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Pelvic Floor DisordersDeliverUUNCT05530681

Correlation Pelvic Floor Function and Ultrasound Findings One Year After Childbirth

A study testing Questionnaire and Pelvic floor ultrasound in people with Pelvic Floor Disorders and Obstetric Trauma, run by Universitaire Ziekenhuizen KU Leuven at 1 site in Belgium.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a single-center prospective cohort study sponsored by the University Hospitals Leuven (UZ). Women will undergo a pelvic floor ultrasound and will be asked to fill out a questionnaire at the time of their admission into the labour suite, at the postpartum check-up and 12 months postpartum. Read more about this study

Who is it for?
Ages 18 to 45 years, women only
What is being tested?
Questionnaire and Pelvic floor ultrasound
Could I receive a placebo?
No, everyone receives an active treatment
How many people
320 participants
Where
1 siteBelgium
Study dates
17 Aug 2022to 1 Sep 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • age = or > 18 years
  • Dutch/English-speaking
  • > 33 weeks gestation
  • delivering in UZ Leuven
  • vaginal delivery

Who cannot join

  • age < 18 years
  • not Dutch/English-speaking
  • < 33 weeks gestation
  • not delivering in UZ Leuven
  • non-vaginal delivery
  • Any disorder, that independently from delivery, affects pelvic floor function or structure, such as, but not limited to musculoskeletal or neurologic diseases.
Show all 9Show fewer
  • any women with drug addiction, cognitive deficit, language-barrier and illiteracy
  • any disorder or timing or circumstances, which in the Investigator's opinion represents an obstacle to proper informed consent, or safe and/or compliant participation.
  • any prior or simultaneous treatment(s) potentially jeopardising safety or compromising trial integrity.

Trial locations and contacts

1 site in 1 country.

Jan Deprest, MD, PhD contact

+3216344269

jan.deprest@uzleuven.be

Belgium1 site, 1 recruiting
  • UZLeuven

    Leuven, 3000

    Jan Deprest, Prof. Dr.

    Recruiting

Other trials in Belgium

About this study

This is a single-center prospective cohort study sponsored by the University Hospitals Leuven (UZ). Women will undergo a pelvic floor ultrasound and will be asked to fill out a questionnaire at the time of their admission into the labour suite, at the postpartum check-up and 12 months postpartum.

The primary objective is to correlate self-reported symptoms of Pelvic Floor Dysfunction (PFD) (binary outcome) at one year after delivery with structural changes to the Pelvic Floor Muscles (PFM) and postpartum evidence of levator avulsion (binary indicator) as measured by TransPerineal UltraSound (TPUS).

Read more

Secondary objectives are to compare demographical and obstetrical variables between patients suffering from PFD symptoms or pelvic floor injury (documented one year after delivery) and those who do not; to record how patients manage and cope with PFD including recovery and compliance with Pelvic Floor Muscle Training (PFMT) as prescribed in the standard pathway of peripartum care; and to use of TPUS images for the development of artificial intelligence tools for automated image analysis.

Primary outcomes are PFD symptoms one year after delivery and injury to the PFM evidenced by POP-Q and TPUS. The demographic variables and information about the pregnancy and the delivery will be obtained from the medical records.

The presence and severity of PFD will be measured using standardized self-reporting tools: Pelvic Organ Prolapse Distress Index (POP-DI), Patient Assessment Constipation-SYMptoms (PAC-SYM), International Consultation on Incontinence Questionnaire - Urinary Incontinence - Short Form (ICIQ-SF), St. Mark's Incontinence Score (SMIS), Female Sexual Function Index (FSFI), Female Sexual Distress Scale - Revised (FSDS-R). FSFI is a widely used generic tool with sufficient granularity and validated in a large number of languages. FSDS-R assesses the construct "personal distress", which has been considered as an additional important aspect contributing to sexual dysfunction of women.

PFD, as a clustered outcome, being the presence of any kind of pelvic floor dysfunction symptoms, will be defined as POP-DI score of ≥11 OR ICIQ-SF score of ≥1 OR SMIS score of ≥1 OR FSFI score ≤ 26.55 OR FSDS-R score ≥11.

