Vaginal Uphold Hysteropexy and Laparoscopic Sacral Hysteropexy for the Treatment of Uterovaginal Pelvic Organ Prolapse (VAULT)

This study is currently recruiting participants. (see Contacts and Locations)
Verified February 2014 by The Cleveland Clinic
The Christ Hospital
Washington Hospital Center
Providence Healthcare in British Columbia
Stanford University
Women and Infants Hospital of Rhode Island
Greater Baltimore Medical Center
University of North Carolina
Information provided by (Responsible Party):
The Cleveland Clinic Identifier:
First received: June 10, 2011
Last updated: February 18, 2014
Last verified: February 2014

The purpose of this study is to evaluate surgical success or failure one year after surgery for pelvic organ prolapse.

Pelvic Organ Prolapse

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Vaginal Uphold Hysteropexy and Laparoscopic Sacral Hysteropexy for the Treatment of Uterovaginal Pelvic Organ Prolapse

Resource links provided by NLM:

Further study details as provided by The Cleveland Clinic:

Primary Outcome Measures:
  • The primary outcome measure will be surgical "success" or "failure" as a dichotomous outcome 1 year after surgery. Subjects will be considered a success if they meet the definitions of anatomic cure and deny vaginal bulging symptoms. [ Time Frame: 12 months ] [ Designated as safety issue: No ]

    Anatomic sure is defined as cervix above mid-vagina, and no prolapse beyond the hymen and no surgical treatment for pelvic organ prolapse or pessary use.

    Symptomatic cure is defined as the absence of vaginal bulge symptoms as indicated by a negative response question 3 of the pelvic floor distress inventory- 20.

Secondary Outcome Measures:
  • Anatomic outcomes [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Evaluation of the anterior and posterior walls using point Aa, Ba, Ap and Bp, C, posterior fornix D and total vaginal length TVL; evaluate the size of the genital hiatus and perineal body; evaluation of cervical elongation and record any additional surgical procedures for anterior and posterior vaginal wall prolapse.

  • Symptomatic improvement [ Time Frame: 3months and 12 months ] [ Designated as safety issue: No ]
    Relief of symptoms of pelvic floor disorders, including incontinence, voiding dysfunction, pelvic organ prolapse, fecal incontinence defecation disorders and sexual dysfunction using validated instruments collected postoperatively at 3 months, and 1 year.

  • Shortterm morbidity [ Time Frame: 6 weeks, 3 months, 12 months ] [ Designated as safety issue: Yes ]
    We will compare the treatment groups with respect to perioperative morbidity and mortality. Perioperative morbidity will be recorded at completion of surgery and at hospital discharge. Postoperative morbidity will be recorded at any time after discharge- 6 weeks, 3 months and 1 year and all adverse events will be documented. Perioperative measures of morbidity will include operative time, estimated blood loss, and complications. Length of hospital stay will also be recorded. Complications will be categorized using the Dindo surgical complication grading scale.

  • Pain and functional activity [ Time Frame: 6 weeks and 6 months ] [ Designated as safety issue: No ]
    Postoperative pain- subjects will complete the modified surgical pain scale and a diary of pain medication use preoperatively, then daily for two weeks after surgery, then again at 6 weeks postoperatively. Postoperative functional activity level- subjects will complete the activity assessment scale which measures postoperative functional activity preoperatively, 2 weeks, 6 weeks and 6 months after surgery.

Estimated Enrollment: 144
Study Start Date: June 2011
Estimated Study Completion Date: December 2015
Estimated Primary Completion Date: April 2015 (Final data collection date for primary outcome measure)
Laparoscopic sacral hysteropexy treatment
Vaginal uphold hysteropexy treatment


Ages Eligible for Study:   40 Years to 75 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Adult women with symptomatic uterovaginal prolapse planning to undergo laparsocopic sacral hysteropexy or vaginal uphold hysteropexy


Inclusion Criteria:

  • Desires surgical treatment for uterovaginal prolapse.
  • Symptomatic stage II-IV POP including:
  • cystocele (AA or BA > or = 0) by POP-Q and
  • apical descent below the mid-vagina (point C > -(TVL / 2)) by the POP-Q and
  • a positive response to questions 3 of the PFDI 20: Do you usually have a bulge or something falling out that you can see or feel in the vaginal area? (Appendix A)
  • Eligible for and undergoing one of the following procedures: laparoscopic sacral hysteropexy (LSHP) or Vaginal Uphold hysteropexy (VUHP)
  • Female age 40 to 75.
  • Completed childbearing confirmed by subject or practicing reliable form of birth control defined as permanent sterilization, hormonal contraception, abstinence, IUD.
  • Normal size uterus (length less than 10 cm) on bimanual exam or ultrasound within the past 6 months.

