Mesh vs sutures: which surgery works best for pelvic organ prolapse?
NCT ID NCT02965313
First seen Jun 27, 2026 ยท Last updated Jun 27, 2026
Summary
This study compares two types of vaginal surgery for pelvic organ prolapse (when organs like the bladder or uterus drop into the vagina). One method uses a synthetic mesh, the other uses standard sutures. About 358 women will be randomly assigned to one of the two surgeries and followed for 2 years to see which approach is more successful and durable. The goal is to improve surgical outcomes and reduce the need for repeat treatment.
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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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About 358 people
The number the study aims to enrol. It can still change while the study runs.
- Start date
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Nov 2016
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- 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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19 years and older
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Women over 19 years of age 2. Able to read and write in English 3. Able to follow up with clinic visits for up to two years after surgery 4. Diagnosed with bothersome pelvic organ prolapse including at the top of the vagina Exclusion Criteria: 1. Women who wish to conserve the uterus 2. Prior pelvic radiation 3. Prior vaginal mesh surgery for prolapse 4. Prior vaginal mesh exposure 5. Presence of vaginal pain from pelvic floor muscle spasm documented at baseline visit 6. Plan for synthetic vaginal mesh insertion for prolapse, at the same time, at locations other than the top of the vagina (NOTE: concurrent need for synthetic anti-incontinence sling is NOT an exclusion) 7. Immune compromise; chronic steroid use 8. Current smoker 9. Currently pregnant or breastfeeding 10. Presence of pain syndromes likely to cause a heightened sensitivity to pelvic pain (IE fibromyalgia or painful bladder syndrome)
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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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St. Paul's Hospital
Vancouver, British Columbia, V6Z 2K5, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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