Sequence of Midurethral Sling Placement During Robotic Sacrocolpopexy

Launched by UNIVERSITY OF ALABAMA AT BIRMINGHAM · Jun 5, 2025

Keywords

ClinConnect Summary

This clinical trial is studying the best timing for placing a midurethral sling (MUS) during a surgery called robotic sacrocolpopexy. The sling is a small mesh device that helps treat stress urinary incontinence, which is when women leak urine during activities like coughing or laughing. The surgery is designed to fix pelvic organ prolapse, a condition where organs like the bladder or uterus drop from their normal position. The researchers want to find out whether placing the sling before or after lifting and supporting the vagina during surgery is more effective. They will look at how patients feel after the surgery and whether their symptoms improve or worsen.

To participate in this trial, women must be at least 18 years old, able to read and speak English or Spanish, and diagnosed with pelvic organ prolapse along with stress urinary incontinence. They should be planning to have the robotic surgery and need the sling at the same time. The study is not yet recruiting participants, but if you're eligible, you can expect to be part of an important research effort that could improve how these surgeries are done in the future.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • At least 18 years of age
• • Able to speak and read English and Spanish
• • Diagnosis of pelvic organ prolapse stage 2-4
• • Planning to undergo a robotic-assisted sacrocolpopexy
• • Demonstrable SUI (either by CST, with or without prolapse reduction, or UDS) within the year prior to enrollment
• • Planning to undergo concomitant SUI correction with MUS at the time of RSC
• Exclusion Criteria:
• • Less than 18 years of age
• • Unable to speak and read English or Spanish
• • No diagnosis of SUI (prophylactic slings)
• • History of prior surgery for SUI
• • Bladder capacity \<200 mL or post-void residual (PVR) \>150 mL
• • Current genitourinary fistula or urethral diverticulum