NCT06631508

Brief Summary

The goal of this clinical trial is to develop perioperative follow-up and evaluation of their effectiveness protocols in women aged 30-65 having pelvic organ prolapse surgery. The main questions it aims to answer are:

  • Is the perioperative follow up protocol developed for women aged 30-65 having pelvic organ prolapse surgery effective?
  • Does the developed perioperative follow up protocol for women aged 30-65 having pelvic organ prolapse surgery have an effect on quality of life, pelvic organ symptom score, sexual function, functional health patterns and anxiety?

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
102

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Mar 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

October 16, 2023

Completed
12 months until next milestone

First Posted

Study publicly available on registry

October 8, 2024

Completed
5 months until next milestone

Study Start

First participant enrolled

March 1, 2025

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 15, 2025

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
Last Updated

February 25, 2025

Status Verified

February 1, 2025

Enrollment Period

8 months

First QC Date

October 16, 2023

Last Update Submit

February 24, 2025

Conditions

Keywords

pelvic organ prolapseperioperative carefollow up protocolnursing care

Outcome Measures

Primary Outcomes (2)

  • Quality of Life Scale

    Evaluation of the quality of life of women who had pelvic organ prolapse surgery before and after the study. The scale was developed to evaluate the general health perceptions of patients with pelvic organ prolapse, the symptoms experienced during prolapse, and the effects and consequences of symptoms on quality of life. The scale consists of eight areas. There is no total score for the areas used in the scale, each area is scored individually.In calculating the score of the areas; a four-point scoring system is used for the expressions; does not affect at all, slightly affects, moderately affects and greatly affects; 1, 2, 3, 4, respectively. Each area of the scale is calculated separately depending on the questions it contains. The scale is scored between 0 and 100. High scores obtained from the scale indicate that the quality of life is impaired, while low scores indicate that the quality of life is better.

    Baseline and at 2, 6, 10 and 14 weeks postoperatively

  • Functional Health Patterns

    Evaluation of the health patterns of women who had pelvic organ prolapse surgery before and after study. It was developed by researchers in line with the relevant literature according to Gordon's Functional Health Patterns. The form, which is created separately for the preoperative, postoperative and post-discharge periods, covers 11 areas such as health perception, nutrition, excretion, activity, sleep, cognitive-perception style. The preoperative, postoperative and post-discharge health status of the patients, the problems they experience and the complications that may develop are determined. The items in the form are evaluated with yes-no and 0-10 (0 not affected at all, 10 affected a lot) Visual Analog Scale (VAS) and 5-point Likert (very good - good - medium - bad - very bad). There is no total score from the form. Each question is evaluated on its own.

    Baseline and at 24.-48hours and 2, 6, 10 and 14 weeks postoperatively.

Secondary Outcomes (5)

  • Pelvic Organ Symptom Score

    Baseline and at 2, 6, 10 and 14 weeks postoperatively.

  • Sexual Function

    Baseline and after 14 weeks

  • Anxiety

    Baseline and at 2, 6, 10 and 14 weeks postoperatively.

  • Nursing Diagnosis Checklist

    At 2, 6, 10 and 14 weeks postoperatively.

  • Satisfaction Evaluation Form

    At 14 weeks postoperatively.

Study Arms (6)

Preoperative Period, Education video

EXPERIMENTAL

Follow-up Group: Preoperative data of patients who will undergo pelvic organ prolapse surgery will be collected. Then, the preoperative patient education video will be watched. If patient has any questions will be answered. Control Group: No intervention. Control Group's data will be collected. Data collection forms to be used in the preoperative period: * Introductory Characteristics Form * Pelvic Organ Prolapse Quality of Life Scale * Pelvic Organ Prolapse Symptom Score * Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire * State-Trait Anxiety Inventory Short Version * Preoperative Functional Health Patterns Evaluation Form

