This study will examine whether surgeons should add a prophylactic posterior colpoperineorrhaphy to a mesh-augmented apical prolapse repair.
Who can participate
Age range18 Years
SexFEMALE
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Women over the age of 18
* English or Spanish speaking
* Symptomatic prolapse (stage II or greater) undergoing minimally-invasive sacrocolpopexy with Restorelle ultra lightweight mesh
* Preoperative genital hiatus with valsalva/strain greater than or equal to 4cm
Exclusion Criteria:
* Patient has had prior prolapse surgery
* Patient has inflammatory bowel disease (Crohn's, Ulcerative Colitis)
* Baseline dyspareunia (patient reports that they have pain with vaginal intercourse when asked as a yes/no)
* Patients with a score of 7 or greater in any one muscle on the Meister Pelvic Floor Exam
* Patient planning a concomitant Burch procedure
* Pregnant
What they're measuring
1
Pelvic Organ Prolapse Quantification (POP-Q) System