Exclusion Criteria:

  • Prior hysterectomy.
  • Patient with synthetic material placed to augment previous pelvic organ prolapse repair. (previous prolapse repair without synthetic mesh is acceptable).
  • Current vaginal or pelvic foreign body complications (including but not limited to erosion, fistula, abscess). This includes foreign bodies of any type (e.g. synthetic and biologic including allograft, xenograft).
  • Desires hysterectomy at the time of prolapse repair.
  • Cervical elongation with anticipated need for cervical shortening at the time of prolapse repair as determined by surgeon.
  • History of cervical dysplasia (diagnosed within the past 5 years) or increased risk of cervical dysplasia (HIV, immunocompromise, DES exposure), chronic pelvic pain, uterine abnormalities (symptomatic uterine fibroids, polyps, endometrial hyperplasia, cancer) or any uterine disease that would preclude prolapse repair with uterine preservation in the opinion of the surgeon.
  • Any postmenopausal bleeding in the past 12 months (regardless of endometrial biopsy or ultrasound results) or any postmenopausal bleeding more than 12 months prior without adequate evaluation in the opinion of the investigator.
  • Premenopausal women with menstrual issues including irregular bleeding, menorrhagia, dysmenorrhea,
  • Pregnancy (confirmed before surgery with a pregnancy test).
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01377142

Contact: Matthew D. Barber, MD, MHS 216-445-8090
Contact: Geetha Krishnan, RN 216-445-8090

United States, California
Stanford University Recruiting
Stanford, California, United States, 94305
Contact: Tine Bjornlund    650-724-7826   
Principal Investigator: Eric Sokol, MD         
United States, District of Columbia
Washington Hospital Recruiting
Washington, District of Columbia, United States, 20010
Contact: Joanna Peterson, RN    202-877-0526   
Principal Investigator: Robert E. Gutman, MD         
United States, Maryland
Greater Baltimore Medical Center Recruiting
Baltimore, Maryland, United States, 21204
Contact: Sue Aumiller    443-849-8049   
Principal Investigator: Joan Blomquist, MD         
United States, North Carolina
UNC Recruiting
Chapel Hill, North Carolina, United States, 27599
Contact: Vanessa Hightower-Corbett    919-843-1862   
Principal Investigator: Catherine Matthews, MD         
United States, Ohio
The Christ Hospital Recruiting
Cincinnati, Ohio, United States, 45069
Contact: Marsha Zartman    513-463-2509   
Contact: Sharon Lamping    513-463-2500   
Principal Investigator: Mickey Karram, MD         
Cleveland Clinic Recruiting
Cleveland, Ohio, United States, 44195
Contact: Geetha Krishnan, RN, MSN    216-445-8090   
Principal Investigator: Matthew D. Barber, MD, MHS         
United States, Rhode Island
Women & Infant's Hospital Recruiting
Providence, Rhode Island, United States, 02903
Contact: Ann Mears, RN    401-274-1122 ext 2811   
Contact: Samantha Douglas    401-276-7869   
Principal Investigator: Charles Rardin, MD         
Canada, British Columbia
Providence Healthcare Recruiting
Vancouver, British Columbia, Canada, V6Z1Y6
Contact: Nikki Koenig    604-806-9829   
Principal Investigator: Geoffrey Cundiff, MD         
Sponsors and Collaborators
The Cleveland Clinic
The Christ Hospital
Washington Hospital Center
Providence Healthcare in British Columbia
Stanford University
Women and Infants Hospital of Rhode Island
Greater Baltimore Medical Center
University of North Carolina
Principal Investigator: Robert E Gutman, MD Washington Hospital Center
  More Information

No publications provided

Responsible Party: The Cleveland Clinic Identifier: NCT01377142     History of Changes
Other Study ID Numbers: 11-409
Study First Received: June 10, 2011
Last Updated: February 18, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by The Cleveland Clinic:
Uterovaginal prolapse

Additional relevant MeSH terms:
Pelvic Organ Prolapse
Pathological Conditions, Anatomical processed this record on July 24, 2014