Preoperative Oestrogen in Postmenopausal Women With Pelvic Organ Prolapse

Status Completed

Clinical Trial Summary

Introduction With increasing age the incidence of pelvic organ prolapse (POP) rises and will increase substantially in the future according to forecasting studies. It is possible that oestrogens, alone or in combination with other forms of therapy, may assist in the management of POP by increasing collagen synthesis and thereby improving the strength of the weakened vaginal epithelium. Yet, studies investigating the effect of topical oestrogen and its impact on POP associated symptoms, both self-reported improvement and observations of objective improvement, are lacking. Objective To evaluate the subjective efficacy concerning prolapse associated complaints measured by the German pelvic floor questionnaire (domain POP: POP-score) after preoperative use of local oestrogen compared to preoperative placebo treatment in postmenopausal women with symptomatic pelvic organ prolapse. Further variables of interest are POP-score after 3 months, differences regarding the objective prolapse quantification system (POP-Q), surgical outcome and tissue operability assessed by the surgeon. Methods In this prospective, randomized, double-blind, placebo-controlled, multicenter study the investigators aim to include 120 postmenopausal women with symptomatic pelvic organ prolapse and indicated operative procedure. An analysis of covariance will be computed with the depending variable POP-score after 6 weeks and the independent variables group (verum versus placebo) and Pop-Score at baseline.

Clinical Trial Description

n/a

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03779633
Study type	Interventional
Source	Medical University of Vienna
Contact
Status	Completed
Phase	Phase 4
Start date	February 2, 2017
Completion date	August 27, 2020

View Details

See also
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	`NCT02919852` - Laparoscopic Retrovesical Colpopectinopexia	N/A
Recruiting	`NCT03146195` - The 3D Reconstruction Research of Pelvic Organ Prolapse Disease	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