Pelvic organ prolapse Urological and Genital Diseases Noninflammatory disorders of female genital tract
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Potential participants will be new attendees at outpatient gynaecology clinics presenting with symptoms of prolapse. At their clinic appointment, type and stage of prolapse will be confirmed by their gynaecologist using the Pevic Organ Prolapse Quantification (POP-Q) grading system. Women with any type of prolapse will be included: 1. Anterior vaginal wall prolapse (urethrocele, cystocele, paravaginal defect) 2. Uterine/cervical prolapse 3. Vaginal vault (after hysterectomy) prolapse 4. Posterior vaginal wall prolapse (enterocele, rectocele, perineal deficiency)
Exclusion criteria
Exclusion criteria: 1. Stage four prolapse 2. Previous treatment for prolapse (surgery or formal instruction in pelvic floor muscle training [PFMT]) 3. Unable to comply with PFMT treatment 4. Local atrophy 5. Pregnant 6. Unable to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Prolapse symptom score (questions developed in feasibility study and undergoing validation) 2. The primary economic outcome measures of cost effectiveness are: 2.1. Use of health services, 2.2. Average number of days of prolapse symptoms, and 2.3. Further prolapse treatment needed/received | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include: 1. Prolapse-related quality of life (single item scored zero to ten) 2. Prolapse severity (POP-Q) 3. Need for further prolapse treatment including a pessary or surgery Other outcomes include: 1. Lifestyle changes 2. Urinary symptoms (International Consultation on Incontinence Questionnaire [ICIQ] short-form) 3. Bowel symptoms (ICIQ bowel symptoms module) 4. Sexual symptoms (Prolapse Incontinence Sexual Questionnaire [PISQ]) 5. General health status (Short Form health survey [SF-12]) | — |
Countries
New Zealand, United Kingdom