RecruitingNot ApplicableNCT07067645

Post-Hysterectomy Vaginal Length: Horizontal vs. Vertical Closure

Investigation of the Effect of Horizontal and Vertical Vaginal Cuff Closure on Postoperative Total Vaginal Length in Patients Undergoing Vaginal Hysterectomy and Lateral Suspension

Sponsor

Gaziosmanpasa Research and Education Hospital

Enrollment

62 participants

Start Date

Jul 1, 2025

Study Type

INTERVENTIONAL

Conditions

Prolapse, Vaginal Vaginal Vault Prolapse

Summary

This prospective clinical study aims to evaluate the impact of vaginal cuff closure orientation-horizontal versus vertical-on postoperative total vaginal length in patients undergoing vaginal hysterectomy combined with lateral suspension. By comparing anatomical outcomes between the two closure techniques, the study seeks to determine which method better preserves vaginal length, potentially influencing surgical preferences and postoperative quality of life.

Eligibility

Sex: FEMALEMin Age: 35 YearsMax Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This clinical trial is studying a procedure called Horizontal Vaginal Cuff Closure Technique and a procedure called Vertical Vaginal Cuff Closure Technique for people with prolapse, vaginal and vaginal vault prolapse. The study is currently recruiting participants at 1 location. People eligible for this study include women aged 35 Years to 65 Years.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDUREHorizontal Vaginal Cuff Closure Technique

In this arm, patients undergoing vaginal hysterectomy with lateral suspension will receive horizontal closure of the vaginal cuff. After removal of the uterus, the vaginal cuff is closed in a transverse (right-to-left) direction using standard absorbable sutures. The technique aims to maintain or optimize the anatomical axis and preserve vaginal length in the horizontal plane. The entire procedure is performed under general or regional anesthesia by an experienced surgical team.

PROCEDUREVertical Vaginal Cuff Closure Technique

In this arm, patients undergoing vaginal hysterectomy with lateral suspension will receive vertical closure of the vaginal cuff. After the uterus is removed, the vaginal cuff is closed in a cranio-caudal (top-to-bottom) orientation using absorbable sutures. This technique is hypothesized to better support apical structures and reduce tissue tension. Procedures are performed under general or regional anesthesia with standardized operative technique.

Locations(1)

Gaziosmanpaşa Training and Research Hospital

Istanbul, Turkey (Türkiye)

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NCT07067645

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