Perioperative Follow-up Protocols for Pelvic Organ Prolapse Surgery

NCT ID: NCT06631508

Last Updated: 2025-02-25

Study Results

Results pending

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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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-01

Study Completion Date

2025-12-31

Brief Summary

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The goal of this clinical trial is to develop perioperative follow-up and evaluation of their effectiveness protocols in women aged 30-65 having pelvic organ prolapse surgery.

The main questions it aims to answer are:

* Is the perioperative follow up protocol developed for women aged 30-65 having pelvic organ prolapse surgery effective?
* Does the developed perioperative follow up protocol for women aged 30-65 having pelvic organ prolapse surgery have an effect on quality of life, pelvic organ symptom score, sexual function, functional health patterns and anxiety?

Detailed Description

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In order to maintain holistic care, maintaining communication with the individual after discharge and providing individual counseling regarding the problems experienced have an important place in patient follow-up. In this context, perioperative consultancy should be provided under nurse management to make it easier for patients to cope with physical and psychosocial problems, improve quality of life and ensure continuity of care. Therefore, in this research; the aim is to develop perioperative follow up protocols and evaluate their effectiveness for women aged 30-65 who have pelvic organ prolapse surgery.

The sample of the research; It is planned to consist of a total of 102 women, 51 in the Follow-up Group and 51 in the Control Group, who meet the inclusion criteria and voluntarily agreed to participate in the research (Calculated using G.Power 3.1.7 program). After informed consent is obtained, full randomization technique will be used to assign participants to follow-up and control groups. Full randomization will be done via the website http://www.randomizer.org/. Two computer-generated randomization sequences will be applied on a one-to-one basis.

During the pre-test and post-test data collection phase, it is planned to use the 'Descriptive Characteristics Form', 'Pelvic Organ Prolapse Quality of Life Scale', 'Pelvic Organ Symptom Score', 'Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire Form', 'State-Trait Anxiety Inventory Short Version', and 'Functional Health Patterns Assessment Form' in the perioperative period.

After preoperative data is collected, the Follow-up Group will be shown a preoperative patient education video. In the postoperative period, Follow-up Group's data will be collected within 24-48 hours and the patient will be shown a postoperative education video before discharge. After discharge; at the 2nd, 6th, 10th and 14th weeks, Follow-up Group's will be followed up by phone and their data will be collected. In addition, a satisfaction form to evaluate the education videos will be applied to the Follow-up Group in the 14th week. The Control Group will not receive any intervention by the researcher and will receive routine perioperative care. Control Group's data will be collected in the preoperative and postoperative period. Additionally, Control Group's data will be collected by phone at the 2nd, 6th, 10th and 14th weeks after discharge and a postoperative education video will be watched after the data is collected at the 14th week.

Conditions

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Pelvic Organ Prolapse

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized controlled intervention trial After informed voluntary consent is obtained, full randomization technique will be used to assign participants to follow-up and control groups. Full randomization will be done via the website http://www.randomizer.org/. Two computer-generated randomization sequences will be applied on a one-to-one basis.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Preoperative Period, Education video

Follow-up Group: Preoperative data of patients who will undergo pelvic organ prolapse surgery will be collected. Then, the preoperative patient education video will be watched. If patient has any questions will be answered.

Control Group: No intervention. Control Group's data will be collected.

Data collection forms to be used in the preoperative period:

* Introductory Characteristics Form
* Pelvic Organ Prolapse Quality of Life Scale
* Pelvic Organ Prolapse Symptom Score
* Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire
* State-Trait Anxiety Inventory Short Version
* Preoperative Functional Health Patterns Evaluation Form

Group Type EXPERIMENTAL

Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

Intervention Type OTHER

Showing training videos to patients before and after pelvic organ prolapse surgery and following up after discharge

Postoperative Period, Education video

Patient data will be collected within 24-48 hours in the postoperative period. The postoperative patient education video will be watched before the patient is discharged. If patient has any questions, they will be answered.

Control Group: No intervention. Control Group's data will be collected.

