Can a biological mesh improve pelvic floor surgery?
NCT ID NCT06245577
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
This pilot study compares two types of surgical mesh, biological and synthetic, used during a combined operation for pelvic organ prolapse and rectal prolapse. Thirty participants with obstructed defecation syndrome and pelvic organ prolapse undergo laparoscopic mesh sacropexy plus resection rectopexy. Researchers track surgical complications over 12 months and measure changes in bowel symptoms using the Altomare score. The goal is to see whether the biological mesh is safe and effective enough to test in a larger multicentre trial.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- biological mesh versus synthetic mesh used in laparoscopic pelvic floor reconstruction
- What this could lead to
- If the biological mesh proves safer or more effective, it could offer a better option for people needing combined pelvic and rectal prolapse repair.
- What could go wrong
- This is a small pilot study with 30 participants, so results may not hold in larger groups. Mesh surgery carries risks of infection, pain, or recurrence, and the biological mesh may not outperform the standard synthetic type.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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30 people
The number who actually took part.
- Started
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Jan 2024
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * clinical diagnosis of obstructed defection syndrome * clinical diagnosis of pelvic organ prolapse pelvic organ prolapse * must be suitable for surgery Exclusion Criteria: * allergy to the components of the mesh * pregnancy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Evangelisches Klinikum Koeln Weyertal
Cologne, North Rhine-Westphalia, 50931, Germany
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Other studies related to the condition(s) this trial covers.
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