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Trial registered on ANZCTR
Registration number
ACTRN12608000596303
Ethics application status
Not yet submitted
Date submitted
20/06/2008
Date registered
1/12/2008
Date last updated
1/12/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
Cystocele and Stress Urinary Incontinence(SUI):Simultaneous repair (Sim-Pair) by a modified surgical technique using transobturator mesh -Prospective study
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Scientific title
Cystocele and Stress Urinary Incontinence(SUI):Simultaneous repair (Sim-Pair) by a modified surgical technique using transobturator mesh -Prospective study
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Universal Trial Number (UTN)
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Trial acronym
SIM-PAIR study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stress urinary incontinence
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Vaginal wall prolapse
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Condition category
Condition code
Surgery
3455
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Simultaneous repair of cystocoele and treatment of SUI using Transobturator Mesh system(Perigee) via anterior vaginal wall incision and 4 exit points in the crural fold bilaterally (2 on each side). Patients are then followed up for a total of 24 months.
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
None
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Absence of Urodynamic stress incontinence(USI) and less than Stage 2 prolapse using Pelvic Organ Prolapse Quantification (POP-Q).
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Assessment method [1]
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Timepoint [1]
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Outcome is measured at baseline.Follow up at 3,6,12,24 months after surgery
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Secondary outcome [1]
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Operation time
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Assessment method [1]
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Timepoint [1]
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On the day of operation
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Secondary outcome [2]
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Length of hospital stay
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Assessment method [2]
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Timepoint [2]
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From day of surgery until discharge
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Secondary outcome [3]
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Intra and postoperative complications; eg haemorrhage, infection, bladder and urethral injury, voiding dysfunction, mesh exposure or erosion.
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Assessment method [3]
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Timepoint [3]
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Intraoperative and over the period 24 months of postoperative period
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Secondary outcome [4]
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Quality of life questionnaires:Bristol Female lower urinary tract symptom (BFLUTS), Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12)
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Assessment method [4]
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Timepoint [4]
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3,6,12,24 months after surgery
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Secondary outcome [5]
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Patient subjective assessment of improvement; BFLUTS & PISQ.Main indicators being improvement of symptoms and quality of life.
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Assessment method [5]
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Timepoint [5]
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3,6,12,24 months after surgery
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Eligibility
Key inclusion criteria
Women presenting with stage 2 or more bladder prolapse (cystocele) and Stress Urinary Incontinence[revealed and occult] who desire reconstructive surgery,
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Women with less than stage 2 prolapseWomen who do not demonstrate SUIWomen with Intrinsic sphincter deficiency ( defined as maximum urethral closure pressure of more than orequal to 20 cm of water)Women less than 18 yrsWomen who decline participationWomen unable to give informed consentWomen with previous mesh based repair for bladder prolapse
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/07/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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Pelvic health Education and Research
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Address [1]
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P O Box 1417
Townsville QLD 4810
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Country [1]
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Australia
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Primary sponsor type
Other
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Name
Pelvic health Education and Research
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Address
P O Box 1417
Townsville QLD 4810
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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21/05/2008
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
This is a study to assess the efficacy and safety of using one single mesh to treat both bladder prolapse and stress urinary incontinence as one operation. We hope the cure of stress urinary incontinence(SUI) will be comparable to other meshes used to treat SUI alone.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Kurinji Kannan
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Address
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The Townsville Hospital
100 Angus Smith Drive Townsville QLD 4814
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Country
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Australia
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Phone
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+61747963759
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Kurinji Kannan
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Address
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The Townsville Hospital
100 Angus Smith Drive Townsville QLD 4814
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Country
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Australia
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Phone
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+61747963759
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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