MedPath

SCP vs HUSLS for Pelvic Organ Prolapse Repair

Not Applicable
Active, not recruiting
Conditions
Pelvic Organ Prolapse
Cystocele
Enterocele
Rectocele
Interventions
Procedure: Robotic sacrocolpopexy
Procedure: high uterosacral ligament suspension
Registration Number
NCT02800512
Lead Sponsor
Loma Linda University
Brief Summary

The purpose of this study is to compare the effectiveness of R-SCP versus HUSLS for treatment of pelvic organ prolapse.

Detailed Description

To compare the effectiveness of Robotic Sacrocolpopexy versus vaginal High Uterosacral Ligament Suspension for treatment of pelvic organ prolapse. Both surgeries are standard of care and are equally and widely used throughout the country with well known safety and efficacy.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
Female
Target Recruitment
112
Inclusion Criteria
  • 18 Years of age or older
  • Signed Informed Consent
  • Symptomatic pelvic organ prolapse,
  • Willing and able to complete all study visit
Exclusion Criteria
  • Non-High Uterosacral Ligament Suspension (unable to do HUSLS at time of surgery),

  • Dementia or considered unable to complete questionnaires

    1. Hx of Alzheimer Disease
    2. Hx multiple strokes or other neurologic condition
    3. Caregiver states the subject is unable to complete
    4. MDs opinion
  • Inability to complete follow up visits due to transportation issues

    1. No access to transportation (ie. does not have vehicle)
    2. Live > 2 hours from LLUH
    3. Does not have financial means
  • Congenital anomalies

    1. Bladder Exstrophy
    2. Connective tissue disease
    3. Neovaginal prolapse
    4. Prolapse of sex change vagina
  • Chronic pelvic pain

    1. > 6 months of pelvic pain of undetermined origin
    2. not cyclic pain (eg. period pain or dysmenorrhea)
    3. Patient has comorbidities of CPP
    4. Fibromyalgia
    5. Interstitial cystitis
    6. Vulvodynia
  • Contraindications to Mesh,

    1. Opposition to the use mesh (ie. due to religious beliefs)
    2. History of mesh complications in past
  • Pregnant or planning to become pregnant during the study period.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SacrocolpopexyRobotic sacrocolpopexyRobotic sacrocolpopexy
HUSLShigh uterosacral ligament suspensionVaginal high uterosacral ligament suspension
Primary Outcome Measures
NameTimeMethod
Pelvic Organ Prolapse Quantification (pop-q) to asses change post operatively12 month post operative

Pelvic organ prolapses are graded with the Pelvic Organ Prolapse Quantification (POP-Q) System.

Secondary Outcome Measures
NameTimeMethod
questionnaires PISQ-1212 month post operative

Subject will fill out the PISQ-12 questionnaire

questionnaires PFIQ-2012 month post operative

Subject will fill out the PFIQ-20 questionnaire

questionnaires PGI-I12 month post operative

Subject will fill out the PGI-I

questionnaires PFDI-712 month post operative

Subject will fill out the PFDI-7 questionnaire

Trial Locations

Locations (1)

Loma Linda University URO/GYN

🇺🇸

Loma Linda, California, United States

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