Comparison of Anatomic Results Between Bilateral and Conventional Abdominal Sacral Hysteropexy
Study Details
Study Description
Brief Summary
Investigators separated 20 patients with uterovaginal prolapse into 2 groups according to random numbers table. In one group, conventional abdominal sacral hysteropexy will be perform and another group bilateral abdominal sacral hysteropexy will be perform with polypropylene mesh. After 1 mont operation vaginal configuration will be evaluate with MRI on three plane (axial, sagittal, coronal). Then the results of thus two groups will be compare to results of nullipara patients. Investigators will investigate which technique keep the vaginal axis is closer to the original anatomic position.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Since vaginal hysterectomy and mc call culdoplasty, many techniques have been described. Before, correcting only prolapsed part, now, we can measure anatomical and functional results more objectively by using different tool such us MRI, perineal ultrasonography, PISQ-12, IIQ-7 (Incontinence impact questionnaire). Hence pelvic organ prolapse surgery is important in terms of anatomic and functional results. Unilateral abdominal sacral hysteropexy can put vaginal axis to right side slightly. Therefore investigators hypothesized that bilateral sacral hysteropexy which mimic sacrouterine ligament can be more suitable in terms of anatomic results.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Bilateral Abdominal Sacral Hysteropexy Bilateral abdominal sacral hysteropexy will be perform in 10 patients. One month after patients will be evaluate by MRI and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) form. |
Procedure: Bilateral Abdominal Sacral Hysteropexy
The mesh will be fixed right and left side of sacrum.
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Experimental: Classic Abdominal Sacral Hysteropexy Conventional abdominal sacral hysteropexy will be perform in 10 patients. One month after patients will be evaluate by MRI and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) form. |
Procedure: Conventional abdominal Sacral Hysteropexy
The mesh will be fixed only right side of sacrum
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Active Comparator: Women with no uterovaginal prolapsed Ten nulliparous participants with no uterovaginal prolapsed will be evaluate by MRI and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) form. |
Other: Nulliparous women with no uterovaginal prolapsed
This will be control group which consistent patients with no uterovaginal prolapse.
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Outcome Measures
Primary Outcome Measures
- Anatomic Success [One month]
anatomic success will be evaluated by using magnetic resonance imaging. Vaginal axis (distance to spin ischiadic a and sacrum) will be measure on three plane
Eligibility Criteria
Criteria
Inclusion Criteria:
- Women with stage 3 or more pelvic organ prolapse
Exclusion Criteria:
- Women with abnormal uterine bleeding, abnormal cervical screening test, myoma uteri and want to hysterectomy
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Zeynep Kamil Maternity and Pediatric Research and Training Hospital
Investigators
- Study Director: Mehmet Baki Şentürk, MD, Zeynep Kamil Maternity and Pediatric Research and Training Hospital
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 162