Pelvic Organ Prolapse Clinical Trial
Official title:
Uphold Versus Robotic Surgery for Pelvic Prolapse Repair: A Decision Analytic Approach
Within the general objective of investigating optimal medical techniques for pelvic prolapse repair, this study proposes to: (1) test the hypothesis that the UPHOLD procedure is more cost effective than robotic surgery for pelvic prolapse repair (2)using formal decision analysis as the comparative strategy
The cumulative incidence of pelvic organ prolapse was approximately 2% in 2001. Given the
aging demographics in the U.S., the incidence of prolapse is projected to increase to 30% or
more for women aged 60 years and older and become of greater concern to both patients and
physicians. The demand for gynecologic services is predicted to increase by more than 45% in
the next ten years. Prolapse is related to childbirth, aging, defects in collagen, and
smooth muscle structure and strength. Etiology includes intra-abdominal pressure from
obesity, with obesity becoming an ever increasing factor in the US.
Treatment Choice of Patients:
Patients choose between pessary, surgery, and expectant management based on: age, prior
prolapse surgery, preoperative pelvic pain scores, and pelvic organ prolapse severity. These
are difficult decisions for patients.
When it comes to choosing between destinctive interventions with subtle advantages and
disadvantages, patients typically want to hear their physician's views of the scientific
merits of each procedure. Informed consent becomes extremely difficult when issues of
cost-effectiveness are at hand. Thus, the proposed project.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Active, not recruiting |
NCT05420831 -
Comparison of Vaginal and Laparoscopic Apical Fixation Techniques for Pelvic Organ Prolapse Treatment
|
N/A | |
| Active, not recruiting |
NCT05422209 -
The Influence of Simultaneous Posterior Colporrhaphy and Perineoplasty on the Efficiency and Safety of Mesh-augmented Sacrospinal Fixation (Apical Sling) in Advanced POP Repair.
|
N/A | |
| Completed |
NCT05493735 -
Lidocaine for Pessary Check Pain Reduction
|
Phase 3 | |
| Completed |
NCT06126328 -
Materna Prep Study Phase II
|
Phase 2 | |
| Recruiting |
NCT05542836 -
EVeRLAST 2-Year Follow-Up
|
||
| Recruiting |
NCT05918367 -
Multicenter Ventral Mesh Rectopexy Registry Collaborative
|
||
| Recruiting |
NCT04172272 -
The Influence of TAP Block in the Control of Postoperative Pain After Laparotomy for Gynecological Procedures
|
N/A | |
| Recruiting |
NCT04807920 -
BOTOX® at the Time of Prolapse Surgery for OAB
|
Phase 4 | |
| Completed |
NCT06268782 -
The Effectiveness of an Online Exercise Program on Well-being of Postpartum Women
|
N/A | |
| Recruiting |
NCT03146195 -
The 3D Reconstruction Research of Pelvic Organ Prolapse Disease
|
N/A | |
| Recruiting |
NCT02919852 -
Laparoscopic Retrovesical Colpopectinopexia
|
N/A | |
| Completed |
NCT02925585 -
Vaginal Tactile Imaging for Pelvic Floor Prolapse
|
||
| Not yet recruiting |
NCT02536001 -
Prospective Randomized Study to Compare Results of Pelvic Organ Prolapse Repair With One Versus Two Vaginal Meshes
|
N/A | |
| Recruiting |
NCT02113969 -
Conservative Management of Symptomatic Pelvic Organ Prolapse Using Vaginal Pessaries: Generation of a Standardized Management Protocol
|
N/A | |
| Completed |
NCT02383199 -
Polypropylene Mesh in Prolapse Surgery
|
N/A | |
| Terminated |
NCT01673360 -
Collection of Long Term Patient Outcomes Data Following Implantation of AMS Surgical Devices
|
N/A | |
| Completed |
NCT01842464 -
Sacro-Spinous Ligaments Anterior Apical Anchoring
|
N/A | |
| Withdrawn |
NCT01530191 -
Factors Affecting Perioperative Outcomes
|
N/A | |
| Completed |
NCT01320631 -
Male Sexual Experience and Its Impact on Quality of Life Before and After Their Sexual Partners Undergo Polypropylene Mesh Augmented Pelvic Floor Reconstruction
|
N/A | |
| Completed |
NCT00581412 -
Composite Graft Use in Abdominal Sacrocolpopexy Reduces Erosion Rates
|
N/A |