Different Surgical Techniques Used for Prolapse Repair in Elderly Patient
NCT ID: NCT03445442
Last Updated: 2018-03-22
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
214 participants
OBSERVATIONAL
2011-01-01
2017-04-05
Brief Summary
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Detailed Description
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Surgical techniques should optimize functional results and minimize complications. In POP surgery, younger women are good candidates for sacrocolpopexy (SCP), because of the improved long term functional result, while women older than 80 may have a satisfactory outcome with fewer complication with a vaginal repair with mesh (VMR) or native tissue (NTR). The increasing prevalence of POP, and the increasing population of women aged 70-80 requires an evaluation of the appropriate surgical management since women in this age group may be candidates for all types of surgical repair.
Conditions
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Study Design
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COHORT
RETROSPECTIVE
Study Groups
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Group 1
Sacrocolpopexy (SCP)
SCP
Sacrocolpopexy (SCP) aims to secure the anterior vaginal wall, the uterus more or less the posterior vaginal wall using polypropylene prostheses and to secure them to the presacral ligament to restore the patient's anatomical features and improve pelvic symptoms
Group 2
Native tissue repair surgery (NTR)
NTR
Native tissue repair surgery (NTR) consist of site-specific surgical repair of the existing defect (anterior and/or posterior) using non-absorbable sutures. Specifically, anterior and/or posterior colporrhaphy for cystocele and rectocele respectively after adequate hydrodissection of the vesicovaginal or rectovaginal space.
Group 3
Vaginal mesh repair surgery (VMR)
VMR
Vaginal mesh repair surgery (VMR) is performed using a single-incision mesh system. A single vertical incision is made in the anterior and/or posterior vaginal wall. A full-thickness dissection is performed laterally and apically to the ischial spine.
Interventions
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SCP
Sacrocolpopexy (SCP) aims to secure the anterior vaginal wall, the uterus more or less the posterior vaginal wall using polypropylene prostheses and to secure them to the presacral ligament to restore the patient's anatomical features and improve pelvic symptoms
NTR
Native tissue repair surgery (NTR) consist of site-specific surgical repair of the existing defect (anterior and/or posterior) using non-absorbable sutures. Specifically, anterior and/or posterior colporrhaphy for cystocele and rectocele respectively after adequate hydrodissection of the vesicovaginal or rectovaginal space.
VMR
Vaginal mesh repair surgery (VMR) is performed using a single-incision mesh system. A single vertical incision is made in the anterior and/or posterior vaginal wall. A full-thickness dissection is performed laterally and apically to the ischial spine.
Eligibility Criteria
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Inclusion Criteria
* Patients aged between 70 and 80 years old
* Patients with symptomatic anterior, apical and/or posterior compartment prolapse, stage 2 or greater
Exclusion Criteria
* Patients with a surgical repair specific to the existing defect site (For group 2)
70 Years
80 Years
FEMALE
No
Sponsors
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Centre Hospitalier Universitaire de Nice
OTHER
Responsible Party
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References
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Other Identifiers
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URO-BASE02
Identifier Type: -
Identifier Source: org_study_id
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