Comparison of Anterior Vaginal Sacrospinofixation With Laparoscopic Promontofixation for the Treatment of Anterior and Apical Genitourinary Prolapse

Launched by CENTRE HOSPITALIER UNIVERSITAIRE DE NĪMES · Jun 26, 2017

Keywords

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Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • The patient must have given their free and informed consent and signed the consent form
• • The patient must be a member or beneficiary of a health insurance plan
• • Patient must be available for 12 month follow-up
• • Patient is ≥50 and \<80 years old
• • Patient has pelvic prolapse stage 2 or above according to international POP-Q score, concerning the anterior and apical compartments, justifying surgical treatment
• • Patients not having preoperational stress urinary incontinence or having mild stress urinary incontinence not causing significant functional problems (response \<2 to question 17 of PFDI-20 questionnaire). It is possible that patients with hidden stress urinary incontinence will be recruited
• Exclusion Criteria:
• • The subject is participating in an interventional study, or is in a period of exclusion determined by a previous study
• • The patient is under safeguard of justice or state guardianship
• • The subject refuses to sign the consent
• • Patient with communication issues preventing comprehension of information and administration of questionnaires
• • Pelvic prolapse not affect anterior and apical compartments, regardless of stage
• • Patient with preoperative dyspareunia (patients with mild sexual discomfort related to prolapse may be included
• • Patient presents with preoperative stress urinary incontinence responsible of significant functional incapacity (response ≥2 to question 17 of PFDI-20 questionnaire).
• • Indication for concomitant suburethral sling
• • Patient with previous history of surgery for stress urinary incontinence
• • Indication of concomitant perineorrhaphy surgery with or without myorrhaphy (in both groups).
• • Contra-indication for general anesthetic
• • Current urinary infection
• • Current vaginal infection