[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"uterine-prolapse\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:uterine-prolapse":30},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,6,0,[8,60,88,124,155,184],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":32,"overallStatus":47,"whyStopped":4,"lastUpdateSubmitDate":48,"lastUpdatePostDateStruct":49,"startDateStruct":52,"completionDateStruct":54,"leadSponsor":56,"locationsCount":59},"100649200","deep-neuromuscular-blockade-and-a-low-residue-diet-for-the-surgical-field-in-vnotes-hysterectomy-100649200",false,"NCT07730970","Deep Neuromuscular Blockade and a Low-Residue Diet for the Surgical Field in vNOTES Hysterectomy","Effect of Deep Neuromuscular Blockade and a Preoperative Low-Residue Diet on Intra-operative Surgical Field Conditions During Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Hysterectomy: A 2×2 Factorial, Assessor-Blinded Randomized Controlled Trial","vNOTES_NMBDIET","Inclusion Criteria:\n\n* Adult women (aged 18 years or older) scheduled for hysterectomy for a benign (non-cancer) indication.\n* Judged suitable for the vNOTES approach by the operating surgeon.\n* Able to understand the study and provide written informed consent.\n\nExclusion Criteria:\n\n* Suspected or known gynaecological malignancy.\n* Conditions expected to make the approach or the field assessment non-standard (e.g., anticipated dense pelvic adhesions or severe endometriosis, a contraindication to vNOTES, or an obliterated cul-de-sac).\n* Any medical reason why deep neuromuscular blockade or sugammadex would be unsafe (defined with the anaesthesia team).\n* Any medical reason why a low-residue diet would be unsuitable.\n* Inability to give informed consent.","FEMALE","18 Years",{"count":20,"type":21},160,"ESTIMATED","INTERVENTIONAL",[24],"NA","vNOTES (vaginal natural orifice transluminal endoscopic surgery) hysterectomy is performed entirely through the vagina, with no abdominal incision. A clear surgical view is essential, and the main obstacle to the view is bowel falling into the pelvis. This randomized trial tests whether two simple measures improve the surgical field, individually or in combination: a preoperative low-residue diet for three days, and deeper intra-operative muscle relaxation (deep neuromuscular blockade). No group receives mechanical bowel preparation.\n\nUsing a 2×2 factorial design, participants are allocated equally (1:1:1:1) to one of four groups: (1) no diet with standard relaxation; (2) diet with standard relaxation; (3) no diet with deep relaxation; (4) diet with deep relaxation (the \"bundle\"). The surgical field is measured objectively: during a standardized window the carbon-dioxide insufflation pressure is lowered step by step, and 2-3 blinded assessors score the field from de-identified video. The primary outcome is the lowest pressure at which the field remains adequate; a lower pressure indicates an intrinsically better field.\n\nThe trial hypothesis is an interaction - that the combination achieves an adequate field at a meaningfully lower pressure than either measure alone. The final sample size is determined from an internal pilot. Secondary outcomes include the continuous field score, the need for an additional instrument to clear the field, postoperative nausea and vomiting, and routine operative outcomes.",[27,28,29,30,31],"Leiomyoma, Uterine","Benign Gynecological Disease","Abnormal Uterine Bleeding (AUB)","Uterine Prolapse","Adenomyosis of Uterus",[33,34,35,36,37,38,39,40,41,42,43,44,45,46],"vNOTES","vaginal natural orifice transluminal endoscopic surgery","deep neuromuscular blockade","rocuronium","post-tetanic count","low-residue diet","bowel preparation","insufflation pressure","pneumoperitoneum","surgical field","visualization","objective visualisation index (OVI)","factorial trial","assessor-blinded","RECRUITING","2026-07-29",{"date":50,"type":51},"2026-07-30","ACTUAL",{"date":53,"type":51},"2026-07-01",{"date":55,"type":21},"2027-09-01",{"name":57,"class":58},"Fatih Sultan Mehmet Training and Research