Being tested
Questionnaire, Pelvic floor ultrasound
Keywords
urinary incontinence, anal incontinence, pelvic organ prolapse, sexual dysfunction, constipation, postpartum, levator avulsion, anal sphincter injury
Medical subject headings
Pelvic Floor Disorders, Urinary Incontinence, Encopresis, Pelvic Organ Prolapse, Pelvic Pain, Sexual Dysfunction, Physiological, Constipation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • QuestionnaireDiagnostic test

    The survey consists in standardized and validated questionnaires on urinary function (ICIQ-SF, 4 items), bowel function (SMIS, 7 items and PAC-SYM, 12 items), symptoms of prolapse (POPDI, 6 items) and sexual function (Female Sexual Function Index FSFI, 19 items and Female Sexual Distress Scale - Revised FSDS-R, 13 items). questionnaire will be used at recruitment, at the postpartum visit, at the first annual follow-up visit.

  • Pelvic floor ultrasoundDiagnostic test

    Also called Transperineal ultrasound, Pelvic floor sonography

    Pelvic floor ultrasound is the preferred imaging modality for documenting pelvic floor anatomy during pregnancy or after delivery. This examination is routinely performed in the outpatient clinic during patient visits (including the one year check-up after delivery). The technique used to assess the pelvic floor is described in detail in the 2019 practice parameters issued by IUGA.

Study groups in NCT05530681
Study groupRoleWhat they receive
ParticipantsExperimentalNot described
Receives: Diagnostic Test: Questionnaire; Diagnostic Test: Pelvic floor ultrasound

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Urinary incontinence

    International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF) score of ≥1 (score range 0-21, higher scores mean worse urinary incontinence)

    Measured: one year postpartum

  2. Anal Incontinence

    St Mark's Incontinence Score (SMIS) ≥1 (score range 0-24, higher scores mean worse anal incontinence)

    Measured: one year postpartum

  3. Sexual dysfunction

    Female Sexual Function Index (FSFI) score ≤ 26.55 (score range 2 to 36, worse scores mean worse sexual function) OR FSDS-R score ≥11 (score range 0 to 52, with higher scores indicating more sexually related distress)

    Measured: one year postpartum

  4. Constipation according to the Rome IV criteria

    Must include two or more of the following:** Straining during more than ¼ (25%) of defecations Lumpy or hard stools (Bristol Stool Form Scale 1-2) more than ¼ (25%) of defecations Sensation of incomplete evacuation more than ¼ (25%) of defecations Sensation of anorectal obstruction/blockage more than ¼ (25%) of defecations Manual maneuvers to facilitate more than ¼ (25%) of defecations (e.g., digital evacuation, support of the pelvic floor) Fewer than three SBM per week Loose stools are rarely present without the use of laxatives Insufficient criteria for irritable bowel syndrome

    Measured: one year postpartum

Secondary outcomes (8)
  1. levator avulsion

    complete avulsion is defined as complete detachment of the puborectalis part of the levator ani muscle from the inferior pubic ramus on 3 out of 8 tomographic ultrasound imaging slices of the pelvic floor during contraction

    Measured: 1 year

  2. levator hiatus antero-posterior diameter (cm)

    Measured: 1 year

  3. levator hiatus latero-lateral diameter (cm)

    Measured: 1 year

  4. levator hiatus surface (cm2)

    Measured: 1 year

  5. anal sphincter injury

    residual defect of at least 30 degrees on Tomographic Ultrasound Imaging

    Measured: 1 year

  6. co-contraction

    approximation of the dorsal puborectalis to the symphysis pubis during Valsalva manoeuvre

    Measured: 1 year

  7. pelvic organ descent

    descent of bladder/cervix/ampulla rectalis under the level of the symphysis pubis

    Measured: 1 year

  8. bladder neck mobility

    axial descent of the bladder neck during Valsalva manoeuvre

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Sep 2022
  2. Study start17 Aug 2022
  3. Primary completion1 Sep 2024 (estimated)
  4. Study completion1 Sep 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
320 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05530681
Sponsor's protocol ID
s66245
Acronym
DeliverUU
Status last verified
Jun 2024
First submitted
6 Jul 2022
Last updated
1 Jul 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23(4):322-30. doi: 10.1002/nau.20041.

    PubMed 15227649
  • Basson R, Berman J, Burnett A, Derogatis L, Ferguson D, Fourcroy J, Goldstein I, Graziottin A, Heiman J, Laan E, Leiblum S, Padma-Nathan H, Rosen R, Segraves K, Segraves RT, Shabsigh R, Sipski M, Wagner G, Whipple B. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol. 2000 Mar;163(3):888-93.

