Trial Outcomes & Findings for Study of Uterine Prolapse Procedures - Randomized Trial (NCT NCT01802281)

NCT ID: NCT01802281

Last Updated: 2025-08-26

Results Overview

Failure was defined as any of the following: retreatment for prolapse, any POP-Q measure beyond the hymen, or presence of bother on PFDI vaginal bulge question. Under the permanent failure state assumption, the number of participants shown at each visit includes all participants who were still participating in the study or had a failure outcome prior their withdrawal. Similarly, the denominator number of participants for the cumulative failure at each visit includes all participants who were still participating in the study and attended the visit or had any failure outcome prior their withdrawal or missed visit.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

183 participants

Primary outcome timeframe

6 Months through 36 Months

Results posted on

2025-08-26

Participant Flow

Participant milestones

Participant milestones
Measure
Hysteropexy
Uphold® LITE Uphold® LITE: The Uphold® procedure used in this protocol is a modification of the technique described by Vu and Goldberg.
Hysterectomy and USLS
Vaginal hysterectomy and uterosacral ligament suspension (USLS) Uterosacral ligament suspension: The USLS procedure used in this protocol is a modification of the technique described by Shull.
Overall Study
STARTED
93
90
Overall Study
Eligible and Received Randomized Treatment
88
87
Overall Study
Completed Year 1 Follow-up
88
86
Overall Study
Completed Year 2 Follow-up
87
84
Overall Study
COMPLETED
85
84
Overall Study
NOT COMPLETED
8
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Hysteropexy
Uphold® LITE Uphold® LITE: The Uphold® procedure used in this protocol is a modification of the technique described by Vu and Goldberg.
Hysterectomy and USLS
Vaginal hysterectomy and uterosacral ligament suspension (USLS) Uterosacral ligament suspension: The USLS procedure used in this protocol is a modification of the technique described by Shull.
Overall Study
Death
1
2
Overall Study
Withdrawal by Subject
2
1
Overall Study
Ineligible
5
3

Baseline Characteristics

Study of Uterine Prolapse Procedures - Randomized Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Total
n=175 Participants
Total of all reporting groups
Age, Continuous
65.5 years
STANDARD_DEVIATION 7 • n=5 Participants
66.2 years
STANDARD_DEVIATION 7 • n=7 Participants
65.9 years
STANDARD_DEVIATION 7 • n=5 Participants
Sex/Gender, Customized
Female
88 Participants
n=5 Participants
87 Participants
n=7 Participants
175 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian/Alaskan Native
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Black/African American
8 Participants
n=5 Participants
3 Participants
n=7 Participants
11 Participants
n=5 Participants
Race/Ethnicity, Customized
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
5 Participants
n=5 Participants
1 Participants
n=7 Participants
6 Participants
n=5 Participants
Race/Ethnicity, Customized
White
73 Participants
n=5 Participants
77 Participants
n=7 Participants
150 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic/Latina
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Race/Ethnicity, Customized
Not Hispanic/Not Latina
76 Participants
n=5 Participants
78 Participants
n=7 Participants
154 Participants
n=5 Participants
Race/Ethnicity, Customized
Unknown/Not Reported
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Marital Status
Divorced, separated
16 Participants
n=5 Participants
13 Participants
n=7 Participants
29 Participants
n=5 Participants
Marital Status
Married/Living with partner
56 Participants
n=5 Participants
58 Participants
n=7 Participants
114 Participants
n=5 Participants
Marital Status
Single
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Marital Status
Widowed
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
Education
4-year College Degree
16 Participants
n=5 Participants
20 Participants
n=7 Participants
36 Participants
n=5 Participants
Education
Associate College Degree
22 Participants
n=5 Participants
19 Participants
n=7 Participants
41 Participants
n=5 Participants
Education
Graduate Degree
11 Participants
n=5 Participants
15 Participants
n=7 Participants
26 Participants
n=5 Participants
Education
High School/GED
31 Participants
n=5 Participants
26 Participants
n=7 Participants
57 Participants
n=5 Participants
Education
Less than High School
6 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants
Education
Unknown/Not Reported
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Body Mass Index
28.9 kg/m^2
STANDARD_DEVIATION 4.0 • n=5 Participants
28.2 kg/m^2
STANDARD_DEVIATION 4.4 • n=7 Participants
28.5 kg/m^2
STANDARD_DEVIATION 4.2 • n=5 Participants
Current Smoker
No
85 Participants
n=5 Participants
86 Participants
n=7 Participants
171 Participants
n=5 Participants
Current Smoker
Yes
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Number of Pregnancies
3 Number of pregnancies
n=5 Participants
3 Number of pregnancies
n=7 Participants
3 Number of pregnancies
n=5 Participants
Number of Vaginal Deliveries
3 Number of deliveries
n=5 Participants
2 Number of deliveries
n=7 Participants
3 Number of deliveries
n=5 Participants
Menstrual Status
pre-menopausal (includes peri-menopausal)/not sure
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Menstrual Status
post-menopausal (no menses for the last 12-months)
86 Participants
n=5 Participants
85 Participants
n=7 Participants
171 Participants
n=5 Participants
POP-Q Ba
3.3 cm
STANDARD_DEVIATION 2.0 • n=5 Participants
3 cm
STANDARD_DEVIATION 2.2 • n=7 Participants
3.1 cm
STANDARD_DEVIATION 2.1 • n=5 Participants
POP-Q Bp
0.4 cm
STANDARD_DEVIATION 3.0 • n=5 Participants
0.7 cm
STANDARD_DEVIATION 3.0 • n=7 Participants
0.6 cm
STANDARD_DEVIATION 3.0 • n=5 Participants
POP-Q C
0.4 cm
STANDARD_DEVIATION 3.5 • n=5 Participants
0.7 cm
STANDARD_DEVIATION 3.6 • n=7 Participants
0.5 cm
STANDARD_DEVIATION 3.5 • n=5 Participants
POP-Q TVL
9.1 cm
STANDARD_DEVIATION 1.1 • n=5 Participants
9.1 cm
STANDARD_DEVIATION 1.1 • n=7 Participants
9.1 cm
STANDARD_DEVIATION 1.1 • n=5 Participants
POP-Q Stage
2
15 Participants
n=5 Participants
19 Participants
n=7 Participants
34 Participants
n=5 Participants
POP-Q Stage
3
63 Participants
n=5 Participants
59 Participants
n=7 Participants
122 Participants
n=5 Participants
POP-Q Stage
4
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 Months through 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

Failure was defined as any of the following: retreatment for prolapse, any POP-Q measure beyond the hymen, or presence of bother on PFDI vaginal bulge question. Under the permanent failure state assumption, the number of participants shown at each visit includes all participants who were still participating in the study or had a failure outcome prior their withdrawal. Similarly, the denominator number of participants for the cumulative failure at each visit includes all participants who were still participating in the study and attended the visit or had any failure outcome prior their withdrawal or missed visit.

