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Uterine Prolapse clinical trials

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NCT ID: NCT02935803 Recruiting - Clinical trials for Urinary Stress Incontinence

A Study on the Anti-incontinent Effectiveness of the mTVM Method in POPQ Stage II-III Patients

TVMvsmTVM
Start date: July 2016
Phase: N/A
Study type: Interventional

An increasing number of specific procedures have been described for the surgical repair of pelvic organ prolapse (POP) and concomitant stress urinary incontinence (SUI). The investigators introduced an alternative operative method for POP-Q II-III repair and anti-incontinence with the trans vaginal mesh (TVM) anterior edge fixed to the periurethral tissues at the level of mid-urethra. The efficacy and short- and long-term complication profile, of this new surgical technique as compared with those of non-modified TVM.

NCT ID: NCT02547155 Recruiting - Urinary Retention Clinical Trials

Does Spinal Anesthesia for Prolapse Surgery With Lead to Urinary Retention?

Start date: March 2015
Phase: N/A
Study type: Interventional

The purpose of the study is to compare the risk of being unable to urinate shortly after surgery, also called acute post-operative urinary retention (POUR) between spinal and general anesthesia in women who undergo outpatient pelvic organ prolapse with stress urinary incontinence surgery.

NCT ID: NCT02469584 Recruiting - Clinical trials for Anterior Vaginal Wall Prolapse

Small Stitch Study

Start date: October 2014
Phase: N/A
Study type: Interventional

A descent of the anterior vaginal wall is the most common form of female pelvic organ prolapse (POP). Although anterior colporrhaphy (AC) is accepted worldwide as a "standard procedure", its exact steps are not well standardized. We developed a small stitch anterior colporrhaphy (SSTAC) in an effort to increase the strength and durability of AC Objectives The aim of this pilot study is to demonstrate the feasibility and complication rate of the SSTAC and to assess the anatomical and functional outcomes after this method of cystocele repair.

NCT ID: NCT02465658 Recruiting - Clinical trials for Pelvic Organ Prolapse

Risk Factors for Co-existence of Cervical Elongation in Uterine Prolapse

Start date: March 2015
Phase: N/A
Study type: Observational

The presence of co-existence of cervical elongation in women of uterine prolapse may decrease the patients' satisfaction of uterine-preservation surgery for uterine prolapse, and additional surgery, such as Manchester surgery, may be needed to solve the problem.Thus the aim of this study is to investigate the risk factors of co-existence of cervical elongation in uterine prolapse.

NCT ID: NCT02345954 Recruiting - Uterus Prolapse Clinical Trials

Laparoscopic Supracervical Hysterectomy and Sacropexy Versus Hysteropexy Study

HysPex
Start date: January 2015
Phase: N/A
Study type: Interventional

The purpose of this study is to compare the operative, anatomic functional outcome as well as the subjective outcome of laparoscopic supracervical hysterectomy and sacropexy compared to laparoscopic hysteropexy (conserving the uterus). The investigators expect that both laparoscopic procedures are equal in regards to operation time, complication rate, anatomic and functional outcome as well as subjective outcome.

NCT ID: NCT01762384 Recruiting - Uterine Prolapse Clinical Trials

Laparoscopic Sacral Colpopexy Versus Modified Total Pelvic Floor Reconstructive Surgery for Apical Prolapse Stage III-IV

Start date: December 2012
Phase: N/A
Study type: Interventional

Pelvic Organ prolapse (a feeling of bulge in the vagina) may cause some distressing symptoms such as loss of control of the bowel or bladder, and may also cause problems with patient's sex life. The primary treatment is surgery. Sacral Colpopexy is the gold standard procedure. Now it could be done laparoscopically. Modified total pelvic floor reconstructive surgery with mesh is developed in China for Asian Women. This study is designed to determine the effectiveness and safety of Modified total pelvic floor reconstructive surgery with mesh compared with laparoscopic Sacral Colpopexy for the treatment of uterine or vault prolapse Stage III-IV. Patients enrolled into the study will be followed up for up to 3 years after surgery. Evaluation will take place during surgery and postoperative visit. Stage of prolapse before and after surgery, patient satisfaction through quality of life and sexual function questionnaires before and after surgery, and peri-operative complication rates will be evaluated.

NCT ID: NCT01396109 Recruiting - Uterine Prolapse Clinical Trials

GYNECARE PROSIMA* Procedure Versus Modified Total Pelvic Floor Reconstructive Surgery for Uterine Prolapse Stage III

Start date: March 2011
Phase: N/A
Study type: Interventional

Pelvic Organ prolapse (a feeling of bulge in the vagina) may cause some distressing symptoms such as loss of control of the bowel or bladder, and may also cause problems with patient's sex life. The primary treatment is surgery, sometimes a mesh is placed in the pelvis to support the weakened tissues, but mesh implants can cause complications. This study is designed to determine the effectiveness and safety of GYNECARE PROSIMA* pelvic floor repair system compared with the modified total pelvic floor reconstructive surgery with mesh for the treatment of uterine prolapse. Patients enrolled into the study will be followed up for up to 3 years after surgery. Evaluation will take place during surgery and postoperative visit. Stage of prolapse before and after surgery, patient satisfaction through quality of life and sexual function questionnaires before and after surgery, and peri-operative complication rates will be evaluated.

NCT ID: NCT00162604 Recruiting - Cystocele Clinical Trials

Prophylactic Antibiotic Treatment During Vaginal Repair

Start date: May 2005
Phase: N/A
Study type: Interventional

Prolapse of the uterus, bladder and rectum is a common condition in multiparous and/or elderly women. The number of operations for vaginal repair is increasing in Denmark, but there is no consensus or evidence found about the efficiency of prophylactic antibiotics intraoperatively concerning postoperative infections. The objective of this randomized, controlled trial is to investigate the significance of prophylactic antibiotic treatment in vaginal repair operations.