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The Effect of Pessary Post Vaginal Prolapse Repair, for One Month, to Reduce the Recurrence Rate of Prolapse

The Recurrence Rate of Genital Prolapse Post Repair With the Use of PESSARY for One Month Post Operative

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03056586
Acronym
pfgp
Enrollment
100
Registered
2017-02-17
Start date
2017-03-20
Completion date
2019-12-20
Last updated
2017-03-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cystocele, Rectocele, Use of Pessary Reduce the Number of Prolapse Recurrence, Uterine Prolapse

Brief summary

Genital prolapse is a common complain. 30-40% of women will complain of uterine prolapse or cystocele or rectocele, or mixed. About half of them will require surgical repair for the prolapse, with or without hysterectomy. Of these patients about 30-40% will have recurrence of the prolapse, which in some cases requires second operation. In this study the investigators want to investigate whether a vaginal pessary inserting in the end of the primary surgery, for 4 weeks, will reduce the recurrence rate.

Detailed description

All patients going for vaginal surgery for genital prolapse, stage 3-4, with cystocele, rectocele or uterine cervix prominent from the vagina. These patients, after signing an informed consent, a vaginal pessary will insert at the end of the operation and will stay for 4 weeks post-op. After 4 weeks the pessary will be removed, and the patient will followed for 2 years, for recurrence of prolapse.

Interventions

A vaginal pessary will be inserted at the end of the operation, for genital prolapse, and will be sutured to the vaginal wall. The pessary will stay in the vagina for 4 weeks.

Sponsors

Meir Medical Center
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
FEMALE
Age
30 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* all healthy patients with genital prolapse grade 3-4, going for vaginal surgery * age 30-80years

Exclusion criteria

* patients with pelvic inflammatory disease * patients after pelvic irradiation * large vaginal erosion * vaginal bleeding uncontrolled or undiagnosed * patients going for surgery with mesh

Design outcomes

Primary

MeasureTime frameDescription
Reduction of recurrence rate of vaginal prolapse, post vaginal surgery repair.24 monthThe investigators hope to see a low percentage of prolapse recurrence in the study (pessary) group, comparing to the control (no pessary) group

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026