Other: Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

Postoperative Period, Education video

EXPERIMENTAL

Patient data will be collected within 24-48 hours in the postoperative period. The postoperative patient education video will be watched before the patient is discharged. If patient has any questions, they will be answered. Control Group: No intervention. Control Group's data will be collected. Data collection forms to be used in the postoperative period: * Postoperative Data Collection Form * State-Trait Anxiety Inventory Short Version * Postoperative Functional Health Patterns Evaluation Form * Nursing Diagnoses Checklist After POP Surgery

Other: Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

2th week after discharge

EXPERIMENTAL

The patient's data will be collected by telephone follow-up two weeks after discharge. Control Group: No intervention. Control Group's data will be collected. Data collection forms to be used at the two weeks after discharge: * Pelvic Organ Prolapse Quality of Life Scale * Pelvic Organ Prolapse Symptom Score * State-Trait Anxiety Inventory Short Version * After Discharge Functional Health Patterns Evaluation Form * Nursing Diagnoses Checklist After POP Surgery

Other: Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

6th week after discharge

EXPERIMENTAL

The patient's data will be collected by telephone follow-up six weeks after discharge. Control Group: No intervention. Control Group's data will be collected. Data collection forms to be used at the six weeks after discharge: * Pelvic Organ Prolapse Quality of Life Scale * Pelvic Organ Prolapse Symptom Score * State-Trait Anxiety Inventory Short Version * After Discharge Functional Health Patterns Evaluation Form * Nursing Diagnoses Checklist After POP Surgery

Other: Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

10th week after discharge

EXPERIMENTAL

The patient's data will be collected by telephone follow-up ten weeks after discharge. Control Group: No intervention. Control Group's data will be collected. Data collection forms to be used at the ten weeks after discharge: * Pelvic Organ Prolapse Quality of Life Scale * Pelvic Organ Prolapse Symptom Score * State-Trait Anxiety Inventory Short Version * After Discharge Functional Health Patterns Evaluation Form * Nursing Diagnoses Checklist After POP Surgery

Other: Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

14th week after discharge

EXPERIMENTAL

The patient's data will be collected by telephone follow-up fourteen weeks after discharge. Additionally, on the 14th week, a satisfaction form will be applied to the Follow-up Group to evaluate the education videos. Control Group: No intervention. Control Group's data will be collected. After the data is collected, postoperative education video will be watched. Data collection forms to be used at the fourteen weeks after discharge: * Pelvic Organ Prolapse Quality of Life Scale * Pelvic Organ Prolapse Symptom Score * Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire * State-Trait Anxiety Inventory Short Version * After Discharge Functional Health Patterns Evaluation Form * Nursing Diagnoses Checklist After POP Surgery * Satisfaction Evaluation Form (Only Follow-up Group)

Other: Preoperative Period, Postoperative Period, 2th week after discharge, 6th week after discharge, 10th week after discharge, 14th week after discharge

Interventions

Showing training videos to patients before and after pelvic organ prolapse surgery and following up after discharge

10th week after discharge14th week after discharge2th week after discharge6th week after dischargePostoperative Period, Education videoPreoperative Period, Education video

Eligibility Criteria

Age30 Years - 65 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Being stage ≥2 according to POP Classification (POP-Q),
  • Being between 30-65 years old,
  • Being sexually active,
  • Ability to read and write,
  • Ability to speak Turkish,
  • Ability to use phone
  • Having a phone that can be reached at all times and
  • Agreeing to participate in the study

You may not qualify if:

  • Being stage \<2 according to POP Classification (POP-Q),
  • Being between \<30 and \>65 years of age,
  • Not being sexually active,
  • Not being able to read and write,
  • Not being able to speak Turkish,
  • Inability to use the phone
  • Not having a phone that can be reached at all times and
  • Not agreeing to participate in the study
  • Discontinue the research for any reason

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Gulhane Training and Research Hospital

Ankara, Turkey (Türkiye)

Location

Related Publications (10)

  • Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Pelvic organ prolapse in the Women's Health Initiative: gravity and gravidity. Am J Obstet Gynecol. 2002 Jun;186(6):1160-6. doi: 10.1067/mob.2002.123819.

