A Novel Suturing Technique of Cystocele Treatment

NCT06410469 | Completed

• 1 other identifier: AnkaraCHBilkent-MH-RBF-04
• Study Type: observational
• Target: 65
• Locations: 1 country
• Sites: 1

Brief Summary

The rug weaving-like plication technique may offer a viable alternative for cystocele repair without mesh, utilizing natural tissue.

Conditions

Cystocele

Keywords

anterior colporraphy; naturel tissue; suture technique

Outcome Measures

Primary Outcomes (1)

• Pelvic Organ Prolapse Quantification (POP-Q)

  Postoperative anterior wall POP-Q Measurements were conducted with a scaled abeslang while the patient was in the lithotomy position. Evaluation of the anterior compartment involved measuring points Aa and Ba, the apical compartment involved points C and D, and the posterior compartment involved points Ap and Bp. Staging was determined based on the lowest point of prolapse. Stage 0 indicated normal pelvic floor support, Stage 2 indicated a distance between -1 and 1 from the hymen, and Stage 4 indicated total uterine prolapse (prosidentia). Stages 1,2 and 3 indicated intermediary levels of prolapse severity, counting for grades between Stage 0 and 4.

  Maximum 6 months

Secondary Outcomes (1)

• Bladder thickness

  Maximum 6 months

Study Arms (2)

33 patients operated with rug wave

Group1

Procedure: rug weaving-like plication technique

32 patients who underwent surgery using conventional colporrhaphy.

Group 2

Interventions

rug weaving-like plication technique PROCEDURE

anterior vaginal wall repair with the rug weaving-like plication technique in cystosel

33 patients operated with rug wave

Eligibility Criteria

• Age: 40 Years - 90 Years
• Gender Eligibility Details: Results of cystocele surgery in women
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Women operated on for anterior wall prolapse in POP-Q

Sponsors & Collaborators

• Ankara City Hospital Bilkent: lead

Study Sites (1)

Ankara City Hospital

Ankara, 06800, Turkey (Türkiye)

Location

Related Publications (1)

• Findik RB, Doganay M, Aksakal OS, Coskun ZY, Karakaya J. A novel suturing technique for natural tissue repair in cystocele treatment. BMC Womens Health. 2024 Aug 29;24(1):474. doi: 10.1186/s12905-024-03317-3.

  PMID: 39210362 DERIVED

MeSH Terms

Conditions

Cystocele

Condition Hierarchy (Ancestors)

Urinary Bladder Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Pelvic Organ Prolapse; Prolapse; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Study Officials

• Rahime Bedir Findik

  Ankara City Hospital Bilkent

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor Dr

Study Record Dates

• First Submitted: May 3, 2024
• First Posted: May 13, 2024
• Study Start: June 1, 2023
• Primary Completion: August 1, 2023
• Study Completion: September 15, 2023
• Last Updated: May 28, 2024

Record last verified: 2024-05

Locations

TU (1)