Perioperative Follow-up Protocols for Pelvic Organ Prolapse Surgery
POPFollowup
Development of Perioperative Follow-up Protocols and Evaluation of Their Effectiveness for Women Aged 30-65 Having Pelvic Organ Prolapse Surgery
1 other identifier
interventional
102
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2025
Shorter than P25 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
October 16, 2023
CompletedFirst Posted
Study publicly available on registry
October 8, 2024
CompletedStudy Start
First participant enrolled
March 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 15, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2025
CompletedFebruary 25, 2025
February 1, 2025
8 months
October 16, 2023
February 24, 2025
Conditions
Keywords
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
EXPERIMENTALFollow-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
Postoperative Period, Education video
EXPERIMENTALPatient 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
2th week after discharge
EXPERIMENTALThe 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
6th week after discharge
EXPERIMENTALThe 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
10th week after discharge
EXPERIMENTALThe 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
14th week after discharge
EXPERIMENTALThe 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)
Interventions
Showing training videos to patients before and after pelvic organ prolapse surgery and following up after discharge
Eligibility Criteria
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)
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: 12066091BACKGROUNDWeintraub 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: 31851453BACKGROUNDRogers 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: 12955337BACKGROUNDHagen 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: 18947342BACKGROUNDDigesu 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: 15875234BACKGROUNDZhang 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: 36741293BACKGROUNDRockefeller 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: 34554145BACKGROUNDRichardson 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: 19374034BACKGROUNDHaya 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: 30121957BACKGROUNDBelayneh 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.
PMID: 33388056RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Gulsah Kök
SBU Health Science Faculty Gulhane Nursing Faculty
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- 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