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Evaluation of the Use of the Renuvion APR System in the Labia

Not Applicable
Completed
Conditions
Labia Enlarged
Labium; Hypertrophy
Interventions
Device: Renuvion APR System
Registration Number
NCT05323630
Lead Sponsor
Apyx Medical
Brief Summary

Labiaplasty is a procedure aimed at reducing lax or loose skin in the labia majora and/or minora due to childbirth, trauma, aging, genetics, or congenital disease.

Detailed Description

While traditional surgical procedures have been associated with complications such as dehiscence, hematoma, flap necrosis, narrowed introitus, and pain and asymmetry, correction with RF energy has shown minimal complication rates with high patient satisfaction. This study aims to evaluate the use of the Renuvion APR System for use as a minimally invasive alternative to surgical labiaplasty.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
10
Inclusion Criteria
  • Female subjects, ages 35 - 70 years old.
  • ASA Physical Status Classification System Class I and Class II subjects.
  • Labial protrusion Class II and Class III (MOTAKEF scale)12.
  • Females who do not desire traditional invasive surgery.
  • Understands and accepts the obligation not to undergo any other procedures or treatments in the areas to be treated during study participation.
  • Absence of physical conditions unacceptable to the investigator.
  • Females of childbearing potential who are sexually active must be willing to use an approved method of birth control during study participation.
  • Willing and able to comply with protocol requirements, including study-required images/photos, assessments/measurements, and returning for follow-up visits.
  • Willing to release rights for the use of study photos, including in publication.
  • Able to read, understand, sign, and date the informed consent.
Exclusion Criteria
  • Labial protrusion Class I (MOTAKEF scale).
  • Subjects presenting with ASA Physical Status Classification System Classes III or higher.
  • Pregnant, lactating, or plans to become pregnant during study participation.
  • Known hypersensitivity or allergy to tumescent anesthetic (lidocaine/ epinephrine).
  • Previous treatment in the study treatment area.
  • Active systemic or local skin disease that may alter wound healing.
  • Significant or uncontrolled medical condition that in the opinion of the investigator participation in the study may compromise the patient's health.
  • Known susceptibility to keloid formation or hypertrophic scarring.
  • Cancerous or pre-cancerous lesions in the area to be treated.
  • Possesses a surgically implanted electronic device (i.e., pacemaker).
  • Serious mental health illness such as dementia or schizophrenia; psychiatric hospitalization in the past two years.
  • Participation in any other investigational study within 30 days prior to consent and throughout study participation.
  • Subject who, in the opinion of the investigator, is not an appropriate candidate for the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Procedure with the Renuvion APR System in the labiaRenuvion APR SystemThe labia procedure utilizing the Renuvion APR system will be performed per the investigator's standard clinical practice.
Primary Outcome Measures
NameTimeMethod
Evaluation of change between baseline and follow-up images as determined by a masked, qualitative assessment of photographs at 90-days and 180-days post-treatment compared to baseline.Day 90, 180

Correct selection of post-treatment images by independent photographic reviewers.

Analysis of adverse events through the 180-day post-treatment visit.Day 180

Analysis of adverse events

Secondary Outcome Measures
NameTimeMethod
Analysis of labia protrusion (distance of the lateral edge of the labia minora from that of the labia majora rather than the introitus) at baseline, D30, D90, and D180.Day 30, 90, 180

MOTAKEF scale of labia protrusion, Class I (0 to 2cm of protrusion), Class II (2 to 4cm), Class III (\>4cm).

The subject will complete a bilateral GAIS19 assessing overall aesthetic improvement in the treatment area at day 30, 90, and 180 post-treatmentDay 30, 90, 180

Global Aesthetic Improvement Scale: Very Much Improved, Much Improved, Improved, No Change, Worse, Much Worse, Very Much Worse

The subject will complete a Female Sexual Function Index (FSFI)16 at the Baseline, 90, and 180-day follow-up visitsBaseline, Day 90, 180

Female Sexual Function Index (FSFI)16 evaluation; 5 Answers available per question. The individual domain scores and full-scale score of the FSFI are derived by the computational formula.

The subject will complete a Genital Appearance Satisfaction (GAS)20 scale at baseline, 90, and 180-day follow-up visitsBaseline, Day 90, 180

Genital Appearance Satisfaction (GAS)20 scale; Never, Sometimes, Often, Always responses.

Analysis of morphometric labia measurements at baseline, D30, D90, and D180.Day 30, 90, 180

Measurement of labia, cm

Analysis of hypertrophy of the labia minora (Hipertrofia de Ninfas13) at baseline, D30, D90, and D180Day 30, 90, 180

Hipertrofia de Ninfas scale of hypertrophy; Type I (Less than 2cm), Type II (2-4cm), Type III (4-6cm), Type IV (\<6cm)

The subject will complete a Patient Satisfaction Questionnaire (PSQ) at the 180-day follow-up visits.Day 180

Satisfaction Questions

During study treatment, the subject's pain levels will be monitored using the 11-point Numeric Rating Scale (NRS)21. The average pain score for the entire region treated will be recorded. Pain scores will be recorded at all follow-up visitsPost-Treatment, Day 1, 14, 30, 90, 180

11-point Scale where 0 is no pain and 10 is most pain.

The Principal Investigator, sub-investigator or qualified clinician delegated by the principal investigator, will complete a bilateral GAIS19 assessing overall aesthetic improvement in the treatment area at day 30, 90, and 180 post-treatmentDay 30, 90, 180

Global Aesthetic Improvement Scale: Very Much Improved, Much Improved, Improved, No Change, Worse, Much Worse, Very Much Worse

Analysis of days until subject was comfortable returning to sex.Post-Treatment, Day 1, Day 14, 30, 90, 180

Subjects report the number of days until they feel comfortable returning to sex.

Trial Locations

Locations (1)

Allison Plastic Martinez

🇺🇸

Washington, District of Columbia, United States

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