Clinical trial Recruiting at 1 site Interventional Ages 18 and up Women only

vNOTE Hysterectomy with Uterosacral Suspension to Support Pelvic Organs

Official title: Vaginal Natural Orifice Transluminal Endoscopic (vNOTE) Hysterectomy With Uterosacral Suspension

Run by The University of Texas Health Science Center, Houston · NCT07413861 · Data updated 2026-11-12

This study tests a vaginal natural orifice surgery technique for hysterectomy that includes upfront uterosacral suspension to help prevent pelvic organ prolapse.

More Hysterectomy trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment50 (estimated)
SponsorThe University of Texas Health Science Center, Houston
Academic / other
Drugs / interventionsradiation
Locations1 site (Houston, Texas)
StatusRecruiting
StartedSeptember 1, 2026
Main results expectedDecember 1, 2027
Study endsDecember 1, 2027
Registry record updatedSeptember 30, 2026
Trial IDNCT07413861 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Women aged 18 or older undergoing vNOTES hysterectomy for benign gynecologic conditions at the participating center.

Probably not a fit

Patients without pelvic support risk factors or those not undergoing apical support reconstruction may not see a notable benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study evaluates performing hysterectomy through a vaginal natural orifice (vNOTES) and adding a uterosacral suspension to preserve apical vaginal support. The approach aims to reduce abdominal incisions, potentially lowering pain and recovery time while maintaining or improving long-term pelvic health. Eligible participants are adult women undergoing vNOTES hysterectomy for benign gynecologic indications. The trial is conducted at a single site with UTHealth as the lead sponsor and does not list collaborating sites.

Why it matters

Potential benefit: If successful, the procedure could improve long-term pelvic support and reduce the risk of apical prolapse after hysterectomy.

How similar studies have gone: Prior studies support vNOTES feasibility and the effectiveness of uterosacral suspension for apical support, with this trial extending those concepts into a combined technique.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age\>18
* All women undergoing vNOTES hysterectomy ± Bilateral salpingectomy/salpingo-oopherectomy for benign gynecological indication

Exclusion Criteria:

* Exclusion for vNOTES surgery: pelvic inflammatory disease, previous rectal surgery, suspected malignancy, radiation
* Indication for surgery: elvic prolapse
* Other surgical interventions planned for the procedure

Where it's running

  • University of Texas
    Houston, Texas, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.