Bladder Suture in Uterus-Sparing Surgery and Hysterectomy for Placenta Percreta

Completed

• Conditions: Sutures; Placenta Percreta; Bladder Injury
• Interventions: Procedure: ACAR-Style Bladder Suture

• Registration Number: NCT06267599
• Lead Sponsor: Necmettin Erbakan University

Brief Summary

This study aimed to evaluate the short-term and long-term complications of placenta percreta with bladder invasion. This evaluation focuses on cases where bladder dissection and ACAR-style bladder sutures were applied in cases of placenta percreta with bladder invasion that underwent uterine-sparing surgery or hysterectomy.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-09-01
• Primary Completion: 2023-12-01
• Study Completion: 2024-01-01
• Study First Submitted: 2024-01-15
• Status Verified: 2024-02
• Study First Submitted QC: 2024-02-12
• Last Update Submitted: 2024-02-12
• Study First Posted: 2024-02-20
• Last Update Posted: 2024-02-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 81

Inclusion Criteria

• Pregnant women
• Clinical diagnosis of PAS
• PAS with bladder invasion

Exclusion Criteria

• Cases with incomplete or inadequate medical records
• Cases with other types of placental invasion (e.g., placenta accreta, placenta increta),
• Cases with missing key data points.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Bladder suture group	ACAR-Style Bladder Suture	This group consisted of patients in whom we could not open the bladder and uterine cervix by dissection, so we had to open the bladder. In this group, the bladder dome was opened and a special suture was passed through the bladder to control bleeding. This procedure was performed to control bleeding.

Primary Outcome Measures

Name	Time	Method
Comparison of intraoperative bleeding and complication rates of the two groups	during operation time	It was observed that the amount of intraoperative bleeding (volume aspirated cc blood), surgical time (minutes), blood transfusion rates (%), and hysterectomy rates(%).
Comparison of complication rate between two groups	six months postoperatively	It was described as long-term bladder dysfunction(Nocturia, Urgency, Stress urinary incontinance, fistula rate (%)); Nocturia: Waking up more than once during the night. Urgency: Sudden, intense urge to urinate followed by an involuntary loss of urine.; Stress urinary incontinance: Happens when physical movement or activity - such as coughing, laughing, sneezing, running or heavy lifting - puts pressure (stress) on your bladder, causing you to leak urine.
Comparison of postoperative bleeding between two groups	postoperative three days,	It was observed that the amount of postoperative bleeding (hemoglobin(g/dL) change, need for blood transfusion Unite)

Trial Locations

Locations (1)

Cemre Alan; 🇹🇷 Konya, Turkey