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A Randomized Study Comparing Subtotal vs Total Hysterectomy Long Term Outcomes
Sponsor: Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Summary
The goal of this randomized clinical trial is to assess the outcomes of total laparoscopic hysterectomy vs subtotal laparoscopic hysterectomy + mini-laparotomy for uterine extraction for benign gynecological conditions in terms of change in quality of life at 36 months after surgery and patient's impression of improvement. The secondary objectives of the study are to assess any differences in terms of peri and postoperative outcomes (postoperative pain, blood loss, hospital stay, intraoperative or short and long-term postoperative complications, long term urinary, bowel and pelvic floor symptoms, prevalence of vaginal cuff dehiscence). Participants will fill the following questionnaires pre-operatively and at the follow up: * Short Form 36 (SF36), * Euro Quality of life 5D-3L (EQ 5D-3L) * Female Sexual Function Index (FSFI) * Patient Global Impression of Improvement (PGI-I) only during the follow-up period.
Official title: Comparison of Long-Term Outcomes Following Laparoscopic Total Vs Supracervical Hysterectomy, a Randomized Clinical Trial
Key Details
Gender
FEMALE
Age Range
18 Years - 80 Years
Study Type
INTERVENTIONAL
Enrollment
500
Start Date
2025-10-01
Completion Date
2030-02-01
Last Updated
2025-09-05
Healthy Volunteers
No
Conditions
Interventions
total hysterectomy
Total hysterectomy (TH) involves the complete removal of the uterus including the cervix
subtotal hysterectomy
subtotal hysterectomy (STH) preserves the cervix while removing the upper part of the uterus
Locations (1)
Fondazione Policlinico Universitario A. Gemelli IRCCS, UOC Ginecologia Oncologica
Rome, Lazio, Italy