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Hormonal Status on Blood Flow and Tissue in Pelvic Organ Prolapse

This study is currently recruiting participants.
See Contacts and Locations
Verified December 2016 by The University of Texas Medical Branch, Galveston
Information provided by (Responsible Party):
The University of Texas Medical Branch, Galveston Identifier:
First received: June 14, 2013
Last updated: May 1, 2017
Last verified: December 2016
Our primary aim in the current study is to determine important tissue differences, including muscle and connective tissue changes, between postmenopausal women and reproductive age women with pelvic floor dysfunction to help develop targeted and noninvasive treatments.

Condition Intervention
Pelvic Floor Disorders Drug: Topical Vaginal Estrogen Cream/placebo

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Other
Official Title: Role of Hormonal Status on Vascularization and Vaginal Tissue in Women With Pelvic Organ Prolapse

Resource links provided by NLM:

Further study details as provided by The University of Texas Medical Branch, Galveston:

Primary Outcome Measures:
  • Composite of vaginal wall inflammatory markers and macrocirculatory and microcirculatory flow on pelvic floor dysfunction [ Time Frame: 1-month perioperative study ]

Secondary Outcome Measures:
  • Composite of tissue matrix metalloproteinases, collagen/elastin structure, microvasculature and muscle thickness [ Time Frame: 1-month perioperative study ]

Estimated Enrollment: 30
Study Start Date: June 2013
Estimated Study Completion Date: December 2018
Estimated Primary Completion Date: May 2018 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Postmenopausal, topical vaginal cream
Postmenopausal participants randomized to topical vaginal cream containing estrogen or placebo for about one month's use prior to scheduled surgery.
Drug: Topical Vaginal Estrogen Cream/placebo
Topical vaginal estrogen cream is commonly but not universally used to improve the health of vaginal tissue prior to surgery. This study will provide data regarding estrogen effects for post-menopausal women undergoing pelvic organ prolapse.
Other Name: Premarin, Estrace
No Intervention: Pre-menopausal, no topical vaginal cream


Ages Eligible for Study:   21 Years to 70 Years   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 21 to 70 years of age
  • Stage II or greater pelvic organ prolapse (POP)
  • Individuals electing surgery to treat their POP
  • Willing and able to comply with study procedures
  • Willing and able to provide written informed consent

Exclusion Criteria:

  • Contraindication for estrogen cream
  • Any medical condition that in the opinion of the investigator would place the subject at increased risk for participation
  • History of connective tissue disease
  • Previous hysterectomy or pelvic organ prolapse surgery
  • Known allergic reaction to any agent required by the protocol
  • Use of hormone therapy in postmenopausal women in the last 90 days
  • Pregnant or lactating females
  • History of prior noncompliance or the presence or history of psychiatric condition that would in the opinion of the investigator make it difficult for the subject to comply with study procedures or follow instructions
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01886794

Contact: Carrie Derkowski, BS 409-772-5164

United States, Texas
UTMB Speciality Care Center at Victory Lakes Recruiting
League City, Texas, United States, 77573
Contact: Tristi Muir, MD    409-747-6625   
Principal Investigator: Kathleen L Vincent, MD         
Sub-Investigator: Erin Conroy, MD         
Sponsors and Collaborators
The University of Texas Medical Branch, Galveston
Principal Investigator: Tristi Muir, MD UTMB Galveston
  More Information

Additional Information:
Responsible Party: The University of Texas Medical Branch, Galveston Identifier: NCT01886794     History of Changes
Other Study ID Numbers: 13-114
Study First Received: June 14, 2013
Last Updated: May 1, 2017

Keywords provided by The University of Texas Medical Branch, Galveston:
pelvic floor dysfunction
pelvic organ prolapse
vaginal estrogen effects

Additional relevant MeSH terms:
Pelvic Organ Prolapse
Pelvic Floor Disorders
Pathological Conditions, Anatomical
Pregnancy Complications
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs processed this record on September 19, 2017