Evolution of Symptoms After Anterior Sacrospinofixation by Autologous Tissues

Study Overview
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Brief Summary
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Prolapse is a pathology that can cause pelvic, urinary or sexual functional disorders and impaired quality of life. Although the use of vaginal mesh is a commonly practiced technique to correct prolapse, in recent years health officials have pointed to the lack of adequate safety and tolerability assessments of these implants. Currently, surgeons are therefore moving towards techniques without implants. The standard vaginal technique for the treatment of uterine prolapse is sacrospinofixation according to Richter. This technique can be performed without an implant, using autologous tissue. Functional discomfort of patients is the main problem linked to the presence of prolapse. However, no study has yet evaluated the feelings of patients following the use of this sacrospinofixation technique by autologous tissues by vaginal route, which led us to set up this study. The hypothesis is that the technique of anterior sacrospinofixation by autologous tissues improves the symptoms experienced by patients with an mid-level and / or anterior genital prolapse.

Official Title
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Prospective Study of the Evolution of Symptoms After Anterior Sacrospinofixation by Autologous Tissues

Conditions
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Pelvic Organ Prolapse

Intervention / Treatment
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* Other: evolution of patient symptoms


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: women over 18 middle and / or anterior genital prolapse (hysterocele and / or cystocele) requiring surgical correction of stage ≥ II in the POP-Q classification patients wanting an intervention because of the discomfort caused by the prolapse intervention planned by anterior sacrospinofixation by autologous tissues person having expressed his non-opposition Exclusion Criteria: prolapse of stage < II in the POP-Q classification, or prolapse without functional impairment disorders involving an unacceptable risk of postoperative complications sought after questioning of the patient (blood coagulation disorders, immune system disorders, progressive diseases, etc.) reduced mobility of the lower limbs (not allowing positioning for surgery) pregnancy or any pregnancy plan for the duration of the study active or latent infection inability to understand the information given person deprived of liberty, under guardianship.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| anterior sacrospinofixation with autologous tissue<br>patients with middle and / or anterior prolapse ≥ II in the POP-Q classification and for whom an intervention by anterior sacrospinofixation by autologous tissues is planned. | Other: evolution of patient symptoms<br>* evolution of symptoms on the PGI-I scale (score 1, 2, or 3) 2 months after surgery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| improvement of symptoms | percentage of patients with symptom change on the PGI-I scale (score 1, 2, or 3) | at Month 2 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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middle anterior prolapse ≥ II (POP-Q classification), anterior prolapse ≥ II (POP-Q classification)