Amniotic membrane grafting added to mesh surgery for pelvic prolapse and incontinence
Official title: The Amper Study: Amniotic Membrane for the Prevention of Mesh Exposure in Vaginal Reconstructive Surgery
Run by Hospital General de Agudos J. M. Penna · NCT07414849 · Data updated 2026-11-12
This study tests whether adding a human amniotic membrane graft to polypropylene mesh surgeries helps patients with pelvic organ prolapse and stress urinary incontinence heal better and reduce complications.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | Women only |
| Enrollment | 330 (estimated) |
| Sponsor | Hospital General de Agudos J. M. Penna Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Buenos Aires) |
| Status | Recruiting |
| Started | March 1, 2026 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2028 |
| Registry record updated | June 17, 2026 |
| Trial ID | NCT07414849 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women with pelvic organ prolapse stage II C or higher, seeking surgical treatment, and without a prior hysterectomy or with stress urinary incontinence, who can consent and commit to at least 12 months of follow-up.
✕Probably not a fit
Individuals with prior synthetic mesh surgeries for POP, active chronic pelvic pain, radiation history, or contraindications to the planned procedures may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study evaluates the safety and potential benefits of incorporating a human amniotic membrane graft with polypropylene mesh during sacrospinous hysteropexy and mid-urethral sling procedures. Participants have pelvic organ prolapse stage II or higher and may have or be at risk for stress urinary incontinence, and are followed for at least 12 months. The trial will look at tissue integration and the rate of surgical complications to see if the graft improves outcomes. Recruitment is limited to a center in Buenos Aires, Argentina, led by Hospital General de Agudos J. M. Penna. The study does not list a formal phase or comparative randomization in the provided information.
Why it matters
Potential benefit: If successful, patients may experience better tissue healing and fewer mesh-related complications after pelvic prolapse and incontinence surgeries.
How similar studies have gone: Some previous approaches using grafts with mesh have shown mixed or limited evidence; this study explores amniotic membrane grafting in this surgical context, representing a relatively novel application.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Pelvic organ prolapse (POP) stage II C or greater, defined as C ≥ +1, in women without prior hysterectomy and/or with a diagnosis of stress urinary incontinence seeking surgical treatment. * Ability to understand study information and provide written informed consent. * Availability for follow-up for a minimum of 12 months. Exclusion Criteria: * Previous surgery with synthetic mesh (via vaginal or abdominal approach) for POP repair. * Known adverse reaction to synthetic meshes. * Unresolved or active chronic pelvic pain. * History of prior abdominal or pelvic radiation. * Contraindication to the planned surgical procedure. * Current pregnancy.
Where it's running
-
Hospital J M Penna
Buenos Aires, Argentina Recruiting
Study contacts
- Study coordinator: Ileana Sanger, MD
- Email: ilesaenger@me.com
- Phone: 5491149113030
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.