Prolapse Clinical Trial
— PROCOLOfficial title:
A Randomized Comparative Study of Assisted Promontofixation Using Glue Versus Promontofixation Using Threads
Verified date | February 2021 |
Source | Clinique Beau Soleil |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The treatment of gynecological prolapse (organ removal) can be done by laparoscopy or vaginally. Laparoscopy is used in 1 out of 2 cases, but learning is difficult and operation time is long. One of the technical difficulties is related to the sutures to the threads. Some surgeons therefore use a glue to fix prosthetic reinforcements more easily and quickly, but this sizing technique has only been evaluated very little. Our study proposes to compare the technique of suture with the thread at the gluing of the prostheses in order to validate the merits of this new technique
Status | Completed |
Enrollment | 90 |
Est. completion date | January 4, 2020 |
Est. primary completion date | October 4, 2019 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 40 Years and older |
Eligibility | Inclusion Criteria: 1. Age> 40 years 2. Surgical indication of prolapse cure by promontofixation 3. Valid social insurance 4. French spoken and written 5. Informed consent signed 6. No exclusion criteria Exclusion Criteria: 1. Concomitant rectopexy 2. Concomitant Hysterectomy 3. Associated surgical procedure not compatible with measurement of operative time 4. Refusal to participate in the study 5. Pregnant or lactating woman (Article L 1121-5 of the french code of public health) 6. Vulnerable persons (Article L 1121-6 of the french code of public health) 7. Majors subject to legal protection or unable to express their consent (Article 1121-8 of the CSP) 8. Participation in another protocol for less than 3 months 9. Patient does not have all the inclusion criteria. |
Country | Name | City | State |
---|---|---|---|
France | Clinique Beau Soleil | Montpellier |
Lead Sponsor | Collaborator |
---|---|
Clinique Beau Soleil |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Operative time | The time elapsed between incision and closure | one day | |
Secondary | Collection of intra-operative complications | Collection of all the complications during the surgery (visceral wound, peroperative bleeding, other) | one day | |
Secondary | Collection of per-operative complications | Collection of the per-operative complications: pain at day 0 and day 1 (using the visual analog scale), urinary retention, postoperative haemorrhage or hematoma, fever> 38 ° 48 h after surgery, other complication | one day | |
Secondary | Collection of complications at 6 weeks | Pain by the Visuel Analog Scale, emergency consultation or generalist, rehospitalization / Reintervention, other complications | 6 weeks | |
Secondary | Tolerance of the prosthesis | Classification of the complications related to the insertion of protheses (from the International Urogynecological Association) | 6 weeks | |
Secondary | Tolerance of the prosthesis | Classification of the complications related to the insertion of protheses (from the International Urogynecological Association) | 6 months | |
Secondary | Tolerance of the prosthesis | Classification of the complications related to the insertion of protheses (from the International Urogynecological Association) | 12 months | |
Secondary | Objective anatomical results at 6 weeks | International Continence Society - Pelvic organe Prolapse - Quantification (POP Q scale): stage 0 (no prolapse is demonstrated) to stage 4 (vaginal eversion is essentially complete) | Before surgery | |
Secondary | Objective anatomical results at 6 months | International Continence Society - Pelvic organe Prolapse - Quantification (POP Q scale): stage 0 (no prolapse is demonstrated) to stage 4 (vaginal eversion is essentially complete) | 6 months after surgery | |
Secondary | Objective anatomical results at 12 month | International Continence Society - Pelvic organe Prolapse - Quantification (POP Q scale): stage 0 (no prolapse is demonstrated) to stage 4 (vaginal eversion is essentially complete) | 12 months after surgery | |
Secondary | Quality of life: pelvic floor distress | The Pelvic Floor Distress Inventory-20 questionnary: it is both a symptom inventory and a measure of the degree of bother and distress (quality-of-life) caused by pelvic floor symptoms.The PFDI-20 includes 20 questions and 3 scales. Each of the 3 scales is scored from 0 (least distress) to 100 (greatest distress). The sum of the scores of these 3 scales serves as the overall summary score of the PFDI-20 and ranges from 0 - 300. The 3 scales include questions taken from the following widely used outcome measures: Urinary Distress Inventory - 6 questions, Pelvic Organ Prolapse Distress Inventory - 6 questions, and Colorectal-Anal Distress Inventory - 8 questions | Before the surgery | |
Secondary | Quality of life: pelvic floor distress | The Pelvic Floor Distress Inventory-20 questionnary. The PFDI-20 includes 20 questions and 3 scales. Each of the 3 scales is scored from 0 (least distress) to 100 (greatest distress). The sum of the scores of these 3 scales serves as the overall summary score of the PFDI-20 and ranges from 0 - 300. The 3 scales include questions taken from the following widely used outcome measures: Urinary Distress Inventory - 6 questions, Pelvic Organ Prolapse Distress Inventory - 6 questions, and Colorectal-Anal Distress Inventory - 8 questions | 6 months after the surgery | |
Secondary | Quality of life: pelvic floor distress | The Pelvic Floor Distress Inventory-20 questionnary. The PFDI-20 includes 20 questions and 3 scales. Each of the 3 scales is scored from 0 (least distress) to 100 (greatest distress). The sum of the scores of these 3 scales serves as the overall summary score of the PFDI-20 and ranges from 0 - 300. The 3 scales include questions taken from the following widely used outcome measures: Urinary Distress Inventory - 6 questions, Pelvic Organ Prolapse Distress Inventory - 6 questions, and Colorectal-Anal Distress Inventory - 8 questions | 12 months after the surgery |
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