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terine suspension and vaginal repair with mesh in the management of uterovaginal prolapse: Outcome of 100 women at 12 months follow-up

Not Applicable
Completed
Conditions
Pelvic Organ Prolapse
Surgery - Surgical techniques
Registration Number
ACTRN12609000110280
Lead Sponsor
A/Prof. Christopher Maher
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
100
Inclusion Criteria

Stage two or more anterior compartment prolapse with stage one or more uterine and posterior compartment prolapse and willingness to consider uterine preservation surgery

Exclusion Criteria

Uterine or cervical pathology, abnormal menstrual bleeding, prior mesh implantation and inability to give informed consent

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Objective (anatomical) success rate, defined as less than stage 2 prolapse at all compartments according to the Pelvic Organ Prolapse Quantification system (POP-Q)[six weeks post-operatively and six-monthly thereafter for 2 years]
Secondary Outcome Measures
NameTimeMethod
Subjective success rate, defined as no prolapse sensation (Queensland Pelvic Floor Questionnaire, a validated symptom and quality of life questionnaire)[six weeks post-operatively and six-monthly thereafter for 2 years];patients' satisfaction on a 1 to 10 Visual Analogue Scale (VAS)[six weeks post-operatively and six-monthly thereafter for 2 years];functional (bladder, bowel and sexual) outcomes (Queensland Pelvic Floor Questionnaire, a validated symptom and quality of life questionnaire)[six weeks post-operatively and six-monthly thereafter for 2 years];Complication rates. Data on perioperative complications (Bladder / bowel injury, blood loss > 400ml, blood transfusions) will be taken from the patients' charts, mesh related complications (erosion, contraction) will be assessed through pelvic examination and complications affecting functional outcomes (dyspareunia) will br assessed through interview and validated questionnaires.[six weeks post-operatively and six-monthly thereafter for 2 years]
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