NCT00271037

Colpocleisis for Advanced Pelvic Organ Prolapse

Official Title:

Pelvic Symptoms and Patient Satisfaction After Colpocleisis for Advanced Pelvic Organ Prolapse

Summary

Pelvic organ prolapse occurs when the pelvic organs (e.g., the uterus or bladder) fall or slide down into the vagina. Pelvic organ prolapse can be corrected with surgery. Some types of surgery try to restore the normal anatomy and function of the vagina (i.e., reconstructive surgery). Other surgery repairs the prolapse by essentially closing the vagina (e.g., colpocleisis or colpectomy), thereby leaving a woman unable to have vaginal intercourse in the future. The use of colpocleisis has not been well-studied. The current literature is lacking sufficient studies of colpocleisis to fully understand its risks and benefits for women considering surgery for prolapse. Traditionally, colpocleisis has been restricted to elderly women thought to be poor medical risks for prolonged reconstructive surgery. This study will describe the postoperative course of women who undergo colpocleisis, with particular attention to the persistence or recurrence of urinary incontinence and patient satisfaction after the colpocleisis prolapse surgery.

Eligibility

Inclusion Criteria:

* Adult women
* Planned colpocleisis or colpectomy surgery for Stage III or Stage IV pelvic organ prolapse
* Able to provide informed consent and complete questionnaire data collection

Exclusion Criteria:

* Planned relocation to nursing home within 3 months of surgery
* Patient preference to maintain coital function after prolapse surgery

Disease(s) and\or Condition(s)

Pelvic Organ Prolapse

Stress Urinary Incontinence

Primary Purpose
Intervention/Treatment
    • Type: PROCEDURE
    • Name: Colpocleisis prolapse repair surgery
    • Description:
    • Arm Group Labels:
    • Type: PROCEDURE
    • Name: sling or other to treat or prevent stress incontinence
    • Description:
    • Arm Group Labels:
Sponsor
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)