A Randomised Study comparing post-hystectomy vaginal vault prolapse repair with either suspension to uterosacral ligament (vaginal approach) or sacrocolpopexy (open or keyhole approach)
Randomised Controlled Trial of Post-hysterectomy Vaginal Vault Prolapse Treatment with either Extraperitoneal Uterosacral Ligament Suspension or Sacrocolpopexy (Abdominal and Laparoscopic)
Dr Yik Lim
126 participants
Dec 1, 2007
Interventional
Conditions
Summary
To find out the efficacy of vaginal vault prolapse repair with uterosacral ligament suspension via vaginal approach to those of the current gold standard surgery of sacrocolpopexy
Eligibility
Inclusion Criteria1
- Post-hysterectomy vaginal vault prolapse at least Pelvic Organ Prolapse Quantification stage 2 (meaning the leading edge of the vaginal prolapse drops to at least 1cm from the hymen)
Exclusion Criteria1
- unfit for surgery, history of genital tract malignancy or fistula, previous major mesh complication
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Interventions
Extraperitoneal Uterosacral Ligament Suspension versus Sacrocolpopexy techniques. In the former technique, an incision is made inside to vagina to gain access to the remnant ligaments that normally anchor the cervix to the pelvis (uterosacral ligament). The top end of the vagina (vaginal vault) is then attached to these ligaments to stop them from prolapsing downwards. This often take about 30 to 90 minutes to perform.
Locations(1)
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ACTRN12608000102370