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A New Technique for Sacrospinous-Sacrotuberous Fixation for the Treatment of Uterovaginal and Vaginal Vault Prolapse

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03487328
Recruitment Status : Completed
First Posted : April 4, 2018
Last Update Posted : July 8, 2020
Sponsor:
Information provided by (Responsible Party):
Mohamed S Sweed, MD, Ain Shams University

Brief Summary:
This prospective interventional randomized controlled trial is conducted to compare a new technique for Sacrospinous-Sacrotuberous fixation with the traditional sacrospinous ligament fixation technique for treatment of uterovaginal and vaginal vault prolapse.

Condition or disease Intervention/treatment Phase
Uterovaginal and Vaginal Vault Prolapse Procedure: Sacrospinous-Sacrotuberous fixation Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A New Technique for Sacrospinous-Sacrotuberous Fixation for the Treatment of Uterovaginal and Vaginal Vault Prolapse: A Randomized Controlled Trial
Actual Study Start Date : March 21, 2018
Actual Primary Completion Date : May 1, 2020
Actual Study Completion Date : May 1, 2020

Arm Intervention/treatment
Active Comparator: Modified technique for Sacrospinous-Sacrotuberous Fixation
Modified technique for Sacrospinous-Sacrotuberous Fixation
Procedure: Sacrospinous-Sacrotuberous fixation
Sacrospinous-Sacrotuberous fixation

Active Comparator: Conventional technique for Sacrospinous-Sacrotuberous Fixation
Modified technique for Sacrospinous-Sacrotuberous Fixation
Procedure: Sacrospinous-Sacrotuberous fixation
Sacrospinous-Sacrotuberous fixation




Primary Outcome Measures :
  1. Number of participants with recurrence of uterovaginal and vaginal vault prolapse [ Time Frame: 1 year ]

Secondary Outcome Measures :
  1. blood loss [ Time Frame: intraoperative ]
  2. Injury to surrounding structures [ Time Frame: intraoperative ]
    Number of participants that experience injury of important surrounding structure intraoperative

  3. operative time [ Time Frame: intraoperative ]


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Ages Eligible for Study:   40 Years to 60 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Age from 40 to 60 years.
  2. POP Q stage III & IV
  3. Uterovaginal prolapse.
  4. Vaginal vault prolapse.
  5. BMI >35.

Exclusion Criteria:

  1. Age > 40 years or < 60 years.
  2. POP Q stage I or II.
  3. BMI < 35.
  4. Previous repair of uterovaginal or vaginal vault prolapse.
  5. Comorbidity with Stress Urinary Incontinence.
  6. Presence of persistent risk factor increasing intra-abdominal pressure e.g. chronic chest conditions.
  7. Any significant comorbidity or psychiatric disorder that would compromise patient's consent.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03487328


Locations
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Egypt
Ain Shams University Maternity Hospital
Cairo, Egypt
Sponsors and Collaborators
Ain Shams University
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Responsible Party: Mohamed S Sweed, MD, Principal Investigator, Ain Shams University
ClinicalTrials.gov Identifier: NCT03487328    
Other Study ID Numbers: AS1729
First Posted: April 4, 2018    Key Record Dates
Last Update Posted: July 8, 2020
Last Verified: July 2020

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Mohamed S Sweed, MD, Ain Shams University:
treatment
Additional relevant MeSH terms:
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Prolapse
Pelvic Organ Prolapse
Pathological Conditions, Anatomical