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Cumulative Failure
6 Months · Non-Failure
78 Participants
69 Participants
Cumulative Failure
6 Months · Failure
9 Participants
16 Participants
Cumulative Failure
12 Months · Non-Failure
71 Participants
63 Participants
Cumulative Failure
12 Months · Failure
15 Participants
22 Participants
Cumulative Failure
18 Months · Non-Failure
66 Participants
58 Participants
Cumulative Failure
18 Months · Failure
19 Participants
26 Participants
Cumulative Failure
24 Months · Non-Failure
59 Participants
54 Participants
Cumulative Failure
24 Months · Failure
21 Participants
29 Participants
Cumulative Failure
30 Months · Non-Failure
55 Participants
52 Participants
Cumulative Failure
30 Months · Failure
24 Participants
31 Participants
Cumulative Failure
36 Months · Non-Failure
53 Participants
47 Participants
Cumulative Failure
36 Months · Failure
26 Participants
34 Participants

SECONDARY outcome

Timeframe: 6 months through 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

Failure was defines as any of the following: retreatment for prolapse, any POP-Q measure beyond the hymen, or presence of bother on PFDI vaginal bulge question. Under the transient failure state assumption, the number of participants shown at each visit includes all participants who were still participating in the study. Similarly, the denominator number of participants for the transient failure at each visit includes all participants who were still participating in the study and attended the visit or who missed the visit but had a retreatment failure outcome prior to their missed visit.

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
At-visit Failure
6 Months · Non-failure
78 Participants
69 Participants
At-visit Failure
6 Months · Failure
9 Participants
16 Participants
At-visit Failure
12 Months · Non-failure
74 Participants
65 Participants
At-visit Failure
36 Months · Failure
16 Participants
21 Participants
At-visit Failure
12 Months · Failure
12 Participants
19 Participants
At-visit Failure
18 Months · Non-failure
69 Participants
65 Participants
At-visit Failure
18 Months · Failure
15 Participants
18 Participants
At-visit Failure
24 Months · Non-failure
64 Participants
63 Participants
At-visit Failure
24 Months · Failure
15 Participants
17 Participants
At-visit Failure
30 Months · Non-failure
60 Participants
60 Participants
At-visit Failure
30 Months · Failure
18 Participants
18 Participants
At-visit Failure
36 Months · Non-failure
62 Participants
57 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Floor Distress Inventory is a 20-question, validated, self-reported instrument used to evaluate pelvic floor symptoms. It consists of an overall scale (range: 0-300) comprised of 3 sub-scales: 1. Pelvic Organ Prolapse Distress Inventory (range: 0-100), 2. Colorectal Anal Distress Inventory (range: 0-100), and 3. Urinary Distress Inventory (range: 0-100). The range of responses on the CRADI is 1-4 with (1) Not at all, (2) Somewhat, (3) Moderately, and (4), Quite a bit. Scores are calculated by multiplying the mean value of all questions answered by 25 for the scale. The range of responses is: 0-100 with 0 (least distress) to 100 (most distress). Lower scores indicate better function / fewer symptoms. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline PFDI Score
6 Months
-81.7 units on a scale
Interval -93.3 to -70.1
-73 units on a scale
Interval -84.8 to -61.1
Change From Baseline PFDI Score
24 Months
-82.1 units on a scale
Interval -93.9 to -70.2
-76.6 units on a scale
Interval -88.7 to -64.5
Change From Baseline PFDI Score
12 Months
-81.2 units on a scale
Interval -92.9 to -69.6
-75.4 units on a scale
Interval -87.3 to -63.5
Change From Baseline PFDI Score
18 Months
-78.7 units on a scale
Interval -90.5 to -67.0
-75.8 units on a scale
Interval -87.8 to -63.9
Change From Baseline PFDI Score
36 Months
-79.8 units on a scale
Interval -91.7 to -67.8
-80.1 units on a scale
Interval -92.3 to -67.8

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Floor Distress Inventory is a 20-question, validated, self-reported instrument used to evaluate pelvic floor symptoms. It consists of an overall scale (range: 0-300) comprised of 3 sub-scales: 1. Pelvic Organ Prolapse Distress Inventory (range: 0-100), 2. Colorectal Anal Distress Inventory (range: 0-100), and 3. Urinary Distress Inventory (range: 0-100). The range of responses on the CRADI is 1-4 with (1) Not at all, (2) Somewhat, (3) Moderately, and (4), Quite a bit. Scores are calculated by multiplying the mean value of all questions answered by 25 for the scale. The range of responses is: 0-100 with 0 (least distress) to 100 (most distress). Lower scores indicate better function / fewer symptoms. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline CRADI Score
6 Months
-11.5 units on a scale
Interval -15.6 to -7.4
-11.1 units on a scale
Interval -15.3 to -6.9
Change From Baseline CRADI Score
12 Months
-11.1 units on a scale
Interval -15.2 to -7.0
-11.2 units on a scale
Interval -15.4 to -7.0
Change From Baseline CRADI Score
18 Months
-10.6 units on a scale
Interval -14.8 to -6.5
-11.9 units on a scale
Interval -16.1 to -7.6
Change From Baseline CRADI Score
24 Months
-12.4 units on a scale
Interval -16.6 to -8.2
-11.4 units on a scale
Interval -15.7 to -7.2
Change From Baseline CRADI Score
36 Months
-11.4 units on a scale
Interval -15.6 to -7.2
-11.6 units on a scale
Interval -15.9 to -7.2

