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Trial registered on ANZCTR
Registration number
ACTRN12618000502235
Ethics application status
Approved
Date submitted
14/03/2018
Date registered
6/04/2018
Date last updated
2/03/2021
Date data sharing statement initially provided
2/03/2021
Date results provided
2/03/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Review of sacrospinous fixation surgery for treatment of vaginal prolapse in Bangladesh and Nepal
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Scientific title
Prolapse recurrence following sacrospinous colpopexy for the management of pelvic organ prolapse in Bangladesh and Nepal
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Secondary ID [1]
294306
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nil known
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Universal Trial Number (UTN)
Nil
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Trial acronym
Nil
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Linked study record
Nil
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Health condition
Health condition(s) or problem(s) studied:
pelvic organ prolapse
307013
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Condition category
Condition code
Surgery
306108
306108
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0
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Surgical techniques
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Reproductive Health and Childbirth
306109
306109
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Prolapse usually presents as a protrusion or lump from the vagina. When the prolapse is large, the upper vagina usually descends also and if surgical treatment is undertaken, upper vaginal support/repair is required.
In 2015, sacrospinous colpopexy was introduced to various sites in Bangladesh to treat women with pelvic organ prolapse. Prior to this, only the vaginal hysterectomy and repair without upper vagina support was employed during surgical repairs of prolapse.
Following surgery, women are usually reviewed at 6 weeks, 6 months and 12 months to assess for recurrence of prolapse.
This examination will be done by the local health professionals. If one of the investigators is in Bangladesh during the follow up visit, we will/have examine the woman with the local health professionals. At other times of follow up, the local health professionals will review the women and document the findings in the chart and these charts will be reviewed
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Intervention code [1]
300607
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Pelvic organ prolapse stage 3 or more on clinical examination at presentation.
The information will be obtained in the medical history/records
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Assessment method [1]
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Timepoint [1]
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6 weeks post-surgery, 6 months post-surgery, 12 months post-surgery (primary endpoint)
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Secondary outcome [1]
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symptomatic recurrent pelvic organ prolapse. This will be obtained from patient medical records
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Assessment method [1]
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Timepoint [1]
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6 weeks post-surgery, 6 months post surgery
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Eligibility
Key inclusion criteria
Who have had pelvic organ prolapse surgery with sacrospinous fixation
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Minimum age
30
Years
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Maximum age
85
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Women who have had prolapse surgery with sacrospinous fixation
Women declining to enter study
Women declining vaginal examination
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
25/06/2018
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Actual
22/06/2018
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Date of last participant enrolment
Anticipated
28/06/2019
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Actual
1/07/2019
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Date of last data collection
Anticipated
26/06/2020
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Actual
1/07/2020
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Sample size
Target
60
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Accrual to date
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Final
289
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Recruitment outside Australia
Country [1]
9677
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Bangladesh
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State/province [1]
9677
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Country [2]
9678
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Nepal
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State/province [2]
9678
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
298953
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Primary sponsor type
Individual
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Name
Prof Judith Goh
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Address
Suite 209, Ramsay Specialist Centre
Greenslopes Hospital
Newdegate St
Greenslopes QLD 4120
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Hannah Krause
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Address [1]
298165
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Suite 209, Ramsay Specialist Centre
Greenslopes Hospital
Newdegate St
Greenslopes QLD 4120
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Country [1]
298165
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Australia
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Secondary sponsor category [2]
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Individual
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Name [2]
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Dr Barbara Hall
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Address [2]
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c/o Suite 209, Ramsay Specialist Centre
Greenslopes Private Hospital
Newdegate St
Greenslopes QLD 4120
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Country [2]
298166
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Australia
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Secondary sponsor category [3]
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Individual
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Name [3]
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Ms Anubha Rawat
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Address [3]
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DAK Foundation
48B Egerton St
Silverware NSW 2128
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Country [3]
298169
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Greenslopes Research and Ethics Committee
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Ethics committee address [1]
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Greenslopes Private Hospital Newdegate St Greenslopes QLD 4120
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
299889
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26/03/2018
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Approval date [1]
299889
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18/04/2018
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Ethics approval number [1]
299889
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Protocol 18/19
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Summary
Brief summary
Pelvic organ prolapse is a common problem for women. It presents a lump or bulge extending out from the vagina. About fifty percent of women who have had vaginal childbirth will develop prolapse later in life and in about 20 percent of these women, the prolapse is symptomatic and the woman will seek treatment. Traditionally surgery has been the mainstay of treatment but other options include pelvic floor rehabilitation and the use mechanical devices (pessary). In 2015, the investigators were approached by to up-skill gynaecologists in the area of vaginal prolapse surgery in low-income countries, in particular, Bangladesh and Nepal. It was brought to the attention of the local gynaecologist that surgeries performed did not provide optimal outcomes and we were approached to provide expert feedback and means to upskill the local gynaecologists. In 2015, we went to Bangladesh to assess women and surgeries performed. As a result of this, we introduced the concept of vault or upper vagina support during vaginal surgery pelvic reconstructive surgery, that is, the sacrospinous colpopexy procedure. This procedure is commonly performed by gynaecologist, in particular, urogynaecologists in Australia during vaginal prolapse surgery to support the upper vagina. If this is not performed, then the prolapse of the upper vaginal (even after a hysterectomy) is not treated and will prolapse out again. Since 2015, we have been training the local gynaecologists in a number of locations in Bangladesh and Nepal to perform the sacrospinous colpopexy. The aim of this study is to review the charts of women who have undergone this surgery to ascertain prolapse recurrence rates. This audit will provide information regarding the main anatomical areas of prolapse recurrence, and hence focus continuing education in these particular areas.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Judith Goh
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Address
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Suite 209, Ramsay Specialist Centre
Greenslopes Private Hospital
Newdegate St
Greenslopes QLD 4120
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Country
81878
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Australia
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Phone
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+61 7 38479909
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Fax
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+61 7 38476433
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Email
81878
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[email protected]
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Contact person for public queries
Name
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Judith Goh
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Address
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Suite 209, Ramsay Specialist Centre
Greenslopes Private Hospital
Newdegate St
Greenslopes QLD 4120
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Country
81879
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Australia
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Phone
81879
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+61 7 38479909
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Fax
81879
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+61 7 38476433
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Email
81879
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[email protected]
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Contact person for scientific queries
Name
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Judith Goh
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Address
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Suite 209, Ramsay Specialist Centre
Greenslopes Private Hospital
Newdegate St
Greenslopes QLD 4120
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Country
81880
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Australia
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Phone
81880
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+61 7 38479909
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Fax
81880
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+61 7 38476433
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Email
81880
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
patient confidentiality
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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.
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