Comparing two surgical methods for pelvic organ prolapse repair
Official title: Study Comparing Transobturator Cystocele vs. Anterior Vaginal RepairS
Run by Charles University, Czech Republic · NCT05602246 · Data updated 2026-11-12
This study is testing two different surgical methods to see which one works better for women over 50 with pelvic organ prolapse.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years and up |
| Sex | Women only |
| Enrollment | 592 (estimated) |
| Sponsor | Charles University, Czech Republic Academic / other |
| Locations | 8 sites (Hradec Králové and 7 other locations) |
| Status | Recruiting |
| Started | December 1, 2022 |
| Main results expected | November 1, 2029 |
| Study ends | November 1, 2034 |
| Registry record updated | March 19, 2026 |
| Trial ID | NCT05602246 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are women aged 50 and older with at least a second stage prolapse of the anterior compartment and experiencing symptoms of bulge.
✕Probably not a fit
Patients with malignancy or those unable to communicate in Czech or English may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial aims to compare the efficacy and safety of transobturator cystocele repair (TOCR) with traditional anterior colporrhaphy for treating pelvic organ prolapse, specifically focusing on anterior compartment defects. The study involves women aged 50 and older who experience symptomatic bulge due to at least a second stage prolapse. By assessing the outcomes of these two surgical techniques, the trial seeks to optimize surgical planning and improve patient quality of life. The research is conducted in multiple locations in the Czech Republic, ensuring a diverse patient population.
Why it matters
Potential benefit: If successful, this study could lead to improved surgical outcomes and quality of life for women suffering from pelvic organ prolapse.
How similar studies have gone: Other studies have shown success with similar surgical approaches, but the specific comparison of TOCR to anterior colporrhaphy is a novel focus.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * (at least) 2nd stage prolapse of the anterior compartment (Ba ≥ -1) * Age ≥ 50 years * Symptom bulge * Ability to speak Czech or English Exclusion Criteria: * Malignancy
Where it's running
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Faculty of Medicine in Pilsen, Charles University
Pilsen, Czechia Recruiting -
Faculty of Medicine in Hradec Kralove, Charles University
Hradec Králové, Czechia Not yet recruiting -
Medical Faculty, Ostrava University
Ostrava-Poruba, Czechia Not yet recruiting -
Hospital Pardubice Region, Inc.
Pardubice, Czechia Not yet recruiting -
Hospital na Bulovce, 1st Medical Faculty, Charles University
Prague, Czechia Not yet recruiting -
Tomas Bata Regional Hospital in Zlin
Zlín, Czechia Not yet recruiting
Show 2 more locations
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Košice Medical University
Košice, Slovakia Not yet recruiting -
Trenčianska univerzita Alexandra Dubčeka
Trenčín, Slovakia Not yet recruiting
Study contacts
- Principal investigator: Zdenek Rusavy, assoc. prof. MD PhD — Faculty of Medicine in Plzen, Charles University
- Study coordinator: Vladimir Kalis, prof. MD PhD
- Email: kalisv@fnplzen.cz
- Phone: +420377105228
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Improving Uroflowmetry: Do Pre-Procedure Reminders Help Women Undergoing Urodynamics
This study tests whether sending reminder calls before a urodynamics test helps women with pelvic floor disorders feel more prepared and less anxious, and whether it makes the procedure go more smoothly.
-
Poly-L-lactic acid injections for vulvovaginal tissue regeneration
This trial will try injections of poly-L-lactic acid (PLLA) versus placebo to see if they strengthen vaginal tissue and reduce bulge symptoms and sexual problems in women with stage II anterior vaginal wall prolapse (cystocele).
-
Vaginal Vault Support at Hysterectomy
This trial tests a new double-ligament vault suspension during hysterectomy to help prevent vaginal apex prolapse in women undergoing the procedure.
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Centered Surgery: Preoperative Counseling to Improve Patient Satisfaction
This study will test whether virtual group counseling sessions (shared medical appointments) help adults having pelvic organ prolapse surgery feel more satisfied and better prepared compared with standard individual phone calls.
-
Pelvic floor muscle training with and without hypopressive exercises for women with pelvic organ prolapse
This will test whether adding hypopressive exercises to pelvic floor muscle training helps women aged 45–65 with stage I–II pelvic organ prolapse improve pelvic floor strength, reduce pain during sex, and feel better overall.
-
Wrist activity tracking to guide early recovery after pelvic organ prolapse surgery
This study will try giving women having pelvic organ prolapse surgery either usual postoperative advice or a guided early-exercise plan while tracking activity with a wrist accelerometer to see which group reaches "mostly recovered" sooner.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.