Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12611000141943
Ethics application status
Approved
Date submitted
5/02/2011
Date registered
7/02/2011
Date last updated
7/02/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Does examination with traction on the cervix pre-operatively increase the reproducibility of the degree of uterine prolapse intra-operatively
Query!
Scientific title
Does examination with traction on the cervix pre-operatively increase the reproducibility of the degree of uterine prolapse intra-operatively
Query!
Secondary ID [1]
253563
0
None
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Pelvic organ prolapse
257200
0
Query!
Condition category
Condition code
Reproductive Health and Childbirth
257347
257347
0
0
Query!
Other reproductive health and childbirth disorders
Query!
Intervention/exposure
Study type
Observational
Query!
Patient registry
Query!
Target follow-up duration
Query!
Target follow-up type
Query!
Description of intervention(s) / exposure
- Prospective randomised observational study
- Patients presenting for vaginal repair +/- vaginal hysterectomy will be asked to consent to the study (written consent)
- Patients will be randomised to 2 arms
1. Pre-operative assessment in the pre-operative waiting bay with traction on the cervix (duration - 5 minutes)
2. Pre-operative assessment in the pre-operative waiting bay without traction on the cervix (duration 2 minutes)
3. Both groups of patients will have intra-operative assessment with traction (duration 2 minutes of the entire operating time)
- Instrument used to provide traction is a Vulsellum
- Pain score will be collected in both groups of patients
- In the group that are assessed with traction – 2 pain scores will be recorded (examination with and without traction)
- Duration of observational study - 6 months
Query!
Intervention code [1]
256330
0
Not applicable
Query!
Comparator / control treatment
Examination without traction on the cervix
Query!
Control group
Active
Query!
Outcomes
Primary outcome [1]
258243
0
Difference in Point C of POP-Q measurement between the group examined with cervical traction and without cervical traction. Point C reflects the severity of apical prolapse (uterine support)
Query!
Assessment method [1]
258243
0
Query!
Timepoint [1]
258243
0
At time of surgical intervention
Query!
Secondary outcome [1]
263904
0
Pain score difference between examination done with traction and that done without traction
Query!
Assessment method [1]
263904
0
Query!
Timepoint [1]
263904
0
At time of pre-operative examination
Query!
Eligibility
Key inclusion criteria
All patients presenting for vaginal repair +/- vaginal hysterectomy and are able to give consent
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
90
Years
Query!
Query!
Sex
Females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
Patients who have had a previous hysterectomy
Query!
Study design
Purpose
Screening
Query!
Duration
Cross-sectional
Query!
Selection
Defined population
Query!
Timing
Prospective
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Date of first participant enrolment
Anticipated
10/06/2010
Query!
Actual
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
40
Query!
Accrual to date
Query!
Final
Query!
Recruitment in Australia
Recruitment state(s)
Query!
Funding & Sponsors
Funding source category [1]
256834
0
Self funded/Unfunded
Query!
Name [1]
256834
0
Query!
Address [1]
256834
0
Query!
Country [1]
256834
0
Australia
Query!
Primary sponsor type
Individual
Query!
Name
Fay CHAO
Query!
Address
Pelvic Floor Unit
Monash Medical Centre, Moorabbin
Centre Road
East Bentleigh, VIC 3145
Query!
Country
Australia
Query!
Secondary sponsor category [1]
256109
0
None
Query!
Name [1]
256109
0
Query!
Address [1]
256109
0
Query!
Country [1]
256109
0
Query!
Other collaborator category [1]
1212
0
Other Collaborative groups
Query!
Name [1]
1212
0
Pelvic Floor Unit
Query!
Address [1]
1212
0
Southern Health
Monash Medical Centre, Moorabbin
Centre Road
East Bentleigh
VIC 3145
Query!
Country [1]
1212
0
Australia
Query!
Other collaborator category [2]
1213
0
Other Collaborative groups
Query!
Name [2]
1213
0
Department of Urogynaecology
Query!
Address [2]
1213
0
Mercy Hospital for Women
163 Studley Road
Heidelberg
Vic 3084
Query!
Country [2]
1213
0
Australia
Query!
Ethics approval
Ethics application status
Approved
Query!
Ethics committee name [1]
258851
0
Mercy Hospital for Women
Query!
Ethics committee address [1]
258851
0
163 Studley Road Heidelberg VIC 3084
Query!
Ethics committee country [1]
258851
0
Australia
Query!
Date submitted for ethics approval [1]
258851
0
13/04/2010
Query!
Approval date [1]
258851
0
17/05/2010
Query!
Ethics approval number [1]
258851
0
R10/09
Query!
Ethics committee name [2]
258855
0
Southern Health
Query!
Ethics committee address [2]
258855
0
Research Support Unit Level 4Main Block Monash Medical Centre 246 Clayton Road, Clayton VIC 3168
Query!
Ethics committee country [2]
258855
0
Australia
Query!
Date submitted for ethics approval [2]
258855
0
03/03/2010
Query!
Approval date [2]
258855
0
26/05/2010
Query!
Ethics approval number [2]
258855
0
10048B
Query!
Summary
Brief summary
Studies have shown that different conditions in which the POP-Q examination was performed and, variations in examination techniques eg. patient position, use of vaginal specula, retractors or tractors used, the type of straining used to develop the prolapse maximally, fullness of bladder and rectum, can affect the reproducibility of the measurements. Recent evidence suggests that intra-operative examination of prolapse under anaesthesia could be significantly different from pre-operative examination even if POP-Q system is used. Many pelvic surgeons use the moment directly before the start of the surgery, when the patient is already under anaesthesia to perform a final examination using traction and plan the exact operation. We propose that using the same examination technique ie. traction on the cervix, pre-operatively and intra-operatively under anaesthesia will increase the reproducibility of the POP-Q measurements obtained pre-operatively for uterine prolapse. The aims of the study are 2 fold. 1. To determine whether or not using traction on the cervix with an instrument pre-operatively to determine the severity of uterine prolapse reduces the difference between pre-operative and intra-operative POP-Q measurements of Point C 2. To determine the patient’s acceptability of using a traction instrument to assess uterine descent without anaesthetic
Query!
Trial website
N/A
Query!
Trial related presentations / publications
N/A
Query!
Public notes
Query!
Contacts
Principal investigator
Name
31068
0
Query!
Address
31068
0
Query!
Country
31068
0
Query!
Phone
31068
0
Query!
Fax
31068
0
Query!
Email
31068
0
Query!
Contact person for public queries
Name
14315
0
Fay CHAO
Query!
Address
14315
0
Monash Medical Centre, Moorabbin
Pelvic Floor Unit
Centre Rd
East Bentleigh
VIC 3165
Query!
Country
14315
0
Australia
Query!
Phone
14315
0
+ 61 3 9594 6666 / +61 413 829 616
Query!
Fax
14315
0
Query!
Email
14315
0
[email protected]
Query!
Contact person for scientific queries
Name
5243
0
Fay CHAO
Query!
Address
5243
0
Monash Medical Centre, Moorabbin
Pelvic Floor Unit
Centre Rd
East Bentleigh
VIC 3165
Query!
Country
5243
0
Australia
Query!
Phone
5243
0
+ 61 3 9594 6666 / +61 413 829 616
Query!
Fax
5243
0
Query!
Email
5243
0
[email protected]
Query!
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF