Prospective Assessment of Robotic Sacrocolpopexy: a European Multicentric Cohort (PARSEC) (PARSEC)
Prospective Interventional Study on Robotic Sacrocolpopexy: a European Multicentric Cohort (PARSEC)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
To prospectively assess the outcomes of robotic sacrocolpopexy for repair of pelvic organ prolapse in high volume european centers.
Primary outcome: anatomical cure rate (using simplified POP-Q staging system)
Secondary outcomes:
complication assessment (Clavien-Dindo), functional results, intraoperative variables, impact of surgery on quality of life (PFIQ-7, PISQ-12)
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Lorenzo Dutto, MD
- Phone Number: 00353-833247511
- Email: lorenzo.dutto@fastwebnet.it
Study Locations
-
-
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Cork, Ireland
- Recruiting
- Cork University Maternity Hospital
-
Contact:
- Lorenzo Dutto, MD
- Phone Number: 00353(83)3247511
- Email: lorenzo.dutto@fastwebnet.it
-
Principal Investigator:
- Barry O'Reilly
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Symptomatic vaginal vault prolapse with simplified pelvic organ prolapse quantification (POP-Q) stage 2 or greater
Exclusion Criteria:
- Poor health status with inability to undergo general anaesthesia
- Age < 18 years
- ≥ 3 previous laparotomic surgeries
- Planned pregnancy
- Other: known pelvic malignancies, previous pelvic radiotherapy, congenital anomalies of genitourinary tract, autoimmune diseases with connective tissue involvement (Lupus, Sjogren Sdr, sclerodermia, etc.), current UTI's, use of steroids, anticoagulants, interstitial cystitis
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Women with pelvic organ prolapse
Women with pelvic organ prolapse (simplified POP-Q > stage 1)
|
Robotic assisted sacrocolpopexy (RASC) will be performed with the Da Vinci Surgical robot (Intuitive Surgical).
THe mesh used will be a Type I (Amid classification), polypropylene mesh
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
anatomical cure after robotic assisted sacrocolpopexy (or absence of recurrent prolapse)
Time Frame: 6 months
|
anatomical cure (defined as any simplified POP-Q point <2) will be assessed at regular intervals(see time frame).
If any postoperative POP-Q point will be ≥2, this will be recorded as a recurrent prolapse.
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
intra- peri- and postoperative complications
Time Frame: intraoperative to 6 weeks after surgery
|
complications occurring during surgery are defined as "intraoperative complication", within 3 weeks from surgery will be defined as "perioperative complication".
Complications occurring after this timeframe will be regarded as "late complications", if related to surgery (e.g.
mesh erosion)
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intraoperative to 6 weeks after surgery
|
|
quality of life
Time Frame: 6 weeks, 6 months, 1 year (yearly thereafter, if feasible)
|
impact of prolapse repair on quality of life will be assessed via specific validated questionnaires (PFIQ-7, PISQ-12)
|
6 weeks, 6 months, 1 year (yearly thereafter, if feasible)
|
|
postoperative pain
Time Frame: on postoperative day 1
|
pain will be assessed on a visual analogue scale (range 0 to 10= 0 no pain, 10 unbearable pain)
|
on postoperative day 1
|
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intraoperative variables
Time Frame: intraoperative
|
intraoperative variables are recorded, such as: blood loss, duration of surgery (divided in robotic setup time, console time and surgery completion time).
Concomitant procedures, such as adhesiolysis will also be recorded
|
intraoperative
|
|
impact of uterus management
Time Frame: 6 weeks, 6 months, 1 year (yearly thereafter, if feasible)
|
logistic regression analysis will be performed to evaluate if different surgical approaches in presence, -or absence, of the uterus (e.g.
supracervical hysterectomy, uterus sparing surgery), have an effect on primary and secondary outcomes
|
6 weeks, 6 months, 1 year (yearly thereafter, if feasible)
|
|
anatomical cure after robotic assisted sacrocolpopexy (or absence of recurrent prolapse)
Time Frame: 6 weeks
|
anatomical cure (defined as any simplified POP-Q point <2) will be assessed at regular intervals(see time frame).
If any postoperative POP-Q point will be ≥2, this will be recorded as a recurrent prolapse.
|
6 weeks
|
|
anatomical cure after robotic assisted sacrocolpopexy (or absence of recurrent prolapse)
Time Frame: 1 year, yearly thereafter (if feasible)
|
anatomical cure (defined as any simplified POP-Q point <2) will be assessed at regular intervals(see time frame).
If any postoperative POP-Q point will be ≥2, this will be recorded as a recurrent prolapse.
|
1 year, yearly thereafter (if feasible)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Barry O'Reilly, Cork University Hospital
- Study Chair: Steven E Schraffordt Koops, Department of Gynecology and Obstetrics, Meander Medical Center, Amersfoort, The Netherlands
- Study Chair: Lorenzo Dutto, Cork University Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PARSEC-1
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