Protocol summary

Study aim
Comparing the effectiveness and complications of uterosacral and sacrospinous ligament stabilizations for the treatment of pelvic floor disorders
Design
Randomized, Single-blinding clinical trial, with the parallel groups, Phase 2 on 64 patients
Settings and conduct
In this study, 64 patients with pelvic floor disorders presented at Alzahra and Beheshti hospitals in Isfahan are included. They are then randomly divided into two groups. The first group undergoes uterosacral ligament stabilization surgery and the second group undergoes sacrospinous ligament stabilization surgery.
Participants/Inclusion and exclusion criteria
In this study, patients are aged between18 to 75 years with cervical prolapse grade two or more based on the examination, symptomatic prolapse due to protrusion or intestinal or urinary symptoms, not responding to conservative treatments, requesting surgical treatment for prolapse and consent to participate in the study. Exclusion criteria are a contraindication to major surgery or anesthesia, any malignancy in the urinary, genital and pelvic systems, active urinary tract, genital and pelvic infections, and pregnancy and breastfeeding.
Intervention groups
First intervention group: Patients in this group undergo uterosacral ligament stabilization surgery. Second Intervention group: Patients in this group undergo sacrospinous ligament stabilization surgery.
Main outcome variables
Pelvic Floor Distress Inventory; Sexual function; Recurrence

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20200825048515N21
Registration date: 2021-01-18, 1399/10/29
Registration timing: prospective

Last update: 2021-01-18, 1399/10/29
Update count: 0
Registration date
2021-01-18, 1399/10/29
Registrant information
Name
Asieh Maghami Mehr
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 31 0000 0000
Email address
asimaghami@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-01-20, 1399/11/01
Expected recruitment end date
2021-07-23, 1400/05/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparative study of uterosacral and sacrospinous ligament stabilization surgeries for the treatment of pelvic floor disorders
Public title
Comparing the effects of two types of surgeries including uterosacral and sacrospinous ligament stabilization for the treatment of pelvic floor disorders
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
The age between 18 and 75 years old Cervical prolapse grade two or more based on examination Symptomatic prolapse for protrusion or intestinal or urinary symptoms Lack of response to conservative treatments Demand for surgical treatment for prolapse Being consent to participate in the study
Exclusion criteria:
Contraindication to major surgery or anesthesia Existence of any malignancy in the urinary, genital and pelvic systems Active infection of the urinary, genital and pelvic systems Pregnancy and breastfeeding
Age
From 18 years old to 75 years old
Gender
Both
Phase
2
Groups that have been masked
  • Participant
  • Outcome assessor
Sample size
Target sample size: 64
Randomization (investigator's opinion)
Randomized
Randomization description
In this study, 64 eligible patients will be randomly selected. Then, these patients will be randomly encoded using computer software called "Random Allocation" and automatically divided into two groups. The relevant codes will be entered in the raw checklists and each of these checklists will be randomly assigned to one patient and that patient will be randomly assigned to one of the two study groups.
Blinding (investigator's opinion)
Single blinded
Blinding description
Due to the nature of the present study, the surgeon is aware of the type of surgery in each of the two groups, but the patient and the evaluator (data collector) are not aware of the type of surgery in each group.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Isfahan University of Medical Sciences
Street address
Hezar Jarib Ave, Azadi Square.
City
Isfaha
Province
Isfehan
Postal code
8174673461
Approval date
2020-11-26, 1399/09/06
Ethics committee reference number
IR.MUI.MED.REC.1399.757

Health conditions studied

1

Description of health condition studied
Pelvic organ prolapse
ICD-10 code
N81.3
ICD-10 code description
Complete uterovaginal prolapse

Primary outcomes

1

Description
Pelvic floor muscle function
Timepoint
Before and 12 months after the intervention
Method of measurement
Pelvic Floor Distress Inventory Questionnaire-20 (PFDI-20)

2

Description
Sexual function
Timepoint
Before and 12 months after the intervention
Method of measurement
Female Sexual Function Index (FSFI) questionnaire

Secondary outcomes

1

Description
Recurrence of the disease
Timepoint
12 months after surgery
Method of measurement
Clinical examination and Pelvic Floor Distress Inventory questionnaire (PFDI-20)

Intervention groups

1

Description
First intervention group: Patients in this group as the first group undergo uterosacral surgery.
Category
Treatment - Surgery

2

Description
Second intervention group: Patients in this group as the first group undergo sacrospinous surgery
Category
Treatment - Surgery

Recruitment centers

1

Recruitment center
Name of recruitment center
Shahid Beheshti Hospital
Full name of responsible person
Maryam Hajhashemi
Street address
Motahari Street.
City
Isfahan
Province
Isfehan
Postal code
8174673461
Phone
+98 31 3234 6338
Email
hajhashemy73@yahoo.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Shaghayegh Haghjoo Javanmard
Street address
Vice Chancellor for Research, School of Medicine, Hezar Jarib Street, Isfahan.
City
Isfahan
Province
Isfehan
Postal code
8174673461
Phone
+98 31 3668 8597
Email
dean@med.mui.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
Isfahan University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Maryam Hajhashemi
Position
Assistant Professor
Latest degree
Specialist
Other areas of specialty/work
Gynecology and Obstetrics
Street address
Motahari Street.
City
Isfahan
Province
Isfehan
Postal code
8184853541
Phone
+98 31 3234 6338
Email
hajhashemy73@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Maryam Hajhashemi
Position
Assistant Professor
Latest degree
Specialist
Other areas of specialty/work
Gynecology and Obstetrics
Street address
Motahari Street.
City
Isfahan
Province
Isfehan
Postal code
8184853541
Phone
+98 31 3234 6338
Email
hajhashemy73@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Behnaz Satari
Position
Non-faculty specialist physician
Latest degree
Specialist
Other areas of specialty/work
Gynecology and Obstetrics
Street address
Department of Obstetrics and Gynecology, Shahid Beheshti Hospital, Motahari Street.
City
Isfahan
Province
Isfehan
Postal code
8184853541
Phone
+98 31 3234 6338
Email
hajhashemy73@yahoo.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD
There is no further information.
Study Protocol
No - There is not a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
No - There is not a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
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