Surgery--Complications Clinical Trial
Official title:
Ultrasound Evaluation of Ureteral Patency After Uterosacral Ligaments Suspension
NCT number | NCT05477043 |
Other study ID # | US-URETERS |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | April 1, 2021 |
Est. completion date | October 31, 2022 |
Uterosacral ligament suspension (USLS) is a commonly performed procedure used to correct prolapse of the vaginal apex. The procedure consists of approximating the vaginal apex to the uterosacral ligaments with a series of sutures placed bilaterally, and is most often performed from a transvaginal approach. USLS is associated with favorable outcomes and is overall safe. However, given the anatomical proximity of the uterosacral ligaments to the ureters, ureteral injury during suspension suture placement may occur. Ureteral occlusion in this setting occurs as a result of partial or complete ligation, kinking or anatomical distortion by the nearby sutures. As a measure for avoiding these undesired sequelae, cystoscopy is usually performed after suspension suture placement during USLS to ensure visualization of bilateral ureteral flow. Any interruption of ureteral flow is usually addressed by removal of the suspension sutures, ureteral stenting, and, rarely, surgical repair of the ureter if severe injury is sustained. Ultrasound can identify the ureteral jet of urine flowing into the bladder. Previous studies demonstrated ureteral jet asymmetry in case of obstruction, with an absent or weaker monolateral jet.
Status | Recruiting |
Enrollment | 100 |
Est. completion date | October 31, 2022 |
Est. primary completion date | September 30, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: Patients = 18 years old subjected to uterosacral ligaments suspension surgical procedures for pelvic organs prolapse. Informed consent freely granted and acquired before the start of the study. Exclusion Criteria: None |
Country | Name | City | State |
---|---|---|---|
Italy | University of Milano Bicocca | Monza | MB |
Lead Sponsor | Collaborator |
---|---|
University of Milano Bicocca |
Italy,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Detection of ureteral patency | ultrasound detection of the bilateral ureteral jets vs absence of the ureteral jet on one side compared with the presence of bilateral ureteral jet on cystoscopy vs absence on one side. | through study completion, an average of 1 year | |
Secondary | Duration | the duration of ultrasound procedure (minutes) compared with the duration of cystoscopy procedure (minutes). | through study completion, an average of 1 year |
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