Comparison of PHVP of Different VTH Methods

Comparison of the Vault Prolapse Rate After Vaginal Hysterectomy With or Without Residual Uterine Ligament Ligation

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03858673

Enrollment

213

Registered

2019-03-01

Start date

1986-01-01

Completion date

2017-12-31

Last updated

2019-03-06

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

Conditions

Vault Prolapse, Vaginal

Keywords

Vault prolapse, Vaginal total hysterectomy

Brief summary

To evaluate the post-hysterectomy vault prolapse (PHVP) rates performed using different methods of vaginal total hysterectomy (VTH).

Detailed description

Objective: To evaluate the post-hysterectomy vault prolapse (PHVP) rates performed using different methods of vaginal total hysterectomy (VTH). Methods: A computer search identified a total of 251 women who underwent VTH with/without concomitant surgeries between January 1986 and December 2001 in a single center. Thirty-eight women were excluded due to not only a vaginal approach. Of the remaining 213 women, 129 and 84 underwent VTH via the Tsuzi method with residual uterine ligament ligation (ligations group) and traditional VTH (without ligations group), respectively. The χ2 and Mann-Whitney U tests were applied to compare the data. The cumulative percentages of women without PHVP were calculated over time and compared using Kaplan-Meier curves and log-rank tests. A p value of less than 0.05 was considered statistically significant.

Interventions

PROCEDUREVTH via the Tsuzi method with residual uterine ligament ligation

VTH via the Tsuzi method with residual uterine ligament ligation

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

20 Years to 85 Years

Healthy volunteers

Inclusion criteria

1. Female 2. Received VTH with or without other combined operations.

Exclusion criteria

1. Laparoscopic-assisted vaginal hysterectomy (LAVH) 2. Conversion to an abdominal approach 3. Unsatisfactory medical record

Design outcomes

Primary

Measure	Time frame	Description
Post-hysterectomy vault prolapse	Between January 1986 and December 2001	PHVP was defined as more than or equal to the second stage of descent of the vaginal vault was noted during the follow-up visits.

Outcome results

None listed

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