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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02680145
Other study ID # 15-006186
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date March 11, 2016
Est. completion date December 31, 2019

Study information

Verified date August 2020
Source Mayo Clinic
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a single center, prospective trial of pessary use prior to reconstructive pelvic floor surgery for pelvic organ prolapse. The goal of the study is to evaluate the change in pelvic floor symptoms with pessary use and subsequent reconstructive surgery. Additionally, we will assess the impact that preoperative pessary use has on patient self-reported preparedness for surgery.


Description:

It is anticipated that this trial will define the clinical utility of routine preoperative pessary placement, and by shaping patient expectations and increasing preparedness for surgery, we anticipate improving satisfaction and quality of life.

At the initial office visit baseline symptoms are evaluation with validated questionnaire.

The patients' will undergo pessary fitting at least 7 days (but no more than 28 days) prior to scheduled surgical prolapse repair.

Symptomatic change from baseline will be assessed with validated questionnaire preoperatively.

The pessary will be removed at the time of surgery, and the patient will undergo surgical correction of their pelvic organ prolapse (including all restorative surgical procedures, abdominal and transvaginal). A concomitant anti-incontinence procedure will be performed at the discretion of the treating physician in consultation with the patient.

The patients' symptomatic outcome from surgery will then be reassessed by validated questionnaire at 6 weeks and 3 months postoperatively.


Recruitment information / eligibility

Status Completed
Enrollment 58
Est. completion date December 31, 2019
Est. primary completion date October 31, 2019
Accepts healthy volunteers No
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Older than 18 years of age

- With symptomatic pelvic organ prolapse

- Electing for surgical repair of pelvic organ prolapse (transvaginal or transabdominal) at least 7 days after office consultation

- Understand and have signed written informed consent for preoperative pessary placement.

Exclusion Criteria:

- Previous use of a pessary for pelvic organ prolapse

- Patients undergoing obliterative prolapse surgery (i.e. Colpocleisis),

- Are scheduled for surgery for pelvic organ prolapse less than 7 days after office consultation or greater than 4 weeks after office consultation

- Have an isolated rectocele

- Have allergies to both latex and silicone

- Have an active pelvic infection

Study Design


Intervention

Device:
Preoperative Pessary Use
Pessary use for 1-4 weeks prior to surgical prolapse repair

Locations

Country Name City State
United States Mayo Clinic Rochester Minnesota

Sponsors (1)

Lead Sponsor Collaborator
Mayo Clinic

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Patient Global Impression of Improvement (PGI-I) Score Number of participants considered treatment success assessed using the 7-point Likert scale of the Patient Global Impression of Improvement (PGI-I) of 1= very much better and 7=very much worse. Patient's will be considered treatment success if they answer "much better" or "very much better" on the PGI-I scale. 3 months postoperatively
Primary Prolapse Symptom Severity Mean value of score on self-reported Pelvic Organ Prolapse Distress Inentory-6 (POPDI-6) questionnaire. Minimum scale score = 0; maximum scale score = 100 and a higher score indicates worse outcome. Baseline, 3 month post surgery
Primary Bother of Bladder/Vaginal/Bowel Symptoms Mean value of score on self-reported Floor Impact Questionnaire-7 (PFIQ-7). Minimum scale score = 0; maximum scale score = 100 and a higher score indicates worse outcome. Baseline, 3 month post surgery
Primary Overactive Bladder Symptom Score (OABSS) Mean value of score on self-reported Overactive Bladder Symptom Score (OABSS) questionnaire. Minimum scale score = 0; maximum scale score = 15 and a higher score indicates worse outcome. Baseline, 3 month post surgery
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