Data collection forms to be used in the postoperative period:

* Postoperative Data Collection Form
* State-Trait Anxiety Inventory Short Version
* Postoperative Functional Health Patterns Evaluation Form
* Nursing Diagnoses Checklist After POP Surgery

Group Type EXPERIMENTAL

Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

Intervention Type OTHER

Showing training videos to patients before and after pelvic organ prolapse surgery and following up after discharge

2th week after discharge

The patient's data will be collected by telephone follow-up two weeks after discharge.

Control Group: No intervention. Control Group's data will be collected.

Data collection forms to be used at the two weeks after discharge:

* Pelvic Organ Prolapse Quality of Life Scale
* Pelvic Organ Prolapse Symptom Score
* State-Trait Anxiety Inventory Short Version
* After Discharge Functional Health Patterns Evaluation Form
* Nursing Diagnoses Checklist After POP Surgery

Group Type EXPERIMENTAL

Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

Intervention Type OTHER

Showing training videos to patients before and after pelvic organ prolapse surgery and following up after discharge

6th week after discharge

The patient's data will be collected by telephone follow-up six weeks after discharge.

Control Group: No intervention. Control Group's data will be collected.

Data collection forms to be used at the six weeks after discharge:

* Pelvic Organ Prolapse Quality of Life Scale
* Pelvic Organ Prolapse Symptom Score
* State-Trait Anxiety Inventory Short Version
* After Discharge Functional Health Patterns Evaluation Form
* Nursing Diagnoses Checklist After POP Surgery

Group Type EXPERIMENTAL

Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

Intervention Type OTHER

Showing training videos to patients before and after pelvic organ prolapse surgery and following up after discharge

10th week after discharge

The patient's data will be collected by telephone follow-up ten weeks after discharge.

Control Group: No intervention. Control Group's data will be collected.

Data collection forms to be used at the ten weeks after discharge:

* Pelvic Organ Prolapse Quality of Life Scale
* Pelvic Organ Prolapse Symptom Score
* State-Trait Anxiety Inventory Short Version
* After Discharge Functional Health Patterns Evaluation Form
* Nursing Diagnoses Checklist After POP Surgery

Group Type EXPERIMENTAL

Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

Intervention Type OTHER

Showing training videos to patients before and after pelvic organ prolapse surgery and following up after discharge

14th week after discharge

The patient's data will be collected by telephone follow-up fourteen weeks after discharge. Additionally, on the 14th week, a satisfaction form will be applied to the Follow-up Group to evaluate the education videos.

Control Group: No intervention. Control Group's data will be collected. After the data is collected, postoperative education video will be watched.

Data collection forms to be used at the fourteen weeks after discharge:

* Pelvic Organ Prolapse Quality of Life Scale
* Pelvic Organ Prolapse Symptom Score
* Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire
* State-Trait Anxiety Inventory Short Version
* After Discharge Functional Health Patterns Evaluation Form
* Nursing Diagnoses Checklist After POP Surgery
* Satisfaction Evaluation Form (Only Follow-up Group)

Group Type EXPERIMENTAL

Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

Intervention Type OTHER

Showing training videos to patients before and after pelvic organ prolapse surgery and following up after discharge

Interventions

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Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

Showing training videos to patients before and after pelvic organ prolapse surgery and following up after discharge

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being stage ≥2 according to POP Classification (POP-Q),
* Being between 30-65 years old,
* Being sexually active,
* Ability to read and write,
* Ability to speak Turkish,
* Ability to use phone
* Having a phone that can be reached at all times and
* Agreeing to participate in the study

Exclusion Criteria

* Being stage \<2 according to POP Classification (POP-Q),
* Being between \<30 and \>65 years of age,
* Not being sexually active,
* Not being able to read and write,
* Not being able to speak Turkish,
* Inability to use the phone
* Not having a phone that can be reached at all times and
* Not agreeing to participate in the study
* Discontinue the research for any reason
Minimum Eligible Age

30 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Saglik Bilimleri Universitesi

