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Graft-Augmented Rectocele Repair-A Randomized Surgical Trial

Women and Infants Hospital of Rhode Island logo

Women and Infants Hospital of Rhode Island

Status

Completed

Conditions

Rectocele

Treatments

Procedure: Control
Procedure: Graft augmented posterior repair

Study type

Interventional

Funder types

Other

Identifiers

NCT00321867
03-0086

Details and patient eligibility

About

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

Full description

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.

Enrollment

160 patients

Sex

Female

Ages

21+ years old

Volunteers

No Healthy Volunteers

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

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

160 participants in 2 patient groups

1
Active Comparator group
Description:
Native tissue repair
Treatment:
Procedure: Control
2
Experimental group
Description:
Posterior repair with graft
Treatment:
Procedure: Graft augmented posterior repair

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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