    PubMed 10688001
  • Baser RE, Li Y, Carter J. Psychometric validation of the Female Sexual Function Index (FSFI) in cancer survivors. Cancer. 2012 Sep 15;118(18):4606-18. doi: 10.1002/cncr.26739. Epub 2012 Feb 22.

    PubMed 22359250
  • Bo K. Does pelvic floor muscle training prevent and treat urinary and fecal incontinence in pregnancy? Nat Clin Pract Urol. 2009 Mar;6(3):122-3. doi: 10.1038/ncpuro1313. Epub 2009 Feb 3.

    PubMed 19190594
  • Bo K. Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction. World J Urol. 2012 Aug;30(4):437-43. doi: 10.1007/s00345-011-0779-8. Epub 2011 Oct 9.

    PubMed 21984473
  • Bo K, Braekken IH, Majida M, Engh ME. Constriction of the levator hiatus during instruction of pelvic floor or transversus abdominis contraction: a 4D ultrasound study. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jan;20(1):27-32. doi: 10.1007/s00192-008-0719-3. Epub 2008 Sep 20.

    PubMed 18806912
  • Bo K, Finckenhagen HB. Vaginal palpation of pelvic floor muscle strength: inter-test reproducibility and comparison between palpation and vaginal squeeze pressure. Acta Obstet Gynecol Scand. 2001 Oct;80(10):883-7. doi: 10.1034/j.1600-0412.2001.801003.x.

    PubMed 11580731
  • Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, Shull BL, Smith AR. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996 Jul;175(1):10-7. doi: 10.1016/s0002-9378(96)70243-0.

    PubMed 8694033
  • Callewaert G, Albersen M, Janssen K, Damaser MS, Van Mieghem T, van der Vaart CH, Deprest J. The impact of vaginal delivery on pelvic floor function - delivery as a time point for secondary prevention. BJOG. 2016 Apr;123(5):678-81. doi: 10.1111/1471-0528.13505. Epub 2015 Jul 6. No abstract available.

    PubMed 26147210
  • DeLancey JO. The hidden epidemic of pelvic floor dysfunction: achievable goals for improved prevention and treatment. Am J Obstet Gynecol. 2005 May;192(5):1488-95. doi: 10.1016/j.ajog.2005.02.028.

    PubMed 15902147
  • Derogatis L, Clayton A, Lewis-D'Agostino D, Wunderlich G, Fu Y. Validation of the female sexual distress scale-revised for assessing distress in women with hypoactive sexual desire disorder. J Sex Med. 2008 Feb;5(2):357-64. doi: 10.1111/j.1743-6109.2007.00672.x. Epub 2007 Nov 27.

    PubMed 18042215
  • Dietz HP. Pelvic floor ultrasound: a review. Am J Obstet Gynecol. 2010 Apr;202(4):321-34. doi: 10.1016/j.ajog.2009.08.018.

    PubMed 20350640
  • Dietz HP, Shek C, Clarke B. Biometry of the pubovisceral muscle and levator hiatus by three-dimensional pelvic floor ultrasound. Ultrasound Obstet Gynecol. 2005 Jun;25(6):580-5. doi: 10.1002/uog.1899.

    PubMed 15883982
  • Fleiss JL, Tytun A, Ury HK. A simple approximation for calculating sample sizes for comparing independent proportions. Biometrics. 1980 Jun;36(2):343-6.

    PubMed 26625475
  • Frank L, Kleinman L, Farup C, Taylor L, Miner P Jr. Psychometric validation of a constipation symptom assessment questionnaire. Scand J Gastroenterol. 1999 Sep;34(9):870-7. doi: 10.1080/003655299750025327.

    PubMed 10522604

Questions about this trial

What is this clinical trial studying?

A study testing Questionnaire and Pelvic floor ultrasound in people with Pelvic Floor Disorders and Obstetric Trauma, run by Universitaire Ziekenhuizen KU Leuven at 1 site in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 1 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jan Deprest, MD, PhD (+3216344269, jan.deprest@uzleuven.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Urinary incontinence (time frame: one year postpartum). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05530681, which also lists 33 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jul 2024.

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