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Floor Distress Inventory is a 20-question, validated, self-reported instrument used to evaluate pelvic floor symptoms. It consists of an overall scale (range: 0-300) comprised of 3 sub-scales: 1. Pelvic Organ Prolapse Distress Inventory (range: 0-100), 2. Colorectal Anal Distress Inventory (range: 0-100), and 3. Urinary Distress Inventory (range: 0-100). The range of responses on the CRADI is 1-4 with (1) Not at all, (2) Somewhat, (3) Moderately, and (4), Quite a bit. Scores are calculated by multiplying the mean value of all questions answered by 25 for the scale. The range of responses is: 0-100 with 0 (least distress) to 100 (most distress). Lower scores indicate better function / fewer symptoms. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline POPDI Score
6 Months
-40.7 units on a scale
Interval -45.7 to -35.7
-37 units on a scale
Interval -42.1 to -31.9
Change From Baseline POPDI Score
12 Months
-41.1 units on a scale
Interval -46.0 to -36.1
-37.4 units on a scale
Interval -42.5 to -32.3
Change From Baseline POPDI Score
18 Months
-40.3 units on a scale
Interval -45.3 to -35.3
-37.4 units on a scale
Interval -42.5 to -32.3
Change From Baseline POPDI Score
24 Months
-41.2 units on a scale
Interval -46.3 to -36.2
-38 units on a scale
Interval -43.1 to -32.8
Change From Baseline POPDI Score
36 Months
-40.1 units on a scale
Interval -45.2 to -35.0
-40.2 units on a scale
Interval -45.5 to -35.0

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Floor Distress Inventory is a 20-question, validated, self-reported instrument used to evaluate pelvic floor symptoms. It consists of an overall scale (range: 0-300) comprised of 3 sub-scales: 1. Pelvic Organ Prolapse Distress Inventory (range: 0-100), 2. Colorectal Anal Distress Inventory (range: 0-100), and 3. Urinary Distress Inventory (range: 0-100). The range of responses on the CRADI is 1-4 with (1) Not at all, (2) Somewhat, (3) Moderately, and (4), Quite a bit. Scores are calculated by multiplying the mean value of all questions answered by 25 for the scale. The range of responses is: 0-100 with 0 (least distress) to 100 (most distress). Lower scores indicate better function / fewer symptoms. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline UDI Score
6 Months
-29.5 units on a scale
Interval -35.2 to -23.8
-24.8 units on a scale
Interval -30.7 to -19.0
Change From Baseline UDI Score
12 Months
-29.1 units on a scale
Interval -34.8 to -23.3
-26.8 units on a scale
Interval -32.7 to -20.9
Change From Baseline UDI Score
18 Months
-27.8 units on a scale
Interval -33.6 to -22.0
-26.6 units on a scale
Interval -32.5 to -20.7
Change From Baseline UDI Score
24 Months
-28.4 units on a scale
Interval -34.3 to -22.6
-27.3 units on a scale
Interval -33.3 to -21.3
Change From Baseline UDI Score
36 Months
-28.3 units on a scale
Interval -34.2 to -22.4
-28.2 units on a scale
Interval -34.3 to -22.2

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Floor Impact Questionnaire short form (PFIQ-7) measuring the impact of bladder, bowel, and vaginal symptoms on a woman''s daily activities, relationships and emotions is composed of 3 scales of 7 questions each: the Urinary Impact Questionnaire (UIQ; range 0-100), the Pelvic Organ Prolapse Impact Questionnaire (POPIQ; range 0-100), and the Colorectal-Anal Impact Questionnaire (CRAIQ; range 0-100). The range of responses on the CRAIQ is 0-3 with (0) Not at all, (1) Somewhat, (2) Moderately, and (3), Quite a bit. Scores are calculated by multiplying the mean value of all answered questions for a scale by 100 divided by 3. The range of responses is: 0-100 with 0 (least negative impact) to 100 (most negative impact). Lower scores indicate better function / fewer symptoms. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline PFIQ Score
6 Months
-42.9 units on a scale
Interval -53.9 to -31.9
-46.7 units on a scale
Interval -57.9 to -35.5
Change From Baseline PFIQ Score
12 Months
-38.3 units on a scale
Interval -49.3 to -27.3
-47.4 units on a scale
Interval -58.7 to -36.2
Change From Baseline PFIQ Score
18 Months
-40.1 units on a scale
Interval -51.2 to -29.1
-50.1 units on a scale
Interval -61.4 to -38.8
Change From Baseline PFIQ Score
24 Months
-44 units on a scale
Interval -55.1 to -32.8
-48.8 units on a scale
Interval -60.2 to -37.4
Change From Baseline PFIQ Score
36 Months
-43.4 units on a scale
Interval -54.6 to -32.2
-50.4 units on a scale
Interval -61.9 to -38.8

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Floor Impact Questionnaire short form (PFIQ-7) measuring the impact of bladder, bowel, and vaginal symptoms on a woman''s daily activities, relationships and emotions is composed of 3 scales of 7 questions each: the Urinary Impact Questionnaire (UIQ; range 0-100), the Pelvic Organ Prolapse Impact Questionnaire (POPIQ; range 0-100), and the Colorectal-Anal Impact Questionnaire (CRAIQ; range 0-100). The range of responses on the CRAIQ is 0-3 with (0) Not at all, (1) Somewhat, (2) Moderately, and (3), Quite a bit. Scores are calculated by multiplying the mean value of all answered questions for a scale by 100 divided by 3. The range of responses is: 0-100 with 0 (least negative impact) to 100 (most negative impact). Lower scores indicate better function / fewer symptoms. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline CRAIQ Score
6 Months
-6.7 units on a scale
Interval -10.8 to -2.6
-10.1 units on a scale
Interval -14.3 to -5.9
Change From Baseline CRAIQ Score
12 Months
-4.7 units on a scale
Interval -8.8 to -0.6
-9.5 units on a scale
Interval -13.7 to -5.3
Change From Baseline CRAIQ Score
18 Months
-4.6 units on a scale
Interval -8.7 to -0.5
-9.6 units on a scale
Interval -13.8 to -5.4
Change From Baseline CRAIQ Score
24 Months
-7.3 units on a scale
Interval -11.4 to -3.1
-9.7 units on a scale
Interval -13.9 to -5.4
Change From Baseline CRAIQ Score
36 Months
-6.1 units on a scale
Interval -10.3 to -1.9
-9.8 units on a scale
Interval -14.1 to -5.5

