Sacrospinous Ligament Fixation vs Ischial Spine Fascia Fixation
A Prospective, Randomized Comparison of Efficacy and Effect on Quality of Life Between Sacrospinous Ligament Fixation and Ischial Spine Fascia Fixation
1 other identifier
interventional
76
1 country
1
Brief Summary
A Prospective, Randomized Comparison of Efficacy and Effect on Quality of Life Between Sacrospinous Ligament Fixation and Ischial Spine Fascia Fixation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2017
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 15, 2016
CompletedFirst Posted
Study publicly available on registry
December 29, 2016
CompletedStudy Start
First participant enrolled
January 15, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2023
CompletedJanuary 16, 2026
February 1, 2023
6 years
December 15, 2016
January 14, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
objective success
no prolapse, stage I or only asymptomatic stage II prolapse
3 months after operation
Secondary Outcomes (6)
Pelvic Floor Distress Inventory-20 (PFDI-20)
Change from Baseline in PFDI-20 at 3 months and 1 year
Pelvic Floor Impact Questionnaire-7 (PFIQ-7)
Change from Baseline in PFIQ-7 at 3 months and 1 year
Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12)
Change from Baseline in PISQ-12 at 3 months and 1 year
complications
through study completion, an average of 1 year
recurrence rate
3 months after operation
- +1 more secondary outcomes
Study Arms (2)
sacrospinous ligament fixation group
ACTIVE COMPARATORThe patients will receive sacrospinous ligament fixation operation.
ischial spine fascia fixation group
EXPERIMENTALThe patients will receive ischial spine fascia fixation operation.
Interventions
The participants will receive ischial spine fascia fixation.
The participants will receive sacrospinous ligament fixation.
Eligibility Criteria
You may qualify if:
- age≤65 years, for those scheduled to receive hysterectomy age≥40 years
- patients with symptomatic stage II\~IV uterine or vaginal vault prolapse
- receiving SSLF or ISFF in the gynecological department at Peking Union Medical College Hospital
You may not qualify if:
- plans to live abroad within follow-up span
- contradiction to these two operations: acute genital infection, narrow vagina (less than two finger-breadth), too-ill to receive operations
- patients with hip joint problem who could not pose a lithotomy position
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Ob & Gyn, Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730, China
Related Publications (8)
Dwyer PL, Lee ET, Hay DM. Obesity and urinary incontinence in women. Br J Obstet Gynaecol. 1988 Jan;95(1):91-6. doi: 10.1111/j.1471-0528.1988.tb06486.x.
PMID: 3342213BACKGROUNDSze EH, Karram MM. Transvaginal repair of vault prolapse: a review. Obstet Gynecol. 1997 Mar;89(3):466-75. doi: 10.1016/S0029-7844(96)00337-7.
PMID: 9052607BACKGROUNDOlsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997 Apr;89(4):501-6. doi: 10.1016/S0029-7844(97)00058-6.
PMID: 9083302BACKGROUNDSmith FJ, Holman CD, Moorin RE, Tsokos N. Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 2010 Nov;116(5):1096-100. doi: 10.1097/AOG.0b013e3181f73729.
PMID: 20966694BACKGROUNDBoyles SH, Weber AM, Meyn L. Procedures for pelvic organ prolapse in the United States, 1979-1997. Am J Obstet Gynecol. 2003 Jan;188(1):108-15. doi: 10.1067/mob.2003.101.
PMID: 12548203BACKGROUNDBarber MD, Maher C. Apical prolapse. Int Urogynecol J. 2013 Nov;24(11):1815-33. doi: 10.1007/s00192-013-2172-1.
PMID: 24142057BACKGROUNDJones KA, Shepherd JP, Oliphant SS, Wang L, Bunker CH, Lowder JL. Trends in inpatient prolapse procedures in the United States, 1979-2006. Am J Obstet Gynecol. 2010 May;202(5):501.e1-7. doi: 10.1016/j.ajog.2010.01.017. Epub 2010 Mar 11.
PMID: 20223444BACKGROUNDZhu L, Lang J, Zhang Q. Clinical study of ischia spinous fascia fixation--a new pelvic reconstructive surgery. Int Urogynecol J. 2011 Apr;22(4):499-503. doi: 10.1007/s00192-010-1307-x.
PMID: 21060988BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Chang Ren, M.D.
Peking Union Medical College Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 15, 2016
First Posted
December 29, 2016
Study Start
January 15, 2017
Primary Completion
February 1, 2023
Study Completion
February 1, 2023
Last Updated
January 16, 2026
Record last verified: 2023-02
Data Sharing
- IPD Sharing
- Will not share