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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
38
Vaginal cuff or uterine cervix will be attached to iliopectineal ligament with polypropylene mesh on both sides.
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.
Gamze Nur Cimilli Senocak
Erzurum, Turkey (Türkiye)
questionnaire of lower urinary tract symptoms
the questionaire examines these titles by scoring from one to ten points: 1. sudden feeling of ürination 2. sudden feeling of urination with incontinence 3. Frequent urination 4. Difficulty of starting the urination 5. Abnormal discharge of urine 6. nocturia 7. dyspareunia 8. Stress urinary incontinence 9. dysuria 10. constipation
Time frame: 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.
Time frame: 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
Time frame: changes in the stage of apical compartment defect at the preoperative day 1 and postoperative day 3 period according to POP-Q clasification
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.
Time frame: changes at 3,6 and 12. month after surgery
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
Time frame: changes at 3,6 and 12. month after surgery
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questionnaire of lower urinary tract symptoms
the questionaire examines these titles by scoring from one to ten points: 1. sudden feeling of ürination 2. sudden feeling of urination with incontinence 3. Frequent urination 4. Difficulty of starting the urination 5. Abnormal discharge of urine 6. nocturia 7. dyspareunia 8. Stress urinary incontinence 9. dysuria 10. constipation
Time frame: changes in symptoms for each title at 3,6 and 12. month after surgery