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Pelvic Organ Prolapse (POP)NCT06903988

Efficacy and Safety of Laparoscopic Lateral Suspension and Transvaginal Sacrospinous Ligament Fixation in Patients With Pelvic Organ Prolapse

A study testing laparoscopic lateral suspension and Transvaginal sacrospinous ligament fixation in people with Pelvic Organ Prolapse (POP), run by Peking University People's Hospital at 1 site in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This study is a single-center, non-blinded, non-inferiority randomized controlled trial, planning to recruit 86 patients with Stage III or higher pelvic organ prolapse who are unresponsive to conservative treatment and are requesting surgical treatment. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Pelvic Organ Prolapse (POP)
What is being tested?
laparoscopic lateral suspension and Transvaginal sacrospinous ligament fixation
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
86 participants
Where
1 siteChina
Study dates
5 Apr 2025to 31 Aug 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years;
  • According to the POP-Q classification, patients who meet any of the following conditions: a. Patients with anterior wall prolapse of stage III or higher; b. Patients with apical prolapse of stage III or higher;
  • Patients who refuse conservative treatment or have ineffective conservative treatment and request surgical treatment for prolapse;
  • Patients who voluntarily participate in this study, sign the informed consent form, and are able to attend follow-up visits on time;
  • Patients who have received education at the primary school level or above;
  • Patients who are able to visit the hospital for examinations;
  • Patients who are deemed fit to undergo surgery according to preoperative anesthesia assessment.

Who cannot join

  • Patients who have previously undergone surgery for pelvic organ prolapse (POP);
  • Patients with a history of anti-incontinence surgery or who are planned to undergo mid-urethral sling surgery for anti-incontinence during the current operation;
  • Patients who, after evaluation by the surgeon, have other conditions that affect eligibility for inclusion.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Peking University People's Hospital

    Beijing, 100044

Other trials in China

About this study

Official title: A Randomized Controlled Study on the Efficacy and Safety of Laparoscopic Lateral Suspension and Transvaginal Sacrospinous Ligament Fixation in Patients With Pelvic Organ Prolapse

This study is a single-center, non-blinded, non-inferiority randomized controlled trial, planning to recruit 86 patients with Stage III or higher pelvic organ prolapse who are unresponsive to conservative treatment and are requesting surgical treatment. Patients who meet the inclusion and exclusion criteria will be randomly assigned to the transvaginal sacrospinous ligament fixation group and the laparoscopic lateral suspension group in a 1:1 ratio. Follow-ups will be conducted at 1 month, 3 months, 6 months, and 1 year after surgery for the enrolled patients. The primary outcome measure is the difference in surgical success rate between the two groups of patients at 1 year after surgery. We hypothesize that the surgical success rate of laparoscopic lateral suspension is not inferior to that of transvaginal sacrospinous ligament fixation

Being tested
laparoscopic lateral suspension, Transvaginal sacrospinous ligament fixation
Medical subject headings
Pelvic Organ Prolapse

What participants receive

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

  • laparoscopic lateral suspensionProcedure or surgery

    Laparoscopic lateral suspension: Place a 1/2 T4 mesh in the vesicovaginal space. The two lateral slings are passed out from the outer upper side of the bilateral anterior superior iliac spine, and the prolapsed organs are suspended to the abdominal wall.

  • Transvaginal sacrospinous ligament fixationProcedure or surgery

    Transvaginal sacrospinous ligament fixation: Dissect the rectovaginal space to expose the right sacrospinous ligament, and fix the cervix or vaginal cuff to the right sacrospinous ligament.

Study groups in NCT06903988
Study groupRoleWhat they receive
laparoscopic lateral suspensionExperimentalNot described
Receives: Procedure: laparoscopic lateral suspension
transvaginal sacrospinous ligament fixationActive comparatorNot described
Receives: Procedure: Transvaginal sacrospinous ligament fixation

What is being measured

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

  1. Surgical success rate

    Surgical success is defined as follows:

    1. Points Aa, Ba, Ap, and Bp do not exceed the hymenal margin;
    2. The descent of point C does not exceed one-third of the total vaginal length;
    3. During the follow-up period, the patient does not require pessary treatment or undergo further surgery for pelvic organ prolapse;
    4. Questions 3 of the Pelvic Floor Dysfunction Inventory (PFDI)-20 questionnaire are answered as "none" or "no impact."

    Measured: From enrollment to the end of surgery at 1 year

Secondary outcomes (7)
  1. Incidence of urinary retention after catheter removal

    A residual urine volume greater than 100 ml as measured by ultrasound is considered urinary retention.

    Measured: From enrollment to the end of surgery at 3 days

  2. Differences in the severity of overactive bladder (OAB) after surgery

    It will be assessed by using the Overactive Bladder Symptom Score (OABSS). The score of OABSS ranges from 0 to 15. The higher the score, the more severe the overactive bladder condition is.

    Measured: 1 month, 3 months, 6 months and 1 year post-surgery

  3. Differences in the severity of urinary incontinence after surgery

    It will be assessed by using the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF). The score of ICIQ-SF ranges from 0 to 21. The higher the score, the more severe the urinary incontinence condition is.

    Measured: 1 month, 3 months, 6 months and 1 year post-surgery

  4. Differences in the severity of pelvic floor dysfunction after surgery

    It will be assessed using the Pelvic Floor Distress Inventory-20 (PFDI-20).The score of PFDI-20 ranges from 0 to 300. The higher the score, the more severe the pelvic floor dysfunction is.

    Measured: 1 month, 3 months, 6 months and 1 year post-surgery

  5. Differences in quality of life after surgery

    It will be assessed using the Pelvic Floor Impact Questionnaire (PFIQ).The score of PFIQ ranges from 0 to 300. The higher the score, the poorer the patient's quality of life is.

    Measured: 1 month, 3 months, 6 months and 1 year post-surgery

  6. Differences in patients' satisfaction

    It will be assessed using the Patient Global Impression of Improvement (PGI-I) questionnaire. The score of PGI-I ranges from 0 to 7. The higher the score, the lower the patient's satisfaction is.

    Measured: 1 month, 3 months, 6 months and 1 year post-surgery

  7. Postoperative Pain

    It will be assessed using the Wong-Baker Faces Pain Rating Scale (FPS-R). The score of FPS-R ranges from 0 to 10. The higher the score, the more severe the pain is.

    Measured: 1 month, 3 months, 6 months and 1 year post-surgery

Timeline

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

  1. First posted1 Apr 2025
  2. Study start5 Apr 2025
  3. Primary completion30 Aug 2026 (estimated)
  4. Study completion31 Aug 2026 (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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
86 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06903988
Sponsor's protocol ID
2024PHB374-002
Status last verified
Jan 2026
First submitted
24 Mar 2025
Last updated
2 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A study testing laparoscopic lateral suspension and Transvaginal sacrospinous ligament fixation in people with Pelvic Organ Prolapse (POP), run by Peking University People's Hospital at 1 site in China.

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 7 inclusion and 3 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: under way, not looking for participants, as of the sponsor's last update on 2 Feb 2026. 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 China. 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?

This study is still under way. Results are not available in the source record yet.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Surgical success rate (time frame: From enrollment to the end of surgery at 1 year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 2 Feb 2026.

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