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Model of Vaginal Laxity (MVL)

8 november 2026 uppdaterad av: Sun Xiuli, Peking University People's Hospital

Construction of Diagnostic Model for Vaginal Laxity

This study is a multicenter, prospective cohort study. The main purpose of the study is to construct diagnostic model for vaginal laxity.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Detaljerad beskrivning

The main purpose of the study is to construct diagnostic model for vaginal laxity based on multimodal clinical data. Besides, for the enrolled patients, we conducted follow-up for those whose vaginas could accommodate more than two fingers. According to the treatment methods they received, they were divided into three groups: Patients in Group 1 underwent pelvic floor muscle exercises, those in Group 2 received physical therapy, and those in Group 3 underwent surgical treatment. This grouping is based on clinical routine diagnosis and treatment opinions. It only observes the improvement effect of vaginal relaxation in patients of different groups and does not conduct any additional interventions on the patients. Therefore, this study is an observational study.

Studietyp

Observationell

Inskrivning (Beräknad)

500

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Kvinna

Testmetod

Icke-sannolikhetsprov

Studera befolkning

Female patients who visited the gynecology outpatient department of the participating project hospital from September 2026 to September 2027.

Beskrivning

Inclusion Criteria:

  1. Women over the age of 18 who have sex
  2. Understand and voluntarily sign the written informed consent form.

Exclusion Criteria:

  1. Gynecological examination confirmed the presence of stage III or above pelvic organ prolapse
  2. There is cognitive impairment, unable to understand the content of the questionnaire or cooperate to complete the transvaginal ultrasound examination

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Observationsmodeller: COHORT
  • Tidsperspektiv: PROSPECTIVE

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
Group 1: Pelvic floor muscle training

For patients whose vaginas can accommodate more than two fingers, if they undergo pelvic floor muscle exercises, they will be assigned to Group 1.

pelvic floor muscle training

Group 2: physical therapy

For patients whose vaginas can accommodate more than two fingers, if they receive physical therapy, including laser, radiofrequency, and biofeedback, they will be classified into Group 2.

laser treatment

Group 3: Surgery

For patients whose vaginas can accommodate more than two fingers, if they receive surgeries, they will be classified into Group 3.

surgery

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Construction of diagnostic model for vaginal laxity
Tidsram: From enrollment to the end of treatment at 12 months

Integrating multi-model indicators to construct gold standard diagnostic model for vaginal laxity, including age (year), weight (kg), height (m), gravidity, parity, vaginal tactile imaging, pelvic floor ultrasound, POP-Q points, modified oxford muscle strength, female sex function index (FSFI), International Consultation on Incontinence Questionnaire (ICIQ), Pelvic Floor Distress Inventory-20(PFDI-20) and Overactive bladder symptom score (OABSS)

From enrollment to the end of treatment at 12 months

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Severity of overactive bladder
Tidsram: From enrollment to the end of treatment at 12 months

Overactive bladder symptom score (OABSS) questionnaire will be used to assess the severity of overactive bladder

From enrollment to the end of treatment at 12 months
Sex function
Tidsram: From enrollment to the end of treatment at 12 months

Female sex function index (FSFI) questionnaire will be used to assess sex function

From enrollment to the end of treatment at 12 months
Severity of pelvic floor dysfunction
Tidsram: From enrollment to the end of treatment at 12 months

Pelvic Floor Distress Inventory-20 (PFDI-20) questionnaire will be used to assess severity of pelvic floor dysfunction

From enrollment to the end of treatment at 12 months
Severity of lower urinary tract symptom
Tidsram: From enrollment to the end of treatment at 12 months

International Consultation on Incontinence Questionnaire (ICIQ) will be used to assess severity of lower urinary tract symptom

From enrollment to the end of treatment at 12 months
Subjective degree of vaginal laxity
Tidsram: From enrollment to the end of treatment at 12 months

The vaginal laxity questionnaire (VLQ) will be used to assess subjective degree of vaginal laxity

From enrollment to the end of treatment at 12 months
Sexual satisfaction
Tidsram: From enrollment to the end of treatment at 12 months

The sexual satisfaction questionnaire (SSQ) will be used to assess sexual satisfaction

From enrollment to the end of treatment at 12 months
Patients' satisfaction for the treatment
Tidsram: From enrollment to the end of treatment at 12 months

Patient Global Impression of Improvement (PGI-I) will be used to assess patients' satisfaction for the treatment.

From enrollment to the end of treatment at 12 months
Severity of pain
Tidsram: From enrollment to the end of treatment at 12 months

Visual Analogue Scale (VAS) will be used to assess the severity of pain

From enrollment to the end of treatment at 12 months
Urodynamic test
Tidsram: From enrollment to the end of treatment at 12 months

Urodynamic tests were performed for free uroflowmetry, post-void residual urine volume, and cystometry in the sitting position. In free uroflowmetry, the maximum flow rate (Qmax), average flow rate (Qave), and flow time were recorded, while bladder volumes were measured during the filling cystometry test at the patient's first sense, first desire, and strong desire for urination. Besides, we paid attention to whether detrusor overactivity (DO) was noted during filling cystometry. The detrusor pressure at maximum flow (PdetQmax) and the maximum urethral closure pressure (MUCP) were also measured

From enrollment to the end of treatment at 12 months
Pelvic floor ultrasound
Tidsram: From enrollment to the end of treatment at 12 months

Bladder neck position, uterine descent, bladder neck descent, cervical position, retrovesical angle, rectal ampulla descent, bladder neck opening, urethral rotation angle, levator hiatus area, anorectal angle (ARA), puborectalis muscle integrity, perineal body thickness, perineal body length will be recorded.

From enrollment to the end of treatment at 12 months
Vaginal tactile imaging
Tidsram: From enrollment to the end of treatment at 12 months

The images from the vaginal tactile imaging will be collected.

From enrollment to the end of treatment at 12 months
Maximum vaginal capacity index
Tidsram: From enrollment to the end of treatment at 12 months
From enrollment to the end of treatment at 12 months
Modified oxford muscle strength
Tidsram: From enrollment to the end of treatment at 12 months
From enrollment to the end of treatment at 12 months
Pelvic organ prolapse quantification (POP-Q)
Tidsram: From enrollment to the end of treatment at 12 months
From enrollment to the end of treatment at 12 months

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Safety of surgery
Tidsram: From enrollment to the end of treatment at 12 months

The following relevant data will be collected: the duration of the surgery, the amount of bleeding, the changes in hemoglobin levels before and after the surgery, the length of hospital stay, whether there was any intraoperative organ damage, and postoperative urinary retention.

From enrollment to the end of treatment at 12 months

Samarbetspartners och utredare

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Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

15 november 2026

Primärt slutförande (Beräknad)

30 september 2028

Avslutad studie (Beräknad)

31 december 2028

Studieregistreringsdatum

Först inskickad

17 augusti 2026

Först inskickad som uppfyllde QC-kriterierna

8 november 2026

Första postat (Faktisk)

12 november 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

12 november 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

8 november 2026

Senast verifierad

1 november 2026

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • PKUPH-VL

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

Läkemedels- och apparatinformation, studiedokument

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Nej

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Nej

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