Vaginal Mesh Surgery Versus Robotic-assisted Abdominal Mesh Surgery in the Treatment of Apical Prolapse - Prospective Randomized Non-inferiority Study
Trial Parameters
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Brief Summary
The goal of this study is to compare vaginal mesh surgery with abdominal robotic-assisted mesh surgery for the treatment of genital prolapse in women. The main questions it seeks to answer are: * Is the objective cure rate for vaginal mesh surgery non-inferior to that of the abdominal approach? * Is the use of vaginal mesh as safe as abdominal mesh?
Eligibility Criteria
Inclusion Criteria: * The study will include patients diagnosed with apical compartment genital prolapse of stage II or higher, who have an indication for surgical correction. Exclusion Criteria: * The following exclusion criteria will apply: patients who are unable or unwilling to complete validated outcome assessment instruments; those requiring concomitant surgical procedures (e.g., hysterectomy or any other intervention that may alter pelvic floor anatomy); * individuals with a prior history of pelvic radiotherapy; * patients with congenital or acquired anomalies of the urogenital or gastrointestinal systems; * and those with medical conditions that constitute a contraindication to elective surgical intervention.