Graft-Augmented Rectocele Repair-A Randomized Surgical Trial

NCT ID: NCT00321867

Last Updated: 2025-07-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-01-31

Study Completion Date

2012-01-31

Brief Summary

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The purpose of this study is to determine whether adding a graft during a rectocele repair will improve the success rate of the repair.

Detailed Description

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Rectoceles may have a significant effect on the quality of life of women. Symptoms associated with rectoceles include a protruding vaginal mass, persistent pelvic pressure, and sexual dysfunction. Surgical repair is the most common treatment with success rates ranging from 65%-85% at 1-2 years. In an attempt to improve surgical outcomes, clinicians are using graft materials to augment weakened tissues in rectocele repairs: however, there is little data to support or refute these practices. The purpose of this study is to estimate the effect of graft augmentation on objective and subjective outcomes.

Comparison: Rectocele repair without graft, compared to rectocele repair with the SurgiSIS (TM) graft.

Conditions

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Rectocele

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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1

Native tissue repair

Group Type ACTIVE_COMPARATOR

Control

Intervention Type PROCEDURE

Native tissue repair

2

Posterior repair with graft

Group Type EXPERIMENTAL

Graft augmented posterior repair

Intervention Type PROCEDURE

Posterior repair with graft

Interventions

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Graft augmented posterior repair

Posterior repair with graft

Intervention Type PROCEDURE

Control

Native tissue repair

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Women with stage 2 or greater symptomatic rectocele
* Women electing to undergo surgical rectocele repair
* Women over age 21 years
* Women willing to comply with study procedures and follow-up

Exclusion Criteria

* Pregnant or nursing women
* History of porcine allergy
* History of connective tissue disease, pelvic malignancy, or pelvic radiation
* Women undergoing concurrent sacral colpopexy
Minimum Eligible Age

21 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Women and Infants Hospital of Rhode Island

OTHER

Sponsor Role lead

Responsible Party

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Vivian Sung

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Vivian W Sung, MD MPH

Role: PRINCIPAL_INVESTIGATOR

Women and Infants Hospital

Locations

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Women and Infants Hospital of Rhode Island

Providence, Rhode Island, United States

Site Status

Countries

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United States

References

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Sung VW, Rardin CR, Raker CA, Lasala CA, Myers DL. Porcine subintestinal submucosal graft augmentation for rectocele repair: a randomized controlled trial. Obstet Gynecol. 2012 Jan;119(1):125-33. doi: 10.1097/AOG.0b013e31823d407e.

Reference Type RESULT
PMID: 22183220 (View on PubMed)

Yeung E, Baessler K, Christmann-Schmid C, Haya N, Chen Z, Wallace SA, Mowat A, Maher C. Transvaginal mesh or grafts or native tissue repair for vaginal prolapse. Cochrane Database Syst Rev. 2024 Mar 13;3(3):CD012079. doi: 10.1002/14651858.CD012079.pub2.

Reference Type DERIVED
PMID: 38477494 (View on PubMed)

Other Identifiers

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03-0086

Identifier Type: -

Identifier Source: org_study_id

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