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Floor Impact Questionnaire short form (PFIQ-7) measuring the impact of bladder, bowel, and vaginal symptoms on a woman''s daily activities, relationships and emotions is composed of 3 scales of 7 questions each: the Urinary Impact Questionnaire (UIQ; range 0-100), the Pelvic Organ Prolapse Impact Questionnaire (POPIQ; range 0-100), and the Colorectal-Anal Impact Questionnaire (CRAIQ; range 0-100). The range of responses on the CRAIQ is 0-3 with (0) Not at all, (1) Somewhat, (2) Moderately, and (3), Quite a bit. Scores are calculated by multiplying the mean value of all answered questions for a scale by 100 divided by 3. The range of responses is: 0-100 with 0 (least negative impact) to 100 (most negative impact). Lower scores indicate better function / fewer symptoms. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline POPIQ Score
6 Months
-15.7 units on a scale
Interval -20.6 to -10.9
-18.9 units on a scale
Interval -23.9 to -13.9
Change From Baseline POPIQ Score
12 Months
-14.6 units on a scale
Interval -19.4 to -9.7
-19.5 units on a scale
Interval -24.5 to -14.5
Change From Baseline POPIQ Score
18 Months
-15.9 units on a scale
Interval -20.8 to -11.1
-20.1 units on a scale
Interval -25.1 to -15.1
Change From Baseline POPIQ Score
24 Months
-15.9 units on a scale
Interval -20.8 to -11.0
-19.1 units on a scale
Interval -24.1 to -14.0
Change From Baseline POPIQ Score
36 Months
-16 units on a scale
Interval -21.0 to -11.1
-19.9 units on a scale
Interval -25.0 to -14.8

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Floor Impact Questionnaire short form (PFIQ-7) measuring the impact of bladder, bowel, and vaginal symptoms on a woman''s daily activities, relationships and emotions is composed of 3 scales of 7 questions each: the Urinary Impact Questionnaire (UIQ; range 0-100), the Pelvic Organ Prolapse Impact Questionnaire (POPIQ; range 0-100), and the Colorectal-Anal Impact Questionnaire (CRAIQ; range 0-100). The range of responses on the CRAIQ is 0-3 with (0) Not at all, (1) Somewhat, (2) Moderately, and (3), Quite a bit. Scores are calculated by multiplying the mean value of all answered questions for a scale by 100 divided by 3. The range of responses is: 0-100 with 0 (least negative impact) to 100 (most negative impact). Lower scores indicate better function / fewer symptoms. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline UIQ Score
6 Months
-20.5 units on a scale
Interval -25.5 to -15.5
-17.7 units on a scale
Interval -22.8 to -12.6
Change From Baseline UIQ Score
12 Months
-19 units on a scale
Interval -24.0 to -14.1
-18.4 units on a scale
Interval -23.5 to -13.4
Change From Baseline UIQ Score
18 Months
-19.5 units on a scale
Interval -24.5 to -14.6
-20.4 units on a scale
Interval -25.5 to -15.3
Change From Baseline UIQ Score
24 Months
-20.8 units on a scale
Interval -25.8 to -15.7
-20.1 units on a scale
Interval -25.3 to -15.0
Change From Baseline UIQ Score
36 Months
-21.3 units on a scale
Interval -26.3 to -16.2
-20.6 units on a scale
Interval -25.8 to -15.4

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

Incontinence Severity Index measuring the severity of urinary incontinence is composed of 2 questions: frequency of leakage (0=Never,...,4=Every day/night) and amount of urine leakage (1=Drops, 2=small splashes, 3= More). The index score is calculated categorizing the product of the two responses. The range of responses is: 0 (no incontinence) to 12 (severe incontinence). Lower index scores indicate better function / fewer symptoms. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline Incontinence Severity Index
6 Months
-2.4 units on a scale
Interval -3.2 to -1.6
-1.3 units on a scale
Interval -2.1 to -0.6
Change From Baseline Incontinence Severity Index
12 Months
-2.1 units on a scale
Interval -2.9 to -1.3
-1.4 units on a scale
Interval -2.2 to -0.6
Change From Baseline Incontinence Severity Index
18 Months
-2.1 units on a scale
Interval -2.9 to -1.3
-1.3 units on a scale
Interval -2.1 to -0.5
Change From Baseline Incontinence Severity Index
24 Months
-1.9 units on a scale
Interval -2.7 to -1.2
-1.4 units on a scale
Interval -2.2 to -0.6
Change From Baseline Incontinence Severity Index
36 Months
-1.9 units on a scale
Interval -2.7 to -1.1
-1.6 units on a scale
Interval -2.5 to -0.8

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

Functional Activity Scale measuring the impact of incontinence symptoms on a woman''s daily activities is composed of 13 questions about normal and physically strenuous daily activities. The range of responses on the individual questions is (1) No difficulty,... (5) Not able to do it. Scores are calculated by subtracting from the maximum sum (5\*13=65) the product of the mean response and number of questions, then dividing by the total range of sums (65 - 13 = 52) and multiplying by 100. The range of responses is: 0-100 with 0 (worse functionality) to 100 (Better functionality). Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline Functional Activity Scale
6 Months
6.3 units on a scale
Interval 3.5 to 9.0
7.7 units on a scale
Interval 4.9 to 10.5
Change From Baseline Functional Activity Scale
12 Months
6.3 units on a scale
Interval 3.6 to 9.1
6 units on a scale
Interval 3.2 to 8.8
Change From Baseline Functional Activity Scale
18 Months
5.8 units on a scale
Interval 3.0 to 8.5
6.6 units on a scale
Interval 3.8 to 9.5
Change From Baseline Functional Activity Scale
24 Months
4.9 units on a scale
Interval 2.1 to 7.7
6.2 units on a scale
Interval 3.3 to 9.0
Change From Baseline Functional Activity Scale
36 Months
5.6 units on a scale
Interval 2.8 to 8.5
4.8 units on a scale
Interval 1.9 to 7.7