    PMID: 12066091BACKGROUND
  • Weintraub AY, Glinter H, Marcus-Braun N. Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse. Int Braz J Urol. 2020 Jan-Feb;46(1):5-14. doi: 10.1590/S1677-5538.IBJU.2018.0581.

    PMID: 31851453BACKGROUND
  • Rogers RG, Coates KW, Kammerer-Doak D, Khalsa S, Qualls C. A short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Int Urogynecol J Pelvic Floor Dysfunct. 2003 Aug;14(3):164-8; discussion 168. doi: 10.1007/s00192-003-1063-2. Epub 2003 Jul 25.

    PMID: 12955337BACKGROUND
  • Hagen S, Glazener C, Sinclair L, Stark D, Bugge C. Psychometric properties of the pelvic organ prolapse symptom score. BJOG. 2009 Jan;116(1):25-31. doi: 10.1111/j.1471-0528.2008.01903.x. Epub 2008 Oct 8.

    PMID: 18947342BACKGROUND
  • Digesu GA, Khullar V, Cardozo L, Robinson D, Salvatore S. P-QOL: a validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2005 May-Jun;16(3):176-81; discussion 181. doi: 10.1007/s00192-004-1225-x. Epub 2004 Oct 21.

    PMID: 15875234BACKGROUND
  • Zhang T, Qi X. Enhanced Nursing Care for Improving the Self-Efficacy & Health-Related Quality of Life in Patients with a Urostomy. J Multidiscip Healthc. 2023 Jan 29;16:297-308. doi: 10.2147/JMDH.S394515. eCollection 2023.

    PMID: 36741293BACKGROUND
  • Rockefeller NF, Jeppson P, Komesu YM, Meriwether KV, Ninivaggio C, Dunivan G. Preferences for Preoperative Education: A Qualitative Study of the Patient Perspective. Female Pelvic Med Reconstr Surg. 2021 Oct 1;27(10):633-636. doi: 10.1097/SPV.0000000000001014.

    PMID: 34554145BACKGROUND
  • Richardson K, Hagen S. The role of nurses in the management of women with pelvic organ prolapse. Br J Nurs. 2009 Mar 12-25;18(5):294-6, 298-300. doi: 10.12968/bjon.2009.18.5.40710.

    PMID: 19374034BACKGROUND
  • Haya N, Feiner B, Baessler K, Christmann-Schmid C, Maher C. Perioperative interventions in pelvic organ prolapse surgery. Cochrane Database Syst Rev. 2018 Aug 19;8(8):CD013105. doi: 10.1002/14651858.CD013105.

    PMID: 30121957BACKGROUND
  • Belayneh T, Gebeyehu A, Adefris M, Rortveit G, Gjerde JL, Ayele TA. Pelvic organ prolapse surgery and health-related quality of life: a follow-up study. BMC Womens Health. 2021 Jan 2;21(1):4. doi: 10.1186/s12905-020-01146-8.

MeSH Terms

Conditions

Pelvic Organ Prolapse

Interventions

Preoperative PeriodPostoperative Period

Condition Hierarchy (Ancestors)

ProlapsePathological Conditions, AnatomicalPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Perioperative PeriodSurgical Procedures, OperativePatient CareHealth ServicesHealth Care Facilities Workforce and Services

Study Officials

  • Gulsah Kök

    SBU Health Science Faculty Gulhane Nursing Faculty

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: randomized controlled intervention trial After informed voluntary consent is obtained, full randomization technique will be used to assign participants to follow-up and control groups. Full randomization will be done via the website http://www.randomizer.org/. Two computer-generated randomization sequences will be applied on a one-to-one basis.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

October 16, 2023

First Posted

October 8, 2024

Study Start

March 1, 2025

Primary Completion

October 15, 2025

Study Completion

December 31, 2025

Last Updated

February 25, 2025

Record last verified: 2025-02

Data Sharing

IPD Sharing
Will share
Shared Documents
STUDY PROTOCOL, SAP, ICF

Locations