[12 months & 36 months];sexual function using PISQ 12[12 months & 36 months]