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.
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.
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
- Conditions
- Pelvic Organ Prolapse (POP)
- 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 group | Role | What they receive |
|---|---|---|
| laparoscopic lateral suspension | Experimental | Not described Receives: Procedure: laparoscopic lateral suspension |
| transvaginal sacrospinous ligament fixation | Active comparator | Not described Receives: Procedure: Transvaginal sacrospinous ligament fixation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Surgical success rate
Surgical success is defined as follows:
- Points Aa, Ba, Ap, and Bp do not exceed the hymenal margin;
- The descent of point C does not exceed one-third of the total vaginal length;
- During the follow-up period, the patient does not require pessary treatment or undergo further surgery for pelvic organ prolapse;
- 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)
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
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
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
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
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
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
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.
- First posted1 Apr 2025
- Study start5 Apr 2025
- Primary completion30 Aug 2026 (estimated)
- Study completion31 Aug 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pelvic Organ Prolapse (POP)Studies of the same condition, open and under way.
- More trials run by Peking University People's HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Peking University People's Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Wang Shiyan, Peking University People's Hospital
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
Study at a glance
From the registry record, last updated by the sponsor on 2 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT06903988
- Acronym / sponsor ID
- 2024PHB374-002
- Conditions
- Pelvic Organ Prolapse (POP)
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 86 participants (estimated)
- Lead sponsor
- Peking University People's HospitalUniversity, hospital or other
- Study start
- 5 Apr 2025 (actual)
- Primary completion
- 30 Aug 2026 (estimated)
- Study completion
- 31 Aug 2026 (estimated)
- First posted
- 1 Apr 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| laparoscopic lateral suspension | Experimental | Procedure: laparoscopic lateral suspension |
| transvaginal sacrospinous ligament fixation | Active comparator | Procedure: Transvaginal sacrospinous ligament fixation |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 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;
Key exclusion criteria (3 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| laparoscopic lateral suspensionLaparoscopic 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. | Procedure or surgery | laparoscopic lateral suspension |
| Transvaginal sacrospinous ligament fixationTransvaginal 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. | Procedure or surgery | transvaginal sacrospinous ligament fixation |
Primary outcome
Surgical success rate
Time frame: From enrollment to the end of surgery at 1 year
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."
7 secondary outcomes
Incidence of urinary retention after catheter removal
Time frame: From enrollment to the end of surgery at 3 days
Differences in the severity of overactive bladder (OAB) after surgery
Time frame: 1 month, 3 months, 6 months and 1 year post-surgery
Differences in the severity of urinary incontinence after surgery
Time frame: 1 month, 3 months, 6 months and 1 year post-surgery
Differences in the severity of pelvic floor dysfunction after surgery
Time frame: 1 month, 3 months, 6 months and 1 year post-surgery
Differences in quality of life after surgery
Time frame: 1 month, 3 months, 6 months and 1 year post-surgery
Differences in patients' satisfaction
Time frame: 1 month, 3 months, 6 months and 1 year post-surgery
Postoperative Pain
Time frame: 1 month, 3 months, 6 months and 1 year post-surgery
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Feb 2026.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
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.