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A Randomized Trial Comparing Horizontal and Vertical Vaginal Cuff Closure

Penn State Health logo

Penn State Health

Status

Completed

Conditions

Hysterectomy

Treatments

Procedure: Cuff Closure

Study type

Interventional

Funder types

Other

Identifiers

NCT02117492
00000143

Details and patient eligibility

About

The purpose of this study is to evaluate the possible impacts of two techniques of vaginal cuff closure during robotic hysterectomy. We aim to compare vertical vs horizontal vaginal cuff closure and the impact that these techniques have on vaginal length, sexual function, and overall complication rates.

Full description

A Validated questionnaire the Female Sexual Function Index (FSFI) and total vaginal lengths will be used to evaluate patients pre-operatively, at 4-6 weeks post-operatively, and 6 months post operatively. The FSFI will also be sent to the patient 12 months post operatively. These data will be used to assess sexual function and total vaginal length in patients undergoing minimally invasive hysterectomy. The study endpoint will occur after the 12 month follow-up questionnaire. Additionally, all complications following surgery will be tracked over the study period for comparison.

Enrollment

70 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Female premenopausal patients undergoing robot assisted total laparoscopic hysterectomy

Exclusion criteria

  1. Adults unable to consent
  2. Children under the age of 18
  3. Pregnant women
  4. Prisoners
  5. Post-menopausal women
  6. Women with the known preoperative need for bowel or genitourinary surgery at the time of hysterectomy
  7. Patients unable to consent to the procedure in the English language

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

70 participants in 2 patient groups

Vertical Cuff
Experimental group
Description:
Vaginal cuff closure will be done vertically.
Treatment:
Procedure: Cuff Closure
Horizontal Cuff
Experimental group
Description:
Vaginal cuff closure will be done horizontally.
Treatment:
Procedure: Cuff Closure

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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