Hospital","OTHER",3,{"id":61,"slug":62,"hasResults":11,"nctId":63,"briefTitle":64,"officialTitle":65,"acronym":4,"eligibilityCriteria":66,"healthyVolunteers":11,"sex":17,"minAge":67,"maxAge":68,"enrollmentInfo":69,"targetDuration":4,"studyType":22,"phases":71,"briefSummary":72,"conditions":73,"keywords":74,"overallStatus":47,"whyStopped":4,"lastUpdateSubmitDate":78,"lastUpdatePostDateStruct":79,"startDateStruct":81,"completionDateStruct":83,"leadSponsor":85,"locationsCount":87},"100642734","combined-effects-of-pelvic-floor-retraining-and-hypopressive-exercises-in-uterine-prolapse-outcomes-100642734","NCT07642180","Combined Effects of Pelvic Floor Retraining and Hypopressive Exercises in Uterine Prolapse Outcomes","Combined Effects of Pelvic Floor Functional Movement Retraining and Hypopressive Exercises on Pain, Urogynecological Symptoms, and Quality of Life in Uterine Prolapse","Inclusion Criteria:\n\n* Females aged 30-60 years.\n* Diagnosed with stage I and II uterine prolapse.\n* women with ≥1 parity\n* women who have had a vaginal delivery\n\nExclusion Criteria:\n\n* Recent pelvic surgery (\\\u003C6 months).\n* Pregnancy or postpartum within 6 months.\n* Neurological conditions affecting muscle control.\n* Participation in pelvic floor rehab in the past 6 months.","30 Years","60 Years",{"count":70,"type":21},32,[24],"One common pelvic floor condition, particularly in postpartum or later life, is uterine prolapse. It is caused by weak pelvic floor muscles and connective tissues and often presents with pain, urinary incontinence, and reduced quality of life. Although pelvic floor muscle training (PFMT) is commonly used, newer methods such as Hypopressive Exercises (HE) and Pelvic Floor Functional Movement Retraining (PFFMR) offer promising approaches. HE focuses on posture and breathing strategies to reduce intra-abdominal pressure, while PFFMR retrains pelvic stability and function through integrated movement patterns. This study aims to evaluate the combined effects of HE and PFFMR on pain, urogynecological symptoms, and quality of life in women with uterine prolapse, compared to single interventions.\n\nThis randomized clinical trial will include 32 women aged 30-60 years with stage I-II uterine prolapse at Ganga Ram Hospital, Lahore. Participants will undergo an 8-week program with supervised sessions three times per week. Outcomes will be assessed using the Pelvic Floor Bother Questionnaire (PFBQ), Numeric Pain Rating Scale (NPRS), and Prolapse Quality of Life Questionnaire (P-QoL), and analyzed using SPSS version 25.0.",[30],[75,76,77],"Exercise Therapy","Quality of Life","urogynecological symptoms","2026-06-08",{"date":80,"type":51},"2026-06-11",{"date":82,"type":51},"2025-04-02",{"date":84,"type":21},"2026-08-15",{"name":86,"class":58},"Riphah International University",1,{"id":89,"slug":90,"hasResults":11,"nctId":91,"briefTitle":92,"officialTitle":93,"acronym":94,"eligibilityCriteria":95,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":96,"targetDuration":4,"studyType":98,"phases":4,"briefSummary":99,"conditions":100,"keywords":108,"overallStatus":47,"whyStopped":4,"lastUpdateSubmitDate":113,"lastUpdatePostDateStruct":114,"startDateStruct":116,"completionDateStruct":118,"leadSponsor":120,"locationsCount":123},"100517943","performance-of-symmcora-vs-v-loc-suture-material-in-patients-undergoing-laparoscopic-total-hysterectomy-100517943","NCT06024109","Performance of SYMMCORA® vs. V-Loc® Suture Material in Patients Undergoing Laparoscopic Total Hysterectomy","Prospective, International, Randomized, Multicentric, Controlled Study on the Performance of SYMMCORA® Mid-term Unidirectional Barbed Suture Versus V-loc® Suture Material in Patients Undergoing Laparoscopic Total Hysterectomy","BARHYSTER","Inclusion Criteria:\n\n* Females undergoing an elective, laparoscopic total hysterectomy\n* Age ≥ 18 years\n* Written informed consent\n\nExclusion Criteria:\n\n* Emergency surgery\n* Open surgery\n* Patients undergone immunosuppressive drug treatment within the prior 6 months\n* Patients with hypersensitivity or allergy to the suture material.\n* Participation in another clinical study\n* Non-compliance of patient",{"count":97,"type":21},132,"OBSERVATIONAL","The aim of this study is to show the superiority of the new unidirectional barbed suture (SYMMCORA® mid-term, unidirectional) to conventional suture material in terms of time to perform the vaginal cuff closure during gynecologic surgeries without an increase in the complication rate.