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

Primary Purpose

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

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
vaginal pessary
Sponsored by
Meir Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Use of Pessary Reduce the Number of Prolapse Recurrence

Eligibility Criteria

30 Years - 80 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

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

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    No Intervention

    Arm Label

    1. study group

    2. control

    Arm Description

    100 patients who agree to participate in the study, will be operate according to our protocol for pelvic organ prolapse. At the end of the operation a vaginal pessary will be inserted and suture to the vaginal walls for a 4 week period. Follow-up will be after 3, 6, and 12 month period.

    100 Women who will refuse to participate in the study, will agree to be follow-up by our team for 3, 6, and 12 month post operative.

    Outcomes

    Primary Outcome Measures

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

    Secondary Outcome Measures

    Full Information

    First Posted
    February 15, 2017
    Last Updated
    March 6, 2017
    Sponsor
    Meir Medical Center
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03056586
    Brief Title
    The Effect of Pessary Post Vaginal Prolapse Repair, for One Month, to Reduce the Recurrence Rate of Prolapse
    Acronym
    pfgp
    Official Title
    The Recurrence Rate of Genital Prolapse Post Repair With the Use of PESSARY for One Month Post Operative
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2017
    Overall Recruitment Status
    Unknown status
    Study Start Date
    March 20, 2017 (Anticipated)
    Primary Completion Date
    December 20, 2018 (Anticipated)
    Study Completion Date
    December 20, 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Meir Medical Center

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    Yes
    Product Manufactured in and Exported from the U.S.
    No

    5. Study Description

    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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Use of Pessary Reduce the Number of Prolapse Recurrence, Uterine Prolapse, Cystocele, Rectocele

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Participant
    Allocation
    Non-Randomized
    Enrollment
    100 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    1. study group
    Arm Type
    Experimental
    Arm Description
    100 patients who agree to participate in the study, will be operate according to our protocol for pelvic organ prolapse. At the end of the operation a vaginal pessary will be inserted and suture to the vaginal walls for a 4 week period. Follow-up will be after 3, 6, and 12 month period.
    Arm Title
    2. control
    Arm Type
    No Intervention
    Arm Description
    100 Women who will refuse to participate in the study, will agree to be follow-up by our team for 3, 6, and 12 month post operative.
    Intervention Type
    Device
    Intervention Name(s)
    vaginal pessary
    Intervention Description
    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.
    Primary Outcome Measure Information:
    Title
    Reduction of recurrence rate of vaginal prolapse, post vaginal surgery repair.
    Description
    The investigators hope to see a low percentage of prolapse recurrence in the study (pessary) group, comparing to the control (no pessary) group
    Time Frame
    24 month

    10. Eligibility

    Sex
    Female
    Gender Based
    Yes
    Gender Eligibility Description
    women
    Minimum Age & Unit of Time
    30 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    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

    12. IPD Sharing Statement

    Learn more about this trial

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