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, 30, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Body Part Pain Scale measuring the the pain experienced in the lower abdomen and pelvic region of the body is composed of 7 questions, each with a yes (1) or no (0) questions about experiencing pain followed by an intensity rating: 0 (No pain),..., 10 (Most intense). The score is calculated as the average of the responses. The range of responses is: 0-10 with 0 (No pain) to 10 (most intense pain). Lower scores indicate better function / fewer symptoms. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline Body Part Pain Scale
6 Months
-0.4 units on a scale
Interval -0.6 to -0.2
-0.3 units on a scale
Interval -0.5 to -0.1
Change From Baseline Body Part Pain Scale
12 Months
-0.5 units on a scale
Interval -0.7 to -0.3
-0.3 units on a scale
Interval -0.5 to -0.1
Change From Baseline Body Part Pain Scale
18 Months
-0.5 units on a scale
Interval -0.7 to -0.3
-0.3 units on a scale
Interval -0.5 to -0.1
Change From Baseline Body Part Pain Scale
24 Months
-0.6 units on a scale
Interval -0.8 to -0.3
-0.3 units on a scale
Interval -0.6 to -0.1
Change From Baseline Body Part Pain Scale
30 Months
-0.5 units on a scale
Interval -0.7 to -0.3
-0.3 units on a scale
Interval -0.5 to -0.1
Change From Baseline Body Part Pain Scale
36 Months
-0.5 units on a scale
Interval -0.7 to -0.3
-0.3 units on a scale
Interval -0.5 to -0.1

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Surgical Pain Scale measuring the post-surgical pain experienced by a subject is composed of 4 questions: Pain at Rest (range 0-10), Pain with Normal Activities (range 0-10), Pain with Exercise (range 0-10), and Intensity of Worst Pain (range 0-10). Lower scores indicate better less pain. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline Surgical Pain Scale Rest Score
36 Months
-0.5 units on a scale
Interval -1.0 to -0.1
-0.6 units on a scale
Interval -1.1 to -0.2
Change From Baseline Surgical Pain Scale Rest Score
6 Months
-0.7 units on a scale
Interval -1.1 to -0.3
-0.8 units on a scale
Interval -1.2 to -0.3
Change From Baseline Surgical Pain Scale Rest Score
12 Months
-0.6 units on a scale
Interval -1.0 to -0.2
-0.7 units on a scale
Interval -1.1 to -0.2
Change From Baseline Surgical Pain Scale Rest Score
18 Months
-0.6 units on a scale
Interval -1.0 to -0.2
-0.8 units on a scale
Interval -1.2 to -0.4
Change From Baseline Surgical Pain Scale Rest Score
24 Months
-0.7 units on a scale
Interval -1.2 to -0.3
-0.5 units on a scale
Interval -0.9 to -0.1

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Surgical Pain Scale measuring the post-surgical pain experienced by a subject is composed of 4 questions: Pain at Rest (range 0-10), Pain with Normal Activities (range 0-10), Pain with Exercise (range 0-10), and Intensity of Worst Pain (range 0-10). Lower scores indicate better less pain. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline Surgical Pain Scale Normal Score
6 Months
-0.9 units on a scale
Interval -1.3 to -0.4
-0.8 units on a scale
Interval -1.3 to -0.4
Change From Baseline Surgical Pain Scale Normal Score
12 Months
-0.9 units on a scale
Interval -1.3 to -0.4
-0.8 units on a scale
Interval -1.3 to -0.4
Change From Baseline Surgical Pain Scale Normal Score
18 Months
-1 units on a scale
Interval -1.4 to -0.5
-0.8 units on a scale
Interval -1.3 to -0.4
Change From Baseline Surgical Pain Scale Normal Score
24 Months
-1 units on a scale
Interval -1.4 to -0.5
-0.6 units on a scale
Interval -1.0 to -0.1
Change From Baseline Surgical Pain Scale Normal Score
36 Months
-0.7 units on a scale
Interval -1.2 to -0.2
-0.7 units on a scale
Interval -1.2 to -0.2

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: AAn intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline. This outcome measure is only calculated for individuals who reported exercising.

The Surgical Pain Scale measuring the post-surgical pain experienced by a subject is composed of 4 questions: Pain at Rest (range 0-10), Pain with Normal Activities (range 0-10), Pain with Exercise (range 0-10), and Intensity of Worst Pain (range 0-10). Lower scores indicate better less pain. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=53 Participants
UPHOLD Procedure
USLS
n=52 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline Surgical Pain Scale Exercise Score
6 Months
-1 units on a scale
Interval -1.7 to -0.3
-1.4 units on a scale
Interval -2.1 to -0.6
Change From Baseline Surgical Pain Scale Exercise Score
12 Months
-0.9 units on a scale
Interval -1.6 to -0.2
-1.1 units on a scale
Interval -1.8 to -0.4
Change From Baseline Surgical Pain Scale Exercise Score
18 Months
-0.9 units on a scale
Interval -1.6 to -0.2
-1.2 units on a scale
Interval -1.9 to -0.5
Change From Baseline Surgical Pain Scale Exercise Score
24 Months
-1 units on a scale
Interval -1.7 to -0.3
-0.9 units on a scale
Interval -1.7 to -0.1
Change From Baseline Surgical Pain Scale Exercise Score
36 Months
-1.2 units on a scale
Interval -2.0 to -0.5
-0.9 units on a scale
Interval -1.7 to -0.1