OTHER

Sponsor Role lead

Responsible Party

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Nazlı Özbek

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gulsah Kök

Role: STUDY_DIRECTOR

SBU Health Science Faculty Gulhane Nursing Faculty

Locations

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Gulhane Training and Research Hospital

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Nazlı Özbek

Role: CONTACT

+9005355148556

Gülşah Kök

Role: CONTACT

+9005058024837

Facility Contacts

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Bülent Ünay

Role: primary

+9003123042000

References

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Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Pelvic organ prolapse in the Women's Health Initiative: gravity and gravidity. Am J Obstet Gynecol. 2002 Jun;186(6):1160-6. doi: 10.1067/mob.2002.123819.

Reference Type BACKGROUND
PMID: 12066091 (View on PubMed)

Weintraub AY, Glinter H, Marcus-Braun N. Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse. Int Braz J Urol. 2020 Jan-Feb;46(1):5-14. doi: 10.1590/S1677-5538.IBJU.2018.0581.

Reference Type BACKGROUND
PMID: 31851453 (View on PubMed)

Rogers RG, Coates KW, Kammerer-Doak D, Khalsa S, Qualls C. A short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Int Urogynecol J Pelvic Floor Dysfunct. 2003 Aug;14(3):164-8; discussion 168. doi: 10.1007/s00192-003-1063-2. Epub 2003 Jul 25.

Reference Type BACKGROUND
PMID: 12955337 (View on PubMed)

Hagen S, Glazener C, Sinclair L, Stark D, Bugge C. Psychometric properties of the pelvic organ prolapse symptom score. BJOG. 2009 Jan;116(1):25-31. doi: 10.1111/j.1471-0528.2008.01903.x. Epub 2008 Oct 8.

Reference Type BACKGROUND
PMID: 18947342 (View on PubMed)

Digesu GA, Khullar V, Cardozo L, Robinson D, Salvatore S. P-QOL: a validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2005 May-Jun;16(3):176-81; discussion 181. doi: 10.1007/s00192-004-1225-x. Epub 2004 Oct 21.

Reference Type BACKGROUND
PMID: 15875234 (View on PubMed)

Zhang T, Qi X. Enhanced Nursing Care for Improving the Self-Efficacy & Health-Related Quality of Life in Patients with a Urostomy. J Multidiscip Healthc. 2023 Jan 29;16:297-308. doi: 10.2147/JMDH.S394515. eCollection 2023.

Reference Type BACKGROUND
PMID: 36741293 (View on PubMed)

Rockefeller NF, Jeppson P, Komesu YM, Meriwether KV, Ninivaggio C, Dunivan G. Preferences for Preoperative Education: A Qualitative Study of the Patient Perspective. Female Pelvic Med Reconstr Surg. 2021 Oct 1;27(10):633-636. doi: 10.1097/SPV.0000000000001014.

Reference Type BACKGROUND
PMID: 34554145 (View on PubMed)

Richardson K, Hagen S. The role of nurses in the management of women with pelvic organ prolapse. Br J Nurs. 2009 Mar 12-25;18(5):294-6, 298-300. doi: 10.12968/bjon.2009.18.5.40710.

Reference Type BACKGROUND
PMID: 19374034 (View on PubMed)

Haya N, Feiner B, Baessler K, Christmann-Schmid C, Maher C. Perioperative interventions in pelvic organ prolapse surgery. Cochrane Database Syst Rev. 2018 Aug 19;8(8):CD013105. doi: 10.1002/14651858.CD013105.

Reference Type BACKGROUND
PMID: 30121957 (View on PubMed)

Belayneh T, Gebeyehu A, Adefris M, Rortveit G, Gjerde JL, Ayele TA. Pelvic organ prolapse surgery and health-related quality of life: a follow-up study. BMC Womens Health. 2021 Jan 2;21(1):4. doi: 10.1186/s12905-020-01146-8.

Reference Type RESULT
PMID: 33388056 (View on PubMed)

Other Identifiers

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nozbek

Identifier Type: -

Identifier Source: org_study_id

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