Different Surgical Techniques Used for Prolapse Repair in Elderly Patient

Status Completed

Clinical Trial Summary

The investigator aimed to compare various pelvic floor repairs in female aged from 70 to 80 years old, to see which procedure in terms of treatment-related complications of SCP, VMR and NTR by comparing the operative and functional outcomes in this patient population.

Clinical Trial Description

Pelvic organ prolapse (POP) is a global health care issue that could have a significant impact on pelvic floor function and quality of life (QOL), while seldom having the potential to be life-threatening. Prevalence of POP increases with age. In women older than 80, 11% undergo a surgical procedure. The incidence of degenerative diseases and multiple co-morbidities increases with age, and advanced age is also associated with an increase in morbidity generally for gynecologic procedures. Furthermore, greater comorbidity beforehand can predispose patients to postoperative complications such as bleeding, hematoma, pain, infectious. As a result hospital stays are longer and the surgical results are compromised.

Surgical techniques should optimize functional results and minimize complications. In POP surgery, younger women are good candidates for sacrocolpopexy (SCP), because of the improved long term functional result, while women older than 80 may have a satisfactory outcome with fewer complication with a vaginal repair with mesh (VMR) or native tissue (NTR). The increasing prevalence of POP, and the increasing population of women aged 70-80 requires an evaluation of the appropriate surgical management since women in this age group may be candidates for all types of surgical repair. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03445442
Study type	Observational
Source	Centre Hospitalier Universitaire de Nice
Contact
Status	Completed
Phase
Start date	January 1, 2011
Completion date	April 5, 2017

View Details

See also
Status	Clinical Trial	Phase
Recruiting	`NCT05319132` - Evaluate DF-003 in ex Vivo Assays Using Peripheral Blood Mononuclear Cell From Subjects With ROSAH Syndrome
Completed	`NCT03766646` - Preoxygenation With Optiflow™ - the Effect of Speech on Lung Oxygenation.	N/A
Completed	`NCT04995549` - SKin Uncertainties Modeling	N/A
Completed	`NCT05358002` - Comparative Study Between Frontalis Flap Advancement Versus Frontalis Sling Operations in Mangment of Congenital Blepharoptosis	N/A
Completed	`NCT05132608` - Effect of a Social Media-based Health Education Program on Postnatal Care (PNC) Knowledge Among Pregnant Women Using Smartphones in Dhulikhel Hospital	N/A
Completed	`NCT03315949` - Comparison of Bowel Cleansing Efficacy Between Same-day Dose Versus Split Dose	Phase 3
Active, not recruiting	`NCT03079466` - Effect of CPAP Treatment on the Elderly With Mild to Moderate Sleep Apnea	N/A
Recruiting	`NCT06339996` - Male Supplements for Sperm Quality and Aging	N/A
Recruiting	`NCT04931316` - Incidence and Management of Ocular Hypertension Following Deep Anterior Lamellar Keratoplasty
Not yet recruiting	`NCT06243146` - Titration of Inspired Oxygen to Decrease the Incidence of Postoperative Pulmonary Complications	N/A
Completed	`NCT04299698` - Interaction of Genetic and Environmental Factors for Body Fat Mass Control
Recruiting	`NCT05478616` - Expression of Endometrium During Window of Implantation
Completed	`NCT05795998` - Turkish Adaptation of Romantic Relationship Sabotage Scale Validity and Reliability Study
Completed	`NCT03395379` - Air Dissection in Percutaneous Radiofrequency Ablation of T1a Renal Cell Carcinoma	N/A
Completed	`NCT03477071` - A 15-year Single Center Experience of Endovascular Treatment of Transplant Renal Artery Stenosis
Completed	`NCT04102813` - Deep Diaphragmatic Breathing: Neurobiological and Anti-inflammatory Effects	N/A
Not yet recruiting	`NCT03016416` - The Influence of Rhythm, Cognitive Task and Physical Activity on the Cardiac ANS in Chronic Stroke Patients	N/A
Not yet recruiting	`NCT04213612` - DCV in the Treatment of Recurrence and Refractory Childhood Solid Tumors	Phase 1
Completed	`NCT02384837` - Effect of TCFA on Neointimal Coverage After PCI at 9 Months Follow-up	N/A
Completed	`NCT03130283` - Study Design of the Empirical Evaluation of the AISBE Program in Catalonia	N/A