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Surgical Pain Scale measuring the post-surgical pain experienced by a subject is composed of 4 questions: Pain at Rest (range 0-10), Pain with Normal Activities (range 0-10), Pain with Exercise (range 0-10), and Intensity of Worst Pain (range 0-10). Lower scores indicate better less pain. Change = (Month \[6, 12, 18, 24, and 36\] Score - Baseline Score).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline Surgical Pain Scale Worst Score
36 Months
-0.8 units on a scale
Interval -1.4 to -0.3
-0.5 units on a scale
Interval -1.1 to 0.0
Change From Baseline Surgical Pain Scale Worst Score
6 Months
-0.8 units on a scale
Interval -1.3 to -0.3
-0.9 units on a scale
Interval -1.4 to -0.4
Change From Baseline Surgical Pain Scale Worst Score
12 Months
-1 units on a scale
Interval -1.5 to -0.5
-0.7 units on a scale
Interval -1.3 to -0.2
Change From Baseline Surgical Pain Scale Worst Score
18 Months
-0.9 units on a scale
Interval -1.5 to -0.4
-0.9 units on a scale
Interval -1.5 to -0.4
Change From Baseline Surgical Pain Scale Worst Score
24 Months
-1 units on a scale
Interval -1.6 to -0.5
-0.6 units on a scale
Interval -1.2 to 0.0

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Body Image Scale measuring how the subjects feel about their appearance and about any changes that may have resulted from their condition consists of 8 questions. The questions are scored from 0=Not at all,..., 3=Very much. The score is calculated by summing the responses and ranges from 0 to 24. Higher scores correspond to worse body image. Change = Month \[6, 12, 18, 24, and 36\] Score - Baseline Score.

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline Body Image Scale
12 Months
-4.9 units on a scale
Interval -6.1 to -3.7
-3.9 units on a scale
Interval -5.1 to -2.7
Change From Baseline Body Image Scale
6 Months
-5 units on a scale
Interval -6.1 to -3.8
-3.7 units on a scale
Interval -4.9 to -2.6
Change From Baseline Body Image Scale
18 Months
-4.8 units on a scale
Interval -6.0 to -3.6
-3.9 units on a scale
Interval -5.1 to -2.7
Change From Baseline Body Image Scale
24 Months
-4.8 units on a scale
Interval -6.0 to -3.6
-3.8 units on a scale
Interval -5.0 to -2.6
Change From Baseline Body Image Scale
36 Months
-4.9 units on a scale
Interval -6.1 to -3.7
-3.8 units on a scale
Interval -5.0 to -2.6

OTHER_PRE_SPECIFIED outcome

Timeframe: 6, 12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline. This outcome measure is only calculated for individuals who report being sexually active.

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. The PISQ-IR Sexually Active-Average Score (SA-AVG) ranges from 0 to 5 with higher scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 6, 12, 18, 24, and 36 months and the score at baseline.

Outcome measures

Outcome measures
Measure
UPHOLD
n=30 Participants
UPHOLD Procedure
USLS
n=40 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Change From Baseline PISQ-IR Sexually Active Average Score
6 Months
0.2 units on a scale
Interval 0.1 to 0.4
0.3 units on a scale
Interval 0.1 to 0.5
Change From Baseline PISQ-IR Sexually Active Average Score
12 Months
0.2 units on a scale
Interval 0.0 to 0.4
0.3 units on a scale
Interval 0.1 to 0.5
Change From Baseline PISQ-IR Sexually Active Average Score
18 Months
0.3 units on a scale
Interval 0.1 to 0.4
0.2 units on a scale
Interval 0.1 to 0.4
Change From Baseline PISQ-IR Sexually Active Average Score
24 Months
0.3 units on a scale
Interval 0.1 to 0.5
0.3 units on a scale
Interval 0.2 to 0.5
Change From Baseline PISQ-IR Sexually Active Average Score
36 Months
0.3 units on a scale
Interval 0.1 to 0.5
0.3 units on a scale
Interval 0.1 to 0.5

OTHER_PRE_SPECIFIED outcome

Timeframe: 12, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Organ Prolapse Quantification (POPQ) Point Ba represents the most distal (i.e. most dependent) position of any part of the upper anterior vaginal wall (between the vaginal cuff or anterior vaginal fornix and Point Aa). Point Ba coincides with Point Aa (-3 cm) in a woman who has no anterior POP. In a woman with severe POP, Ba coincides with Point C.

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
POP-Q Ba Measurement
12 Months
-1.3 cm
Interval -1.6 to -1.0
-0.8 cm
Interval -1.1 to -0.5
POP-Q Ba Measurement
24 Months
-1.5 cm
Interval -1.8 to -1.2
-1.1 cm
Interval -1.4 to -0.7
POP-Q Ba Measurement
36 Months
-1.2 cm
Interval -1.5 to -0.8
-0.7 cm
Interval -1.0 to -0.3

OTHER_PRE_SPECIFIED outcome

Timeframe: 12, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Organ Prolapse Quantification (POPQ) Point Bp represents the most distal position of any part of the upper posterior vaginal wall (between the vaginal cuff or posterior vaginal fornix and Point Ap).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
POP-Q Bp Measurement
12 Months
-1.9 cm
Interval -2.2 to -1.6
-2 cm
Interval -2.2 to -1.7
POP-Q Bp Measurement
24 Months
-1.8 cm
Interval -2.1 to -1.5
-2 cm
Interval -2.2 to -1.8
POP-Q Bp Measurement
36 Months
-1.7 cm
Interval -2.1 to -1.4
-1.8 cm
Interval -2.1 to -1.5

OTHER_PRE_SPECIFIED outcome

Timeframe: 12, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Organ Prolapse Quantification (POPQ) Point C is measured in cm relative to the hymen with negative values being proximal to the hymen and positive values distal to the hymen. Point C represents either the most distal edge of the cervix or the leading edge of the vaginal cuff after total hysterectomy.

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
POP-Q C Measurement
12 Months
-5.6 cm
Interval -6.2 to -5.0
-6.1 cm
Interval -6.6 to -5.6
POP-Q C Measurement
24 Months
-6 cm
Interval -6.4 to -5.5
-6.1 cm
Interval -6.4 to -5.7
POP-Q C Measurement
36 Months
-5.7 cm
Interval -6.2 to -5.1
-5.8 cm
Interval -6.2 to -5.3

OTHER_PRE_SPECIFIED outcome

Timeframe: 12, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Pelvic Organ Prolapse Quantification (POPQ) Total Vaginal Length (TVL) is the length of the vagina from posterior fornix tothe hymen when Point C or D is reduced to its full normal position.

