Effects of the Addition of Uterosacral Ligament Plication to Pectopexy Operation on Anatomical and Subjective Symptoms in the Treatment of Apical Compartment Defects
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pelvic Organ Prolapse
- Sponsor
- Ataturk University
- Enrollment
- 38
- Locations
- 1
- Primary Endpoint
- questionnaire of lower urinary tract symptoms
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The investigators planned to measure the effectiveness of laparoscopic pectopexy in apical prolapse and whether the addition of sacrouterine ligaments plication to pectopexy increases the effectiveness of pectopexy operation. Investigators planned to measure patients' quality of life using the female sexual function scale test 3, 6 and 12 months after the surgery and to determine how the operation affects the quality of sexual life.
Detailed Description
In this study, the investigators planned to measure the effectiveness of laparoscopic pectopexy in apical prolapse and whether the addition of sacrouterine ligaments plication to pectopexy increases the effectiveness of pectopexy operation. Investigators planned to measure patients' quality of life using the female sexual function scale test 3, 6 and 12 months after the surgery and to determine how the operation affects the quality of sexual life.
Investigators
Gamze Nur Cimilli Şenocak
assistant professor
Ataturk University
Eligibility Criteria
Inclusion Criteria
- •patients with stage II-IV apical compartment defect according to the POP-Q classification
Exclusion Criteria
- •having severe chronic disease that makes the operation dangerous
- •patients under 25 and patients over 75 years old
Outcomes
Primary Outcomes
questionnaire of lower urinary tract symptoms
Time Frame: changes in symptoms for each title at the preoperative day 1 and postoperative day 3 period
the questionaire examines these titles by scoring from one to ten points: 1. sudden feeling of ürination 2. sudden feeling of urination with incontinence 3. Frequent urination 4. Difficulty of starting the urination 5. Abnormal discharge of urine 6. nocturia 7. dyspareunia 8. Stress urinary incontinence 9. dysuria 10. constipation
evaluation of sexual function with Women's Sexual Function Index
Time Frame: changes at the preoperative day 1 and postoperative day 40 period
Women's Sexual Function Index is a questionnaire about sexual functions of the women. the index definex sexual functions with some questions and scorings.
Stage of apical compartment defect according to the Pelvic Organ Prolapse (POP-Q) classification
Time Frame: changes in the stage of apical compartment defect at the preoperative day 1 and postoperative day 3 period according to POP-Q clasification
Stage of apical compartment defect according to the Pelvic Organ Prolapse (POP-Q) classification
Secondary Outcomes
- Stage of apical compartment defect according to the Pelvic Organ Prolapse (POP-Q) classification(changes at 3,6 and 12. month after surgery)
- questionnaire of lower urinary tract symptoms(changes in symptoms for each title at 3,6 and 12. month after surgery)
- evaluation of sexual function with Women's Sexual Function Index(changes at 3,6 and 12. month after surgery)