\n\nSecondly, the superiority of SYMMCORA®, mid-term unidirectional compared to the V-Loc®, unidirectional will be assessed regarding the mean time to close the vaginal cuff. The study will be performed in routine clinical setting, the only difference will be the randomization into two different suture groups. Both suture materials which will be applied to approximate the vaginal cuff are approved and carrying the CE-marks. Additionally, both sutures will be applied in their intended use. Neither additional invasive measures nor additional burden in regard to the patient will be performed.",[101,102,30,103,104,105,106,107],"Abnormal Uterine Bleeding","Endometriosis","Uterine Cancer","Ovarian Cancer","Fallopian Tube Cancer","Cervical Cancer","Endometrial Cancer",[109,110,111,112],"Barbed Suture","Hysterectomy","Laparoscopy","Minimal Invasive","2026-06-01",{"date":115,"type":51},"2026-06-02",{"date":117,"type":51},"2024-03-19",{"date":119,"type":21},"2027-08",{"name":121,"class":122},"Aesculap AG","INDUSTRY",2,{"id":125,"slug":126,"hasResults":11,"nctId":127,"briefTitle":128,"officialTitle":129,"acronym":130,"eligibilityCriteria":131,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":132,"enrollmentInfo":133,"targetDuration":4,"studyType":22,"phases":135,"briefSummary":136,"conditions":137,"keywords":140,"overallStatus":47,"whyStopped":4,"lastUpdateSubmitDate":146,"lastUpdatePostDateStruct":147,"startDateStruct":149,"completionDateStruct":151,"leadSponsor":153,"locationsCount":5},"100636535","the-finnish-uterine-prolapse-surgery-trial-the-fin-up-trial-100636535","NCT07566949","The Finnish Uterine Prolapse Surgery Trial (The Fin-UP Trial)","Manchester Procedure Versus Vaginal Hysterectomy for Women With Uterine Prolapse: A Multi-Center Randomized Controlled Study (The Fin-UP Trial)","Fin-UP","Inclusion Criteria:\n\n* Fit for elective vaginal surgery according to standard preoperative assessment\n* Women aged over 18 years\n* No previous POP surgery\n* Symptomatic POP stage 2 or higher, with uterine descent of at least stage 2 (POP-Q point C ≥ minus 1) and with POP-Q point D ≤ minus 1. Patients with concurrent anterior or posterior compartment defects will be included.\n\nExclusion Criteria:\n\n* Pregnancy or future plans of pregnancy\n* Active malignancy of any kind\n* Contraindications for uterine preservation, i.e. suspected cervical or uterine malignancy, abnormal cervical cytology, abnormal uterine bleeding, a history of endometrial hyperplasia with atypia, or a known hereditary cancer syndrome involving the uterus (e.g., Lynch syndrome). All patients will undergo a clinical examination and ultrasound assessment prior to recruitment. If clinically indicated, a Pap-smear and\u002For endometrial biopsy will be performed prior to inclusion.\n* Contraindication to vaginal hysterectomy (e.g. extensive intra-abdominal adhesions)\n* Patient's preference for uterine removal or preservation\n* Planned concomitant incontinence procedure\n* Inability to speak Finnish or Swedish, understand the purpose of the study, or commit to follow-up","100 Years",{"count":134,"type":21},426,[24],"The goal of this clinical trial is to compare the Manchester procedure and vaginal hysterectomy in treating patients with symptomatic uterine prolapse.\n\nThe main question it aims to answer is:\n\n• What is the difference in the success rates at the the two year follow-up\n\nParticipants will:\n\n* be randomized in either the Manchester procedure or vaginal hysterectomy group and operated as such\n* visit the clinic at 2 and 5 years after the operation\n* fill in questionnaires at 1, 2, 5 and 10 years after the operation",[30,138,139],"Pelvic Organ Prolapse Vaginal Surgery","Pelvic Organ Prolapse (POP)",[141,142,143,144,145],"Uterine prolapse","Pelvic organ prolapse","Manchester procedure","Vaginal hysterectomy","Vaginal surgery","2026-05-06",{"date":148,"type":51},"2026-05-11",{"date":150,"type":21},"2026-05",{"date":152,"type":21},"2041-12",{"name":154,"class":58},"Tampere University