Cystocele, Pelvic Organ Prolapse
Conditions
Brief summary
Compare operative times and complications of sacral colpopexy and paravaginal repair between two-dimensional and three-dimensional laparoscopic systems.
Detailed description
The purpose of this study is to compare operative times of laparoscopic sacral colpopexy (LSC) for the treatment of symptomatic vaginal vault prolapse as well as paravaginal repair (PVR) for symptomatic cystocele between two-dimensional and three-dimensional laparoscopic systems. Additionally this study will evaluate postoperative complications from surgeries performed using two-dimensional versus three-dimensional laparoscopic systems.
Interventions
Olympus 3DV-190 3D Visualization Unit. LTF-190-10-3D: ENDOEYE FLEX 3D Videoscope.
Olympus 3DV-190 3D Visualization Unit. LTF-190-10-3D: ENDOEYE FLEX 3D Videoscope.
Sponsors
Study design
Eligibility
Inclusion criteria
* Symptomatic vaginal vault prolapse (stage 2 or greater point C-1 pelvic organ prolapse quantification \[POP-Q\] or grade 2 or greater Baden-Walker half way system) undergoing laparoscopic sacral colpopexy And/Or * Symptomatic cystocele (stage 2 or greater, point Aa or Ba \> -1 POP-Q or grade 2 or greater Baden-Walker half way system) undergoing laparoscopic paravaginal repair
Exclusion criteria
* Age less than 18 years * Inability to comprehend questionnaires * Inability to give informed consent or to return for review * Vaginal vault prolapse \< stage 2 * Unable to undergo general anesthesia * More than 5 previous laparotomies * Prior sacral colpopexy or vaginal mesh prolapse procedure * Prior surgery involving the retropubic space * Vaginal length less than 6 cm
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative Times | Intraoperative | Operative times of laparoscopic sacral colpopexy and paravaginal repair procedures from the first part of dissection until closure of the peritoneum. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complications | Intraoperative up to 6 weeks post procedure | Intraoperative complications will be recorded. Post operative complications will be reported for the first 6 weeks after the procedure. |
Countries
United States