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Safety and Efficacy of a Transvaginal Suture Capturing Mesh Device

Not Applicable
Completed
Conditions
Surgical Repair of Middle Compartment Prolapse (Vaginal Vault or Uterine Prolapse) With or Without Cystocele
Interventions
Procedure: Transvaginal suture capturing mesh device
Registration Number
NCT01823055
Lead Sponsor
Karolinska Institutet
Brief Summary

To perform a clinical safety and efficacy assessment of the Uphold LITE system for pelvic organ prolapse in a prospective multicenter, single cohort study.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
214
Inclusion Criteria
  • 18 years of age or older and present with primary or recurrent prolapse of the middle vaginal compartment corresponding to stage 2 or higher (according to the Pelvic Organ Prolapse Quantification [POP-Q] system)9,
  • with or without anterior vaginal wall prolapse, and
  • experiences symptoms of vaginal bulging with or without a previous hysterectomy
  • being able to provide oral and written informed consent before entering the study.
Exclusion Criteria
  • previous cancer of any pelvic organ,
  • systemic glucocorticoid treatment,
  • insulin-treated diabetes,
  • an inability to participate in study follow-up or to provide informed consent, or
  • the need for any concomitant pelvic surgery.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
SurgeryTransvaginal suture capturing mesh deviceTransvaginal suture capturing mesh device
Primary Outcome Measures
NameTimeMethod
Immediate and delayed complications related to the surgical procedure1 year

Serious surgical complications are categorised as any surgical event which is potentially life-threatening, internal organ perforation (or other injury), bleeding in excess of 1000 mL or adverse events, related to the surgical procedure, during follow-up which requires re-hospitalisation.

Secondary Outcome Measures
NameTimeMethod
Pelvic Organ Prolapse Quantification system1 year

The secondary efficacy outcome is a composite of objective and subjective measures including POP-Q stage 0 or 1 of the upper vaginal segment (i.e., point C/D, which represents the most distal point of the vaginal apex in relation to the total vaginal length) and a negative response to the question, "Do you experience a feeling of bulging or protrusion in the vaginal area?" (question 16 on the UDI). The secondary outcome measures further include the individual components of the composite end point, other POP-Q measurements and patient-reported urogenital distress.

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