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Mesh Repair of Anterior Vaginal Wall Prolapse

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ClinicalTrials.gov Identifier: NCT00420225
Recruitment Status : Completed
First Posted : January 11, 2007
Last Update Posted : January 11, 2007
Sponsor:
Information provided by:
University of Tampere

Brief Summary:
The purpose of this study is to determine whether reenforcement with polypropylen mesh compared with traditional anterior colporrhaphy for anterior vaginal wall prolapse results in fewer recurrences.

Condition or disease Intervention/treatment Phase
Anterior Vaginal Wall Prolapse Device: Low-weight prolypropylene mesh Phase 3

Detailed Description:

Anterior vaginal wall prolapse is the most common type of pelvic organ prolapse in postmenopausal women. This anatomic defect has traditionally been repaired with anterior colporrhaphy plication, a series of interrupted stitches being the main surgical component. The procedure is associated with a high recurrence rate, up to 32 % even after using paravaginal repair along with anterior colporrhaphy.It has been sought to resolve the problem of recurrence using artificial mesh as in the repair of abdominal hernias.

Comparison: Anterior vaginal wall repair with or without reinforcement with polypropylene mesh were compared in a prospective randomized study


Study Type : Interventional  (Clinical Trial)
Enrollment : 202 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Low-Weight Polypropylene Mesh for Anterior Vaginal Wall Prolapse: A Prospective Randomized Study
Study Start Date : April 2003
Study Completion Date : May 2008



Primary Outcome Measures :
  1. Recurrence of anterior vaginal wall prolapse

Secondary Outcome Measures :
  1. Postvoidal residual urine
  2. Symptom resolution
  3. Complications


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Ages Eligible for Study:   50 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Postmenopausal women with symptomatic anterior vaginal wall prolapse to the hymen or beyond when under strain and referred for reconstructive pelvic surgery

Exclusion Criteria:

  • an apical defect indicating concomitant vaginal fixation, or stress urinary incontinence necessitating surgery, or her main symptomatic prolapse component was in the posterior vaginal wall.

Information from the National Library of Medicine

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): NCT00420225


Locations
Finland
Tampere University Hospital, Department of Obstetrics and Gynaecology
Tampere, Finland, 33521
Sponsors and Collaborators
University of Tampere
Investigators
Principal Investigator: Kari Nieminen Tampere University Hospital, Department of Obstetrics and Gynecology

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00420225     History of Changes
Other Study ID Numbers: Tampere University Hospital
First Posted: January 11, 2007    Key Record Dates
Last Update Posted: January 11, 2007
Last Verified: January 2007

Keywords provided by University of Tampere:
Cystocele
surgery
mesh
genital prolapse

Additional relevant MeSH terms:
Prolapse
Uterine Prolapse
Pathological Conditions, Anatomical
Uterine Diseases
Genital Diseases, Female
Pelvic Organ Prolapse