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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 50 (estimated) |
| Sponsor | The University of Texas Health Science Center, Houston Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Houston, Texas) |
| Status | Recruiting |
| Started | September 1, 2026 |
| Main results expected | December 1, 2027 |
| Study ends | December 1, 2027 |
| Registry record updated | September 30, 2026 |
| Trial ID | NCT07413861 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
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University of Texas
Houston, Texas, United States Recruiting
Study contacts
- Study coordinator: Aya Mohr Sasson, MD
- Email: aya.mohrsasson@uth.tmc.edu
- Phone: 346-270-4682
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Predictors of Success and Failure of v-NOTES Hysterectomy for Large Uteri
This study looks at which factors predict whether a v-NOTES hysterectomy for large uteri will be completed without needing to switch to another surgical approach.
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This study tests whether the M-TAPA nerve block before surgery can reduce opioid use and pain after laparoscopic hysterectomy compared with standard pain care.
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This trial tests whether reading a personal narrative book in addition to usual care can help young women preparing for hysterectomy feel calmer and less anxious or depressed.
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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.