Comparative Study of Mesh Versus No Mesh in Prolapse Surgery
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|ClinicalTrials.gov Identifier: NCT00153257|
Recruitment Status : Unknown
Verified September 2005 by Centre Hospitalier Universitaire de Nīmes.
Recruitment status was: Recruiting
First Posted : September 12, 2005
Last Update Posted : September 12, 2005
Hypothesis / aims of study A RCT has shown that results of prolapse repair via vaginal approach could be improved when a polypropylene mesh is used as tissue support (1). However, non protected heavy-weight meshes were associated with a high rate of local complications such as vaginal erosions and dyspareunia (2). The aim of this multicentre study is to evaluate anatomical and functional results of an innovative low-weight polypropylene mesh protected by an absorbable hydrophilic film in the prolapse repair by vaginal route, in comparison by the standard anterior colporrhaphy.
Study design, materials and methods This study involves 15 centres in French Private or Public Hospital. Patients will be randomly allocated to be operated by a standard anterior colporrhaphy or by an anterior repair reinforced by a specially designed mesh: UgytexTM (Sofradim, France). Ugytex is a low-weight (38g/m²) and highly porous (average porosity: 89%, pores over 1.5mm) polypropylene monofilament mesh offering tissue ingrowth and connective differentiation for a stable and long-term support. The mesh is coated with a hydrophilic film composed of atelocollagen, polyethylene glycol and glycerol. The absorbable coating protects delicate pelvic viscera from the risk of acute inflammation during the healing’s inflammatory peak. Prolapse severity will be evaluated using the POP-Q system. In order to evaluate the patient’s quality of life, the validated PFDI and the PFIQ questionnaires will be used preoperatively and during follow-up (3), as well as a validated questionnaire on sexual problems. The difference on one-year cure rate should be 15% (80% for the anterior colporrhaphy and 95% for the mesh repair). Then the estimated number of patient is 97 in each arm.
- Julian TM: The efficacy or Marlex mesh in the repair of severe, recurrent vaginal prolapse of the anterior mid-vaginal wall. Am J Obstet Gynecol 1996;175:1472-5.
- Milani R, Salvatore S, Soligo M, Pifarotti P, Meschia M, Cortese M. Functional and anatomical outcome of anterior and posterior vaginal prolapse repair with prolene mesh. Br J Obstet Gynaecol 2004;111:1-5.
- Barber MD et al. Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders. Am J Obstet Gynecol 2001;185:1388-95.
|Condition or disease||Intervention/treatment||Phase|
|Vaginal Prolapse Cystocele||Device: Ugytex||Phase 4|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||194 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Comparison of the Prosthesis Ugytex by the Trans-Obturator Approach and Anterior Colporrhaphy for the Surgical Treatment of Anterior Vaginal Wall Prolapse.|
|Study Start Date :||June 2005|
|Estimated Study Completion Date :||June 2011|
- Rate of anatomical recurrence of anterior vaginal wall prolapse of stage 2 or more (POP-Q system) , at one year.
- Perioperative morbidity
- Symptoms and quality of life questionnaires
- Post-operative sexuality
- Rate of local complications of prosthesis (vaginal erosion, prosthesis shrinkage)
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00153257
|Contact: Renaud de Tayrac, MDfirstname.lastname@example.org|
|Nimes, France, 30000|
|Contact: Renaud de Tayrac, MD|
|Study Director:||Hervé Fernandez, MD||Hôpital Béclère, Clamart, France|