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Prosthetic Pelvic Organ Prolapse Repair
Sponsor: University Hospital, Lille
Summary
The cystocele is the most frequent clinical shape of the genital prolapse. It is a frequent pathology in woman which can impair quality of life and generates pelvic, urinary or sexual functional disorders. It's considered that 8 % of women will be undergo surgery in this indication before the age of 80 years. Numerous surgical techniques have been described and we distinguish the interventions according to the route (vaginal or abdominal), and according to the use or not of synthetic mesh (non-absorbable) to increase the anatomical results.
Official title: Randomized Study Comparing Laparoscopic Sacropexy and Vaginal Mesh Surgery in Cystocele Repair
Key Details
Gender
FEMALE
Age Range
45 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
262
Start Date
2012-09
Completion Date
2015-11
Last Updated
2026-04-22
Healthy Volunteers
No
Conditions
Interventions
laparoscopic sacropexy
under laparoscopic vision, the vesico-vaginal space is dissected until the level of the bladder neck. a synthetic non absorbable mesh is placed between the bladder and the vagina. the mesh is sutured to the vagina and the apex (vaginal apex or uterus) and anchored to the prevertebral ligament in front of the promontorium.
vaginal mesh
after anterior sagittal colpotomy, the bladder is dissected under the fascia layer, and the paravesical fossa are entered. a synthetic non absorbable mesh is placed with 4 arms suspension (trans obturator or not). treatment of the apex is mandatory.
Locations (12)
Sébatien BLANC
Annecy, France
Hôpital Antoine Béclère
Clamart, France
CHU Estaing
Clermont-Ferrand, France
GCS Flandre Maritime
Grande-Synthe, France
CH La Rochelle Service de Gynécologie Obstétrique
La Rochelle, France
Hôpital BICETRE / Service de Gynécologie Obstétrique
Le Kremlin-Bicêtre, France
CHRU de Lille - Service de Gynécologie médico chirurgicale
Lille, France
CHU de Nîmes
Nîmes, France
Groupe Hospitalier Diaconesses Croix St-Simon
Paris, France
CHI Poissy-St-Germain / Service de gynécologie
Poissy, France
CHU de Poitiers
Poitiers, France
Hôpital de Hautepierre
Strasbourg, France