Home › Pelvic Floor Disorders › NCT07008898

Sequence of Midurethral Sling Placement During Robotic Sacrocolpopexy

Recruiting

Who can join

Ages 18 and older · Women

Full 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

About the study

This study looks at the best time to place a midurethral sling (MUS), which is a small piece of mesh used to treat stress urinary incontinence (SUI) (leaking urine when you cough, laugh, or exercise). The sling is placed during a type of surgery called robotic sacrocolpopexy (RSC). This surgery helps fix pelvic organ prolapse, when organs like the bladder or uterus drop from their normal place.

Doctors can place the sling either before or after they lift and support the top of the vagina during surgery, but they aren't sure which timing works better. In this study, investigators are comparing what is the best time to place the sling, how the patient feels after surgery and if a patient's symptoms got better or worse.

What is being tested

Midurethral sling placed before robotic sacrocolpopexy (procedure)
Midurethral sling placed after robotic sacrocolpopexy (procedure)

Sponsor: University of Alabama at Birmingham · Participants: 110 · Started: Jul 8, 2025

Contact the study team

Martha K Coghlan, MD · Phone: 6019883613
Gabriela E Halder, MD, MPH · Phone: 205-975-0304

Official record on ClinicalTrials.gov — NCT07008898

Locations in the U.S.

Alabama	University of Alabama at Birmingham, Birmingham
New York	Albany Medical Center, Albany

Conditions

From ClinicalTrials.gov, data retrieved Oct 1, 2026. Each study sets its own eligibility; the study team decides who can join.