Sacrospinous Colpopexy Versus High Uterosacral Colpopexy in the Treatment of Genital Prolapse Grade III/IV in Women With Uterus
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Uterovaginal Prolapse
- Sponsor
- Federal University of São Paulo
- Enrollment
- 51
- Locations
- 1
- Primary Endpoint
- Pelvic Organ Prolapse Quantification (POPQ) at 12 months follow-up
- Last Updated
- 15 years ago
Overview
Brief Summary
The purpose of this study is to compare the vaginal sacrospinous colpopexy and high uterosacral colpopexy in the treatment of genital prolapse grade III/IV in women with uterus.
Detailed Description
Hysterectomy is often the traditional approach for women with uterovaginal prolapse. However, hysterectomy alone does not address the underlying problem of deficient apical support. Surgical options for patients with apical prolapse include transvaginal suspension procedures using pelvic structures for fixation, such as the sacrospinous ligament or uterosacral ligaments.The objective of this study is to compare the sacrospinous fixation with high uterosacral in the treatment of uterine prolapse POP-Q stage 3 or 4 in terms of recurrence of prolapse,quality of life,complications,post-operative recovery, hospital stay.
Investigators
Eligibility Criteria
Inclusion Criteria
- •pelvic prolapse III/IV
- •counselling and informed consent
Exclusion Criteria
- •abnormal cervical smears
- •abnormal ultrasound findings of uterus or ovaries or abnormal uterine bleeding
- •pelvic radiotherapy
Outcomes
Primary Outcomes
Pelvic Organ Prolapse Quantification (POPQ) at 12 months follow-up
Time Frame: one year
Quantification of pelvic organ prolapse, according to the Pelvic Organ Prolapse Quantification system (POPQ), as standardized by the International Continence Society.
Secondary Outcomes
- subjective improvement in quality of life measured by Quality-of-Life Questionnaire (P-QoL)after surgery at 12 months follow-up(one year)