Hospital",{"id":156,"slug":157,"hasResults":11,"nctId":158,"briefTitle":159,"officialTitle":160,"acronym":4,"eligibilityCriteria":161,"healthyVolunteers":162,"sex":17,"minAge":18,"maxAge":163,"enrollmentInfo":164,"targetDuration":4,"studyType":98,"phases":4,"briefSummary":166,"conditions":167,"keywords":169,"overallStatus":47,"whyStopped":4,"lastUpdateSubmitDate":175,"lastUpdatePostDateStruct":176,"startDateStruct":178,"completionDateStruct":180,"leadSponsor":182,"locationsCount":87},"100615682","the-assessment-of-fibrin-clot-phenotype-and-thrombin-generation-in-women-after-urogynecological-surgeries-100615682","NCT07295782","The Assessment of Fibrin Clot Phenotype and Thrombin Generation in Women After Urogynecological Surgeries.","Fibrin Clot Properties and Thrombin Generation in Women After Urogynecological Surgery.","Inclusion Criteria:\n\n* Age 18-70\n* treatment failure (pharmacotherapy) due to uterine prolapse or urine incontinence\n\nExclusion Criteria:\n\n* prolonged thromboprophylaxis\n* planned surgery other than due to urine incontinence\u002Futerine prolapse\n* acquired or congenital thrombophilia",true,"70 Years",{"count":165,"type":21},60,"Determination of fibrin clot properties along with thrombin generation in women after urigynecological surgery.",[30,168],"Urine Incontinence",[170,171,172,173,174],"uterine prolapse","urine incontinence","fibrin clot","fibrinolysis","thrombin","2025-12-08",{"date":177,"type":51},"2025-12-22",{"date":179,"type":21},"2025-12-10",{"date":181,"type":21},"2026-05-30",{"name":183,"class":58},"Jagiellonian University",{"id":185,"slug":186,"hasResults":11,"nctId":187,"briefTitle":188,"officialTitle":189,"acronym":4,"eligibilityCriteria":190,"healthyVolunteers":11,"sex":17,"minAge":191,"maxAge":4,"enrollmentInfo":192,"targetDuration":4,"studyType":98,"phases":4,"briefSummary":194,"conditions":195,"keywords":197,"overallStatus":47,"whyStopped":4,"lastUpdateSubmitDate":200,"lastUpdatePostDateStruct":201,"startDateStruct":203,"completionDateStruct":205,"leadSponsor":207,"locationsCount":87},"100484357","transvaginal-sacrospinous-hysteropexy-versus-laparoscopic-uterine-lateral-suspension-100484357","NCT05586984","Transvaginal Sacrospinous Hysteropexy Versus Laparoscopic Uterine Lateral Suspension","A Prospective, Observational Trial of Transvaginal Uterine Suspension With the New Minimally Invasive Uterine Suspension","Inclusion Criteria:\n\n* older than 21 years old.\n* uterine prolapse stage 2 at least, defined by C point distal to -1cm by POP-Q system.\n* patients willing to receive a uterine-preserving surgery for pelvic organ prolapse, and is suitable for anesthesia after evaluation.\n* patients who had or had not received conservative treatments for pelvic organ prolapse.\n* patients able and willing to finish the questionnaire evaluation.\n\nExclusion Criteria:\n\n* patient who had received a previous hysterectomy, or is planning on concomitant hysterectomy in the surgery for pelvic organ prolapse.\n* patient who had received a previous surgery for pelvic organ prolapse.\n* patient with history of adverse events following a synthetic mesh.\n* patients with chronic or acute pelvic pain.\n* patients who had received abdominal or pelvic irradiation.\n* patients who cannot receive either surgery due to comorbidity.\n* patients pregnant or with future plan of pregnancy.\n* patients with vaginal length less than 5cm.","21 Years",{"count":193,"type":21},90,"Transvaginal or transabdominal surgeries are current choices of uterus-preserving surgeries for pelvic organ prolapse.\n\nLaparoscopic lateral uterine suspension, a modified surgical approach of uterine suspension from bilateral abdominal wall fascia, performed with expected safety and simplicity of surgery besides advantages including small wound incision and fast recovery in laparoscopic surgeries. This trial aim to discuss the therapeutic efficacy, long term safety, and adverse events of laparoscopic lateral uterine suspension and compare with the conventional transvaginal sacrospinous ligament fixation with native tissue repair.",[196,30],"Pelvic Organ Prolapse",[142,198,199],"Laparoscopic uterine lateral suspension","Transvaginal sacrospinous ligament fixation","2022-10-19",{"date":202,"type":51},"2022-10-21",{"date":204,"type":51},"2022-07-26",{"date":206,"type":21},"2029-12-31",{"name":208,"class":58},"National Cheng-Kung University Hospital"]