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
POP-Q TVL Measurement
12 Months
8.5 cm
Interval 8.3 to 8.7
8 cm
Interval 7.7 to 8.2
POP-Q TVL Measurement
24 Months
8.6 cm
Interval 8.4 to 8.9
7.8 cm
Interval 7.5 to 8.0
POP-Q TVL Measurement
36 Months
8.5 cm
Interval 8.2 to 8.7
7.7 cm
Interval 7.4 to 8.0

OTHER_PRE_SPECIFIED outcome

Timeframe: 6,12, 18, 24, and 36 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and received the assigned treatment. Participants were included at each time point at which they provided outcome data after baseline.

The Patient Global Impression of Improvement (PGI-I) is a patient-reported measure of perceived improvement with treatment, as assessed on a scale of 1 (very much better) to 7 (very much worse). Included here are participants who had improvement as indicated by a rating of 1 (very much better), 2 (much better).

Outcome measures

Outcome measures
Measure
UPHOLD
n=88 Participants
UPHOLD Procedure
USLS
n=87 Participants
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
PGI-I
6 Months · No improvement
79 Participants
81 Participants
PGI-I
6 Months · Improved
8 Participants
4 Participants
PGI-I
12 Months · No improvement
75 Participants
76 Participants
PGI-I
12 Months · Improved
11 Participants
8 Participants
PGI-I
18 Months · No improvement
70 Participants
76 Participants
PGI-I
18 Months · Improved
12 Participants
7 Participants
PGI-I
24 Months · No improvement
69 Participants
71 Participants
PGI-I
24 Months · Improved
10 Participants
8 Participants
PGI-I
36 Months · No improvement
70 Participants
67 Participants
PGI-I
36 Months · Improved
8 Participants
8 Participants

Adverse Events

Hysterectomy

Serious events: 10 serious events
Other events: 73 other events
Deaths: 2 deaths

Hysteropexy

Serious events: 10 serious events
Other events: 73 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Hysterectomy
n=90 participants at risk
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Hysteropexy
n=93 participants at risk
UPHOLD Procedure
Gastrointestinal disorders
Colitis
2.2%
2/90 • Number of events 2 • 36 Months
0.00%
0/93 • 36 Months
Gastrointestinal disorders
Colitis ischaemic
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Gastrointestinal disorders
Constipation
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Gastrointestinal disorders
Diverticular perforation
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Gastrointestinal disorders
Ileus
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Infections and infestations
Pyelonephritis
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Infections and infestations
Urosepsis
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Injury, poisoning and procedural complications
Post procedural haemorrhage
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/90 • 36 Months
2.2%
2/93 • Number of events 2 • 36 Months
Renal and urinary disorders
Bladder spasm
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Renal and urinary disorders
Stress urinary incontinence
2.2%
2/90 • Number of events 2 • 36 Months
0.00%
0/93 • 36 Months
Reproductive system and breast disorders
Dyspareunia
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 2 • 36 Months
Reproductive system and breast disorders
Rectocele
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Reproductive system and breast disorders
Vulvovaginal pain
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/90 • 36 Months
2.2%
2/93 • Number of events 2 • 36 Months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Vascular disorders
Deep vein thrombosis
0.00%
0/90 • 36 Months
2.2%
2/93 • Number of events 3 • 36 Months
Vascular disorders
Haematoma
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months

