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Not yet recruitingNCT06220253Updated May 21, 2024

Comparison of Learning Curves for Two Different Techniques in Vaginal Hysterectomy

An interventional study of vaginal hysterectomy by bipolar vessels sealing and vaginal hysterectomy by traditional technique in Pelvic Organ Prolapse, Gynecologic Disorders and Surgery, sponsored by IRCCS San Raffaele. Not yet recruiting at 1 site in Italy. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-05-21.

Sponsored by IRCCS San Raffaele · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by Mar 2025, 1 year 8 months ago, but the record still lists the study as not yet recruiting.

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Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 13 studies in Pelvic Organ Prolapse with a site in Italy — 3 open to participants now, 3 under way, none of them phase 3. Pelvic Organ Prolapse · Italy.

Planned enrollment
8th of 11
60 · median 64
Started
2024
with 1 other
No phase
8 of 13
1 open now
Registered
12th of 13
by date
Lead sponsor
3 of 13
IRCCS San Raffaele

Among the 13 studies in Pelvic Organ Prolapse with a site in Italy, this one is the 8th largest by planned enrollment of the 11 interventional ones that give a count, is one of 2 that started in 2024, is one of 8 with no phase, and was the 12th registered.

Pelvic Organ Prolapse

521 studies on the registry are indexed under Pelvic Organ Prolapse; 80 are open to participants now.

Browse Pelvic Organ Prolapse studies →

Open to participants now

3 of the 13 studies in Pelvic Organ Prolapse with a site in Italy are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 53 Pelvic Organ Prolapse studies recruiting now, 31 (58%) set no upper age limit and 10 (19%) stop at 75 or younger; 2 take children under 18; 14 take healthy volunteers.

This study: 18 Years and older · female · healthy volunteers too.

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02

Study summary

Randomized prospective monocentric interventional study to compare learning curves for traditional vaginal hysterectomy and vaginal hysterectomy performed by bipolar coagulation comparing short-term outcomes for both procedures.

Read the detailed description

This is a prospective, randomized, spontaneous monocentric interventional study on a procedure in which 60 female patients will be enrolled with a diagnosis of pelvic organs prolapse which are eligible for vaginal hysterectomy. The data relating to the intervention will be collected, analyzed and compared through a descriptive statistics.

Patients will be randomized 1:1 in two groups:

  1. Study group: bipolar coagulation technique
  2. Comparison group: reabsorbable stitches The primary outcome of the study is to compare the learning curves for two vaginal surgical techniques for hysterectomy performed for the treatment of prolapse of the pelvic organs in women.

Secondary outcomes are to evaluate the effectiveness of the two different procedures through the evaluation of short-term outcomes for both procedures under consideration.

The planned duration of recruitment will be 7 months. In this period of time it is planned to enrol a total of 60 patients. Once the learning curve plateau has been reached for both procedures, the study will be considered finished. The number of samples was chosen on the basis of the feasibility of recruitment and the possibility of evaluating the learning curve of the operators.

03

Conditions studied

  • Pelvic Organ Prolapse
  • Gynecologic Disorders
  • Surgery

Keywords

  • pelvic organ prolapse
  • urogynecologic surgery
  • learning curve
  • bipolar vessels sealing
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women aged >18 years
  • Genital prolapse > II degree in accordance with the "POP-Q System" eligible for vaginal hysterectomy
  • Understanding and signing of for surgical procedure

Exclusion criteria

Exclusion Criteria:

  • Need for simultaneous bilateral adnexectomy
  • Previous cesarian section
  • Patients with abdominal laparoscopic or laparotomy history
  • Patients with malignant pathology and/or adnexal pathology
  • Confirmed or presumed pregnancy
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Other
    Vaginal Hysterectomy by bipolar coagulation technique

    The surgery will take place according to the canonical times of vaginal hysterectomy, after incision of the portio, detachment of the bladder-vaginal fascia and vaginal rectum, opening of the anterior and posterior peritoneum, taking, section and ligament of the ligaments uterus-sacral ligaments, and subsequent coagulation by bipolar instrument of the other structures of the uterus and their section, in particular of the uterine arteries, tubes, uterine-ovarian ligaments and round ligament bilaterally.

    Procedure: vaginal hysterectomy by bipolar vessels sealing

  • Other
    Vaginal hysterectomy by traditional technique with reabsorbable stitches

    The surgery will take place according to the canonical times of vaginal hysterectomy, after incision of the port, detachment of the bladder-vaginal fascia and vaginal rectum, opening of the anterior and posterior peritoneum, taking and suturing with absorbable threads of all the support structures of the uterus, in particular uterus-sacral ligaments, uterine arteries, tubes, uterine-ovarian ligaments and round ligament bilaterally.

    Procedure: vaginal hysterectomy by traditional technique

Interventions

  • Procedurevaginal hysterectomy by bipolar vessels sealing

    The surgery will take place according to the canonical times of vaginal hysterectomy and all the support structures will be coagulated and cut by a bipolar vessel sealing instrument

  • Procedurevaginal hysterectomy by traditional technique

    The surgery will take place according to the canonical times of vaginal hysterectomy and all the support structures will be sutured by absorbable threads

06

What researchers measure

Primary outcomes

  1. Learning curve comparison

    The primary objective of the study is to compare the learning curves (in terms of operating time, blood loss, intraoperative complications) for two vaginal surgical techniques for hysterectomy performed for the treatment of prolapse of the pelvic organs in women. The two procedures compared will be the traditional technique performed by applying reabsorbable sutures and the bipolar coagulation technique.

    Time frame: immediate post operative time

Secondary outcomes

  1. Evaluate the effectiveness of the two different techniques of vaginal hysterectomy.

    Effectiveness will be assessed in terms of short-term outcomes such as: Intraoperative complications post-operative pain inpatient time Post-operative urinary infections vaginal infections, postoperative collected hematomas

    Time frame: 3 days after the surgical procedure

07

Study locations

1 site
  • Arianna Casiraghi
    Milan, 20159, Italy
    • Arianna Casiraghi, MD · Contact3482400195
    • stefano salvatore, PhD · Principal investigator
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jun 2024; primary completion for Mar 2025, 9 months later.

Of 162 non-industry interventional studies with no phase under Pelvic Organ Prolapse, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 43. This study's planned 9 months is below that.

Counting every sponsor, half of 179 studies reached it within 23 months; a quarter within 12 and three quarters within 48.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 6, 2022
First posted
Jan 23, 2024
StartEst.
Jun 2024
Primary completionEst.
Mar 2025
CompletionEst.
Mar 2025
Last update
May 21, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06220253
Lead sponsor
IRCCS San Raffaele
Responsible party
Stefano Salvatore (Principal Investigator, IRCCS San Raffaele) — Principal investigator
First posted
Jan 23, 2024
Start date
Jun 2024 (estimated)
Primary completion
Mar 2025 (estimated)
Completion
Mar 2025 (estimated)
Last update
May 21, 2024

Study contacts

Arianna Casiraghi, MD
Contact
casiraghi.arianna@hsr.it
3482400195
Stefano Salvatore, MD
Contact
salvatore.stefano@hsr.it
Stefano Salvatore, MD
principal investigator · San Raffaele Hospital, Milan

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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