Could one mesh be enough? new trial tests simpler prolapse surgery
NCT ID NCT03766048
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares two surgical approaches for women with urogenital prolapse but without significant posterior vaginal wall prolapse. One group receives a single mesh in the front, while the other gets an additional mesh in the back as a preventive measure. The goal is to see if the simpler single-mesh approach is just as effective at preventing recurrence, while potentially reducing complications and surgery time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- synthetic non-absorbable mesh
- What this could lead to
- If successful, this could show that using only one mesh is just as effective as two, reducing surgery time and risk of complications like pain or mesh exposure.
- What could go wrong
- This is a non-inferiority trial, so it may only confirm that the simpler approach is not worse, not necessarily better. The results may not apply to women with more severe prolapse.
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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About 834 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2019
- Expected to finish
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Dec 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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40 to 75 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: * Women with a urogenital prolapse (anterior wall and/or uterus or vaginal apex) stage = 2 (Ba and/or C points ≥ - 1 cm using the POP-Q system), * without significant posterior vaginal wall prolapse (Bp \< -1 cm when apical prolapse is reduced using a retractor leaving the posterior vaginal wall free), Exclusion Criteria: * Previous surgical repair for Pelvic Organ Prolapse * Any associated prolapse requiring any non-authorized additional surgical repair (Authorized additional surgical procedures are hysterectomy, ovariectomy, adnexectomy, salpingectomy, myomectomy, or suburethral vaginal tape.) * Wish for future pregnancy * Lack of health insurance * Woman not reading French or unable to consent * Woman under law protection
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
9 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Ch Dunkerque
RECRUITINGDunkirk, France
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Chi Poissy St Germain Site de Poissy
RECRUITINGPoissy, France
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Chu Nimes - Nimes
RECRUITINGNîmes, France
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Chu de Nice Hopital de L'Archet
RECRUITINGNice, France
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Clinique Du Pre
RECRUITINGLe Mans, France
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Hop Jeanne de Flandre Chu Lille
RECRUITINGLille, 59037, France
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Hopital Estaing
RECRUITINGClermont-Ferrand, France
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Hopital Saint Vincent - Saint Antoine
RECRUITINGLille, 59037, France
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Hopital Saint-Louis - La Rochelle
RECRUITINGLa Rochelle, France
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