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The investigators planned to measure the effectiveness of laparoscopic pectopexy in apical prolapse and whether the addition of sacrouterine ligaments plication to pectopexy increases the effectiveness of pectopexy operation. Investigators planned to measure patients' quality of life using the female sexual function scale test 3, 6 and 12 months after the surgery and to determine how the operation affects the quality of sexual life.
In this study, the investigators planned to measure the effectiveness of laparoscopic pectopexy in apical prolapse and whether the addition of sacrouterine ligaments plication to pectopexy increases the effectiveness of pectopexy operation. Investigators planned to measure patients' quality of life using the female sexual function scale test 3, 6 and 12 months after the surgery and to determine how the operation affects the quality of sexual life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| pectopexy group | Active Comparator | this group will only have pectopexy operation |
|
| Pectopexy and uterosacral ligaments plication group | Active Comparator | this group will have pectopexy operation with bilateral uterosacral ligaments plication |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pectopexy operation | Procedure | Vaginal cuff or uterine cervix will be attached to iliopectineal ligament with polypropylene mesh on both sides. |
|
| Measure | Description | Time Frame |
|---|---|---|
| questionnaire of lower urinary tract symptoms | the questionaire examines these titles by scoring from one to ten points:
| changes in symptoms for each title at the preoperative day 1 and postoperative day 3 period |
| evaluation of sexual function with Women's Sexual Function Index | Women's Sexual Function Index is a questionnaire about sexual functions of the women. the index definex sexual functions with some questions and scorings. | changes at the preoperative day 1 and postoperative day 40 period |
| Stage of apical compartment defect according to the Pelvic Organ Prolapse (POP-Q) classification | Stage of apical compartment defect according to the Pelvic Organ Prolapse (POP-Q) classification | changes in the stage of apical compartment defect at the preoperative day 1 and postoperative day 3 period according to POP-Q clasification |
| Measure | Description | Time Frame |
|---|---|---|
| evaluation of sexual function with Women's Sexual Function Index | Women's Sexual Function Index is a questionnaire about sexual functions of the women. the index definex sexual functions with some questions and scorings. | changes at 3,6 and 12. month after surgery |
| Stage of apical compartment defect according to the Pelvic Organ Prolapse (POP-Q) classification |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gamze Nur Cimilli Senocak | Ataturk University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gamze Nur Cimilli Senocak | Erzurum | 25100 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38683391 | Derived | Kumtepe Y, Senocak GNC, Sivaslioglu AA, Yapar A, Yilmaz EPT, Kasali K. A Randomised Trial on the Effects of the Addition of Uterosacral Ligament Plication to Pectopexy Operation on Anatomical Restoration and Female Sexual Functions. Int Urogynecol J. 2024 Jun;35(6):1145-1154. doi: 10.1007/s00192-024-05771-x. Epub 2024 Apr 29. |
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| ID | Term |
|---|---|
| D056887 | Pelvic Organ Prolapse |
| ID | Term |
|---|---|
| D011391 | Prolapse |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| uterosacral ligaments plication operation. | Procedure | At least 2/3 of the sacrouterine ligaments will be shortened with helical sutures, starting from the cervix and so douglas will be partially obliterated. |
|
Stage of apical compartment defect according to the Pelvic Organ Prolapse (POP-Q) classification |
| changes at 3,6 and 12. month after surgery |
| questionnaire of lower urinary tract symptoms | the questionaire examines these titles by scoring from one to ten points:
| changes in symptoms for each title at 3,6 and 12. month after surgery |