Nonabsorbable Versus Absorbable Sutures for Anterior Colporrhaphy

Status Active, not recruiting

Clinical Trial Summary

The objective of this is to compare surgical outcomes of anterior colporrhaphy using nonabsorbable sutures with anterior colporrhaphy using absorbable sutures.

Clinical Trial Description

This trial is a prospective, randomized trial conducted with the aim to determine superiority of anterior colporrhaphy using nonabsorbable sutures over absorbable sutures with regard to the primary outcome. Participants will undergo reconstructive surgery for prolapse, including anterior colporrhaphy using the assigned suture materials under general or spinal anesthesia. The anterior colporrhaphy will be performed in a traditional manner with midline plication of the fibromuscular layer using either 2-0 nonabsorbable (polyester or polypropylene; Ethicon, Somerville, NJ) or absorbable (polyglactin 910 or polydioxanone; Ethicon) sutures. Concomitant procedures will be performed as intended prior to surgery. Women with a uterus in situ will undergo hysterectomy and all women will receive an apical suspension procedure, including uterosacral ligament suspension, sacrospinous ligament fixation, and iliococcygeal suspension, according to the preference of surgeon. Posterior colporrhaphy and incontinence surgery will also be performed, if indicated (i.e. women with Bp ≥-1 or documented urodynamic stress incontinence). Enrollment, treatment and data collection will be standardized by all sites. The study will be a single-blind study, as it is impossible to blind the study surgeon for the surgical procedure to which the subject in assigned. However, all outcomes assessors and the subjects will be blinded to the treatment assignment. Postoperative follow-up will take place after 5 weeks, 6 months and 12 months. Patients will undergo a standard gynecological examination including POPQ and fill in questionnaires. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03736811
Study type	Interventional
Source	Seoul National University Hospital
Contact
Status	Active, not recruiting
Phase	N/A
Start date	November 8, 2018
Completion date	June 30, 2023

View Details

See also
Status	Clinical Trial	Phase
Active, not recruiting	`NCT05422209` - The Influence of Simultaneous Posterior Colporrhaphy and Perineoplasty on the Efficiency and Safety of Mesh-augmented Sacrospinal Fixation (Apical Sling) in Advanced POP Repair.	N/A
Active, not recruiting	`NCT05420831` - Comparison of Vaginal and Laparoscopic Apical Fixation Techniques for Pelvic Organ Prolapse Treatment	N/A
Completed	`NCT05493735` - Lidocaine for Pessary Check Pain Reduction	Phase 3
Completed	`NCT06126328` - Materna Prep Study Phase II	Phase 2
Recruiting	`NCT05542836` - EVeRLAST 2-Year Follow-Up
Recruiting	`NCT05918367` - Multicenter Ventral Mesh Rectopexy Registry Collaborative
Recruiting	`NCT04172272` - The Influence of TAP Block in the Control of Postoperative Pain After Laparotomy for Gynecological Procedures	N/A
Recruiting	`NCT04807920` - BOTOX® at the Time of Prolapse Surgery for OAB	Phase 4
Completed	`NCT06268782` - The Effectiveness of an Online Exercise Program on Well-being of Postpartum Women	N/A
Recruiting	`NCT02919852` - Laparoscopic Retrovesical Colpopectinopexia	N/A
Recruiting	`NCT03146195` - The 3D Reconstruction Research of Pelvic Organ Prolapse Disease	N/A
Completed	`NCT02925585` - Vaginal Tactile Imaging for Pelvic Floor Prolapse
Not yet recruiting	`NCT02536001` - Prospective Randomized Study to Compare Results of Pelvic Organ Prolapse Repair With One Versus Two Vaginal Meshes	N/A
Recruiting	`NCT02113969` - Conservative Management of Symptomatic Pelvic Organ Prolapse Using Vaginal Pessaries: Generation of a Standardized Management Protocol	N/A
Completed	`NCT02383199` - Polypropylene Mesh in Prolapse Surgery	N/A
Terminated	`NCT01673360` - Collection of Long Term Patient Outcomes Data Following Implantation of AMS Surgical Devices	N/A
Withdrawn	`NCT01530191` - Factors Affecting Perioperative Outcomes	N/A
Completed	`NCT01842464` - Sacro-Spinous Ligaments Anterior Apical Anchoring	N/A
Completed	`NCT01320631` - Male Sexual Experience and Its Impact on Quality of Life Before and After Their Sexual Partners Undergo Polypropylene Mesh Augmented Pelvic Floor Reconstruction	N/A
Completed	`NCT00581412` - Composite Graft Use in Abdominal Sacrocolpopexy Reduces Erosion Rates	N/A