Trial Outcomes & Findings for Prospective Randomized Controlled Trial of Obstructed Defecation Surgery (NCT NCT05747027)

NCT ID: NCT05747027

Last Updated: 2025-07-15

Results Overview

The degree of rectal hypermobility measured via ultrasound (i.e. compression ratio).

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

24 months post-operatively

Results posted on

2025-07-15

Participant Flow

Participant milestones

Participant milestones
Measure
Laparoscopic Abdominal Ventral Rectopexy
Laparoscopic abdominal ventral rectopexy: Laparoscopic abdominal ventral rectopexy is an established surgical technique used to restore rectal support in women with obstructive defecatory syndrome (ODS). It is the most common surgery used to treat ODS. It involves a series of small cuts in the abdomen and the use of mesh to hold the rectum in the correct position.
Transvaginal Sacrospinous Rectopexy
Transvaginal sacrospinous rectopexy: Transvaginal sacrospinous rectopexy is an innovative procedure which has shown to be safe and effective in the treatment of stool entrapment. This is a mesh-free and vaginal route procedure.
Unassigned
Due to early termination of the study, some enrolled participants remained as unassigned.
Overall Study
STARTED
5
6
4
Overall Study
COMPLETED
0
0
0
Overall Study
NOT COMPLETED
5
6
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Prospective Randomized Controlled Trial of Obstructed Defecation Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Laparoscopic Abdominal Ventral Rectopexy
n=5 Participants
Laparoscopic abdominal ventral rectopexy: Laparoscopic abdominal ventral rectopexy is an established surgical technique used to restore rectal support in women with obstructive defecatory syndrome (ODS). It is the most common surgery used to treat ODS. It involves a series of small cuts in the abdomen and the use of mesh to hold the rectum in the correct position.
Transvaginal Sacrospinous Rectopexy
n=6 Participants
Transvaginal sacrospinous rectopexy: Transvaginal sacrospinous rectopexy is an innovative procedure which has shown to be safe and effective in the treatment of stool entrapment. This is a mesh-free and vaginal route procedure.
Unassigned
n=4 Participants
Due to the early termination of the study, some of the enrolled participants remained unassigned.
Total
n=15 Participants
Total of all reporting groups
Age, Continuous
66.4 years
STANDARD_DEVIATION 6.5 • n=5 Participants
56.7 years
STANDARD_DEVIATION 8.9 • n=7 Participants
59.5 years
STANDARD_DEVIATION 12.4 • n=5 Participants
60.7 years
STANDARD_DEVIATION 9.6 • n=4 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
6 Participants
n=7 Participants
4 Participants
n=5 Participants
15 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
6 Participants
n=7 Participants
4 Participants
n=5 Participants
15 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
6 Participants
n=7 Participants
3 Participants
n=5 Participants
13 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

The degree of rectal hypermobility measured via ultrasound (i.e. compression ratio).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

Participants will complete the pain scale. No pain will indicate the best outcome whereas the most intense pain imaginable will indicate the worst outcome.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

Participants will complete an assessment of pain medication use.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

Participants will complete the Activity Assessment Scale which measures functional activity. The activity level will be measured on a scale of no difficulty, a little difficulty, some difficulty, a lot of difficulty, not able to do it, and did not do it for other reasons.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

Participants will complete the Patient Global Impression of Improvement. The improvement will be measured on a scale of very much better, much better, a little better, no change, a little worse, much worse, and very much worse.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

As a part of the pelvic floor distress inventory (PFDI) questionnaire, participants will complete prolapse symptoms assessments using pelvic organ prolapse distress inventory (POPDI). The symptoms will be measured on a scale of 0, present, to 4, quite a bit. A higher score will indicate a higher symptom burden.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

As a part of the pelvic floor distress inventory (PFDI) questionnaire, participants will complete colorectal symptoms assessments using colorectal anal distress inventory (CRADI). The symptoms will be measured on a scale of 0, present, to 4, quite a bit. A higher score will indicate a higher symptom burden.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

As a part of the pelvic floor distress inventory (PFDI) questionnaire, participants will complete urinary symptoms assessments using urinary distress inventory (UDI). The symptoms will be measured on a scale of 0, present, to 4, quite a bit. A higher score will indicate a higher symptom burden.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

Participants will complete pelvic floor impact questionnaire (PFIQ), a condition-specific health-related quality of life questionnaire. The measurement will be on a scale of 0, not at all, to 3, quite a bit. Higher scores indicate greater impact.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

Participants will also complete short form health survey (SF-36), which measures eight scales: physical functioning (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional (RE), and mental health (MH). Higher scores indicate better health status.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

Participants will complete EuroQol-5D (EQ-5D), an instrument that evaluates quality of life on five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The measurement will be on a scale of 1 to 5.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 months post-operatively

Population: Due to the early termination of the study, the 24-month post-operative primary outcome measurements could not be completed.

Participants will complete the Brink Scale, a digital assessment of pelvic floor muscle strength. It consists of 3 separate 4-point rating scales for pressure, vertical finger displacement, and duration.

Outcome measures

Outcome data not reported

Adverse Events

Laparoscopic Abdominal Ventral Rectopexy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Transvaginal Sacrospinous Rectopexy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Unassigned

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Urogynecology Research Coordinator

Endeavor Health

Phone: 847-570-4729

Results disclosure agreements

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