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The AMPER Study: Evaluation of the Efficacy of Human Amniotic Membrane Grafting in Preventing Mesh Exposure in Vaginal Reconstructive Surgery Using Polypropylene Mesh.

The Amper Study: Amniotic Membrane for the Prevention of Mesh Exposure in Vaginal Reconstructive Surgery

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07414849
Acronym
AMPER
Enrollment
330
Registered
2026-02-17
Start date
2026-03-01
Completion date
2028-12-31
Last updated
2026-06-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pelvic Organ Prolapse Vaginal Surgery, Stress Urinary Incontinence in Women

Keywords

amniotic membrane graft, polypropylene mesh

Brief summary

This study evaluates the efficacy of adding a human amniotic membrane graft to polypropylene mesh surgery for pelvic prolapse and stress urinary incontinence. The goal is to assess improvements in tissue integration and the reduction of surgical complications

Interventions

PROCEDURESacrospinous Hysteropexy with Mesh

Sacrospinous Hysteropexy with polypropylene mesh

PROCEDURERetropubic Mid-urethral Sling (Bottom-Up)

Retropubic mid-urethral sling (bottom-up approach) using polypropylene mesh for the treatment of stress urinary incontinence.

PROCEDURETransobturator Mid-urethral Sling (Out-In)

Transobturator mid-urethral sling (out-in) using polypropylene mesh for the treatment of stress urinary incontinence.

Sponsors

Hospital General de Agudos J. M. Penna
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
FEMALE
Healthy volunteers
No

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.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants with Mesh exposureFrom enrollment through the end of the 12-month follow-upComparison of mesh exposure incidence between the control group and the amniotic membrane group through scheduled postoperative follow-up and self-administered questionnaires.

Countries

Argentina

Contacts

CONTACTIleana Sanger, MD
ilesaenger@me.com5491149113030

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 18, 2026