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Pelvic Floor Disorders Network



Pelvic Floor Disorders Network

For Condition: Urinary Incontinence, Stress,Vaginal Prolapse,Uterine Prolapse
Status: Recruiting
Sponsor(s): National Institute of Child Health and Human Development (NICHD) ,
Synopsis: Pelvic organ prolapse occurs when the muscles holding pelvic organs (e.g., the uterus or bladder) weaken and the organs fall or slide down into the vagina. Pelvic organ prolapse can be corrected with surgery. However, women who have this surgery may develop urinary incontinence. This study will determine how doctors can predict this problem and whether an additional surgical procedure at the time of prolapse surgery can prevent the development of urinary incontinence.
Details: Many women have surgery for pelvic organ prolapse (cystocele, uterine prolapse, rectocele). Women with advanced pelvic organ prolapse may experience stress urinary incontinence following surgery to repair the prolapse. Development of incontinence is unpredictable. This study will determine which, if any, clinical tests are useful for predicting post-operative urinary incontinence. The study will also determine if a Burch urethropexy should be performed routinely or selectively at the time of sacrocolpopexy in continent women. Women with pelvic organ prolapse who are scheduled for prolapse repair will be randomized to a Burch urethropexy group or to a control group. Women in the Burch group will undergo urethropexy at the time of prolapse repair. Assessments will include a quality of life telephone interview, urodynamic testing, and physical examination. Follow-up evaluations occur at 6 weeks, 3 months, and 1 and 2 years following surgery. Post-operative phone interviews will occur at 3 months, 6 months, and 1 and 2 years.
Eligibility:
Study Type:
  Interventional, Prevention, Randomized, Single Blind, Placebo Control, Factorial Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: /
Genders: Female
Protocol Entry Criteria: Inclusion Criteria - Stage II-IV anterior vaginal prolapse - Negative stress incontinence screen (MESA questionnaire)
Total Enrollment: 480

Location and Contact Information:

Overall Study Official:
LindaBrubaker,  ,  Loyola University

University of Iowa College of Medicine *Recruiting*
Iowa City,  Iowa,  52242
United States
Recruiting Debra  Brandt 319-384-8743

The University of Alabama at Birmingham *Recruiting*
Birmingham,  Alabama,  35233-7333
United States
Recruiting Velria  Willis 205-975-8522

Baylor College of Medicine *Recruiting*
Houston,  Texas,  77030
United States
Recruiting Stacy  Tegeler 713-798-7514

University of Michigan
Ann Arbor,  Michigan,  48109-2029
United States
Margaret  Steiner 734-615-9051

Magee-Womens Hospital *Recruiting*
Pittsburgh,  Pennsylvania,  15213-3180
United States
Recruiting Judy  Gruss 412-641-5388

University of North Carolina at Chapel Hill *Recruiting*
Chapel Hill,  North Carolina,  27599-7590
United States
Recruiting Anita  Murphy 919-966-4717

Johns Hopkins School of Medicine *Recruiting*
Baltimore,  Maryland,  21287
United States
Recruiting Betty  Sauter 410-614-4495

Loyola University Medical Center *Recruiting*
Maywood,  Illinois,  60153
United States
Recruiting Dorothea  Koch 708-216-4188


Additional Information:
Study ID Numbers:
  U01HD41249;  U01HD41267,U01HD41248,U01HD41269,U01HD41268,U01HD41261,U01HD41250,U01HD41263
Study Start Date: April 2002
Record last reviewed: June 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00065845

Other Urinary Incontinence, Stress Studies:
1. Pelvic Floor Disorders Network

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