RECRUITING

Sequence of Midurethral Sling Placement During Robotic Sacrocolpopexy

Description

This study looks at the best time to place a midurethral sling (MUS), which is a small piece of mesh used to treat stress urinary incontinence (SUI) (leaking urine when you cough, laugh, or exercise). The sling is placed during a type of surgery called robotic sacrocolpopexy (RSC). This surgery helps fix pelvic organ prolapse, when organs like the bladder or uterus drop from their normal place. Doctors can place the sling either before or after they lift and support the top of the vagina during surgery, but they aren't sure which timing works better. In this study, investigators are comparing what is the best time to place the sling, how the patient feels after surgery and if a patient's symptoms got better or worse.

Study Overview

Study Details

Study overview

This study looks at the best time to place a midurethral sling (MUS), which is a small piece of mesh used to treat stress urinary incontinence (SUI) (leaking urine when you cough, laugh, or exercise). The sling is placed during a type of surgery called robotic sacrocolpopexy (RSC). This surgery helps fix pelvic organ prolapse, when organs like the bladder or uterus drop from their normal place. Doctors can place the sling either before or after they lift and support the top of the vagina during surgery, but they aren't sure which timing works better. In this study, investigators are comparing what is the best time to place the sling, how the patient feels after surgery and if a patient's symptoms got better or worse.

Sequence of Midurethral Sling Placement During Robotic Sacrocolpopexy

Sequence of Midurethral Sling Placement During Robotic Sacrocolpopexy

Condition
Stress Incontinence Female
Intervention / Treatment

-

Contacts and Locations

Birmingham

University of Alabama at Birmingham, Birmingham, Alabama, United States, 35233

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * At least 18 years of age
  • * Able to speak and read English and Spanish
  • * Diagnosis of pelvic organ prolapse stage 2-4
  • * Planning to undergo a robotic-assisted sacrocolpopexy
  • * Demonstrable SUI (either by CST, with or without prolapse reduction, or UDS) within the year prior to enrollment
  • * Planning to undergo concomitant SUI correction with MUS at the time of RSC
  • * Less than 18 years of age
  • * Unable to speak and read English or Spanish
  • * No diagnosis of SUI (prophylactic slings)
  • * History of prior surgery for SUI
  • * Bladder capacity \<200 mL or post-void residual (PVR) \>150 mL
  • * Current genitourinary fistula or urethral diverticulum

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Alabama at Birmingham,

Gabriela E Halder, MD, MPH, PRINCIPAL_INVESTIGATOR, University of Alabama at Birmingham

Study Record Dates

2027-06