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Due to decrease in Avaulta mesh kit usage & inability to recruit study subjects.
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Vaginal prolapse is a common condition that is treated with surgical correction. Recently surgeons have been using mesh to augment the repair of vaginal prolapse. Common complications of this surgery include vaginal pain, pain during sex, infection or erosion of the mesh in the vagina. There are different ways to close the vaginal wall over the mesh used in these procedures. Currently, there is no accepted standard method of closing the vaginal wall. The purpose of this study is to find out the best way to close the surgical wound in the vagina. We will compare interrupted closure (separate stitches) to continuous closure (one long, running stitch). We hope to show in our study that one method of closure is better than the other.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | Interrupted vaginal closure |
|
| 2 | Active Comparator | Continuous vaginal closure |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interrupted vaginal closure | Procedure | Horizontal mattress closure of vaginal mucosa over mesh |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Mesh exposure | One year |
| Measure | Description | Time Frame |
|---|---|---|
| Pain | One year | |
| Dyspareunia | One year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Danielle Patterson, MD | Brigham and Women's Hospital | Principal Investigator |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D004414 | Dyspareunia |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005831 | Genital Diseases, Female |
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| Continuous vaginal closure |
| Procedure |
Running closure of vaginal mucosa over mesh |
|
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D005832 | Genital Diseases, Male |
| D012735 | Sexual Dysfunction, Physiological |
| D052801 | Male Urogenital Diseases |
| D020018 | Sexual Dysfunctions, Psychological |
| D001523 | Mental Disorders |