N81
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women with symptomatic vaginal descensus. Symptomatic descensus is defined as POPQ > I° including clinical symptoms (descensus, foreign body sensation, cystitides, micturition problems) accompanied by cystocele > I°. 2. Women of at least 18 years of age 3. Patient´s informed consent to data collection, therapy, and follow-up examinations. 4. No significant improvement after conservative treatment (pelvic floor exercise, pessary, local estrogen) or decline of conservative treatment. 5. No further desire to have children.
Exclusion criteria
Exclusion criteria: 1. Pregnancy or desire to have children 2. Unwilling or unable to participate in follow-up examinations 3. Severe cervical dysplasia (CIN > II) 4. Asymptomatic uterovaginal descensus 5. Patients with ASA > 2 (according to American Society of Anaesthesiologists score) 6. Previous non-supracervical hysterectomy 7. Desire to preserve uterus 8. Existing anterior or posterior enterocele or rectocele > I° 9. Ongoing ocological treatment 10. BMI > 40 11. Deep endometriosis IV° 12. Patients held at an institution on judicial or governmental order.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is the objective change of sexual dysfunction after treatment with a PVDF (polyvinylidene fluoride) implant. In order to do so, the FSFI-questionnaire (female sexual function index) will be evaluated preoperatively, as well as 6 and 12 months postoperatively, and compared. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints are: • Objective cure rate (POP-Q) • Subjective cure rate • Urinary incontinence (UDI-6 Questionnaire) • Quality of life (P-QOL) • Peri- and postoperative complications (according to Clavien-Dindo) | — |
Countries
Germany
Contacts
Evangelische Krankenhaus Hagen Haspe