Other adverse events

Other adverse events
Measure
Hysterectomy
n=90 participants at risk
Vaginal hysterectomy and Uterosacral Ligament Suspension (USLS)
Hysteropexy
n=93 participants at risk
UPHOLD Procedure
Cardiac disorders
Arrhythmia
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Cardiac disorders
Atrial fibrillation
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Gastrointestinal disorders
Abdominal distension
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Gastrointestinal disorders
Abdominal pain
2.2%
2/90 • Number of events 2 • 36 Months
3.2%
3/93 • Number of events 3 • 36 Months
Gastrointestinal disorders
Colitis
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 2 • 36 Months
Gastrointestinal disorders
Constipation
14.4%
13/90 • Number of events 14 • 36 Months
5.4%
5/93 • Number of events 6 • 36 Months
Gastrointestinal disorders
Diarrhoea
0.00%
0/90 • 36 Months
2.2%
2/93 • Number of events 2 • 36 Months
Gastrointestinal disorders
Enteritis
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Gastrointestinal disorders
Faecal incontinence
4.4%
4/90 • Number of events 5 • 36 Months
10.8%
10/93 • Number of events 11 • 36 Months
Gastrointestinal disorders
Gastric ulcer
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Gastrointestinal disorders
Gastrooesophageal reflux disease
1.1%
1/90 • Number of events 1 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Gastrointestinal disorders
Haemorrhoids
1.1%
1/90 • Number of events 1 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Gastrointestinal disorders
Levator syndrome
0.00%
0/90 • 36 Months
2.2%
2/93 • Number of events 2 • 36 Months
Gastrointestinal disorders
Nausea
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Gastrointestinal disorders
Peritoneal perforation
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Gastrointestinal disorders
Rectal haemorrhage
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Gastrointestinal disorders
Small intestinal obstruction
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Gastrointestinal disorders
Vomiting
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
General disorders
Device malfunction
0.00%
0/90 • 36 Months
2.2%
2/93 • Number of events 2 • 36 Months
General disorders
Feeling hot
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
General disorders
Local swelling
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Infections and infestations
Bacterial vaginosis
1.1%
1/90 • Number of events 1 • 36 Months
4.3%
4/93 • Number of events 4 • 36 Months
Infections and infestations
Cellulitis
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Infections and infestations
Clostridium difficile colitis
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Infections and infestations
Fungal infection
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Infections and infestations
Groin abscess
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Infections and infestations
Urinary tract infection
43.3%
39/90 • Number of events 69 • 36 Months
36.6%
34/93 • Number of events 59 • 36 Months
Infections and infestations
Vaginal infection
5.6%
5/90 • Number of events 5 • 36 Months
3.2%
3/93 • Number of events 3 • 36 Months
Infections and infestations
Vulvovaginal candidiasis
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Infections and infestations
Vulvovaginal mycotic infection
2.2%
2/90 • Number of events 2 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Infections and infestations
Wound infection
1.1%
1/90 • Number of events 1 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Injury, poisoning and procedural complications
Bladder injury
1.1%
1/90 • Number of events 1 • 36 Months
2.2%
2/93 • Number of events 2 • 36 Months
Injury, poisoning and procedural complications
Femoral nerve injury
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Injury, poisoning and procedural complications
Hysteropexy mesh exposure
0.00%
0/90 • 36 Months
7.5%
7/93 • Number of events 12 • 36 Months
Injury, poisoning and procedural complications
Midurethral sling mesh exposure
2.2%
2/90 • Number of events 3 • 36 Months
0.00%
0/93 • 36 Months
Injury, poisoning and procedural complications
Postoperative thrombosis
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Injury, poisoning and procedural complications
Procedural complication
0.00%
0/90 • 36 Months
2.2%
2/93 • Number of events 2 • 36 Months
Injury, poisoning and procedural complications
Retained fragment of surgical packing
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Injury, poisoning and procedural complications
Suture exposure after 12 wks.
18.9%
17/90 • Number of events 17 • 36 Months
3.2%
3/93 • Number of events 3 • 36 Months
Injury, poisoning and procedural complications
Ureteric kink
7.8%
7/90 • Number of events 7 • 36 Months
0.00%
0/93 • 36 Months
Injury, poisoning and procedural complications
Vaginal laceration
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Investigations
Blood culture positive
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Investigations
Urine analysis abnormal
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/90 • 36 Months
2.2%
2/93 • Number of events 2 • 36 Months
Musculoskeletal and connective tissue disorders
Back pain
1.1%
1/90 • Number of events 1 • 36 Months
3.2%
3/93 • Number of events 3 • 36 Months
Musculoskeletal and connective tissue disorders
Flank pain
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Musculoskeletal and connective tissue disorders
Groin pain
0.00%
0/90 • 36 Months
2.2%
2/93 • Number of events 3 • 36 Months
Musculoskeletal and connective tissue disorders
Joint stiffness
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Musculoskeletal and connective tissue disorders
Joint swelling
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/90 • 36 Months
2.2%
2/93 • Number of events 2 • 36 Months
Musculoskeletal and connective tissue disorders
Pain in extremity
2.2%
2/90 • Number of events 2 • 36 Months
0.00%
0/93 • 36 Months
Musculoskeletal and connective tissue disorders
Tendonitis
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Nervous system disorders
Sciatica
1.1%
1/90 • Number of events 2 • 36 Months
2.2%
2/93 • Number of events 2 • 36 Months
Renal and urinary disorders
Bladder spasm
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Renal and urinary disorders
Dysuria
0.00%
0/90 • 36 Months
2.2%
2/93 • Number of events 3 • 36 Months
Renal and urinary disorders
Haematuria
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Renal and urinary disorders
Hydronephrosis
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Renal and urinary disorders
Nocturia
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Renal and urinary disorders
Stress urinary incontinence
12.2%
11/90 • Number of events 11 • 36 Months
20.4%
19/93 • Number of events 22 • 36 Months
Renal and urinary disorders
Urethral caruncle
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Renal and urinary disorders
Urethral cyst
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Renal and urinary disorders
Urethral pain
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Renal and urinary disorders
Urge incontinence
14.4%
13/90 • Number of events 13 • 36 Months
20.4%
19/93 • Number of events 21 • 36 Months
Renal and urinary disorders
Urinary incontinence
2.2%
2/90 • Number of events 2 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Renal and urinary disorders
Urinary retention
7.8%
7/90 • Number of events 8 • 36 Months
6.5%
6/93 • Number of events 10 • 36 Months
Reproductive system and breast disorders
Atrophic vulvovaginitis
1.1%
1/90 • Number of events 1 • 36 Months
7.5%
7/93 • Number of events 8 • 36 Months
Reproductive system and breast disorders
Bartholin's cyst
1.1%
1/90 • Number of events 1 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Reproductive system and breast disorders
Cervical polyp
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Reproductive system and breast disorders
Dyspareunia
2.2%
2/90 • Number of events 2 • 36 Months
7.5%
7/93 • Number of events 7 • 36 Months
Reproductive system and breast disorders
Fallopian tube prolapse
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Reproductive system and breast disorders
Pelvic pain
7.8%
7/90 • Number of events 8 • 36 Months
3.2%
3/93 • Number of events 3 • 36 Months
Reproductive system and breast disorders
Perineal pain
1.1%
1/90 • Number of events 1 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Reproductive system and breast disorders
Postmenopausal bleeding secondary to atrophy
1.1%
1/90 • Number of events 1 • 36 Months
4.3%
4/93 • Number of events 5 • 36 Months
Reproductive system and breast disorders
Postmenopausal haemorrhage
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Reproductive system and breast disorders
Rectocele
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Reproductive system and breast disorders
Uterine haemorrhage
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Reproductive system and breast disorders
Vaginal bleeding
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Reproductive system and breast disorders
Vaginal erosion
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Reproductive system and breast disorders
Vaginal haematoma
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Reproductive system and breast disorders
Vaginal scarring
0.00%
0/90 • 36 Months
4.3%
4/93 • Number of events 4 • 36 Months
Reproductive system and breast disorders
Vaginotomy
1.1%
1/90 • Number of events 1 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Reproductive system and breast disorders
Vulvovaginal adhesion
2.2%
2/90 • Number of events 2 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Reproductive system and breast disorders
Vulvovaginal discomfort
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Reproductive system and breast disorders
Vulvovaginal pain
3.3%
3/90 • Number of events 3 • 36 Months
0.00%
0/93 • 36 Months
Reproductive system and breast disorders
Vulvovaginal pruritus
1.1%
1/90 • Number of events 1 • 36 Months
3.2%
3/93 • Number of events 3 • 36 Months
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Skin and subcutaneous tissue disorders
Excessive granulation tissue after 12 wks.
11.1%
10/90 • Number of events 10 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Skin and subcutaneous tissue disorders
Rash
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Surgical and medical procedures
Ureteral stent insertion
0.00%
0/90 • 36 Months
1.1%
1/93 • Number of events 1 • 36 Months
Vascular disorders
Phlebitis
1.1%
1/90 • Number of events 1 • 36 Months
0.00%
0/93 • 36 Months

Additional Information

Marie Gantz

RTI International

Phone: 919-541-5110

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place