Apical Pelvic Support in Infertility Patients
Study Details
Study Description
Brief Summary
This study aims to evaluate apical pelvic compartment support in infertility patients at the time of hysteroscopy. Apical pelvic compartment evaluation for pelvic organ prolapse will be performed in infertility patients undergoing hysteroscopy.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The incidence of pelvic organ prolapse in the whole population has been demonstrated several times in previous studies. However, pelvic floor defects in young infertility patients are not known. In this study, a clinical pelvic floor assessment with the pelvic organ quantification system will be performed in infertility patients during standard physical examinations or hysteroscopy.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Infertility patients Infertility patients will be examined according to the pelvic organ prolapse quantification classification system during hysteroscopy. |
Diagnostic Test: Pelvic Organ Prolapse Quantification system
The Pelvic Organ Prolapse Quantification system assessment tool measures nine anatomical points and distances in the vagina. The hymen is the reference point to which the other points are compared. The prolapsed organs are measured in centimeters to the hymen with an examination ruler.
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Outcome Measures
Primary Outcome Measures
- Stages of the pelvic organ prolapse [2 minutes]
Once the measurements are taken, the infertility patients are assigned to the corresponding POP-Q stage. Stage-0 is no prolapse. Stage-1 stands for the most distal portion of the prolapse is more than 1 cm above the level of the hymen. Stage-2 stands for the most distal prolapse is between 1 cm above and 1 cm below the hymen (at least one point is -1, 0, or +1). Stage-3: The most distal prolapse is more than 1 cm below the hymen but no further than 2 cm less than total vaginal length. Stage-4 stands for the complete vaginal eversion.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Ages between 18-45
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Patients who cannot become pregnant despite regular sexual intercourse for more than one year
Exclusion Criteria:
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Malignity
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Patients who become pregnant during infertility assessment
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Uludag University Hospital, Department of Obstetrics and Gynecology | Bursa | Ozluce | Turkey | 16059 |
Sponsors and Collaborators
- Uludag University
Investigators
- Study Director: Gurkan Uncu, Prof., ULUDAG UNIVERSITY HOSPITAL BURSA TURKEY
Study Documents (Full-Text)
None provided.More Information
Publications
- Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, Spino C, Whitehead WE, Wu J, Brody DJ; Pelvic Floor Disorders Network. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008 Sep 17;300(11):1311-6. doi: 10.1001/jama.300.11.1311.
- Swift SE. The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol. 2000 Aug;183(2):277-85.
- UU-MREC-2019-9/22