About this trial
The objective of this post market, clinical registry is to evaluate the performance of the products of the TVT family of products or vaginal vault or uterine prolapse repair (with laparotomic or laparoscopic approach including robotic assisted) using either Gynemesh PS Mesh or Artisyn Mesh in women undergoing surgery for SUI and POP.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Stress urinary incontinence symptoms
Urodynamic stress incontinence confirmed with urodynamic testing
Female patient ≥ 21 years of age
Desired surgical correction of SUI using synthetic pubo-urethral vaginal sling
Disqualifiers
Physical or psychological condition which would impair registry participation or are unwilling or unable to participate in all required registry visits and are unable to complete the questionnaires
Any pre-operative or intra-operative findings identified by the surgeon that may preclude the use of registry products
History of previous synthetic, biologic or fascial sub-urethral sling (SUI) or pelvic mesh (POP)
Pregnancy or plans for future pregnancy
Trial population
Female patients ≥ 21 years of age with: * A diagnosis of SUI, resulting from urethral hypermobility and/or intrinsic sphincter deficiency AND/OR * A diagnosis of vaginal vault or uterine prolapses where surgical treatment (sacrocolposuspension or sacrocolpopexy, laparotomic or laparoscopic approach including robotic assisted) is warranted AND * Are scheduled to have surgical treatment using an Ethicon Gynecare Pelvic Mesh Product
Trial design
Cohort
Prospective
Treatments tested in this trial
Intervention
DeviceThere is no intervention, beyond necessary clinical care, in this registry. The surgical procedures being performed within the registry are identical to the surgical procedures patients would receive as part of SOC.
Treatment groups
Trial outcomes
Primary outcomes
Stress Urinary Incontinence(SUI)- Cough Stress Test(CST) Assessment Change
Objective cure (success) approximately 5-10 years after surgery, defined as a negative standardized cough stress test (CST)
Pelvic Organ Prolapse (POP)- Physical Examination with Pelvic Organ Prolapse Quantification (POP-Q) Assessment Change
Objective cure (success) approximately 5-10 years after surgery, defined as the absence of prolapse beyond the hymen as determined by a physical examination with POP-Q
Secondary outcomes
SUI: International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF)
SUI: Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12)
SUI: Patient Global Impression of Improvement questionnaire (PGI-I)
SUI: Wong-Baker FACES Pain Rating Scale
To assess pain on a scale from 0 (no pain) to 10 (worst pain) related to registry device or procedure
Sponsors and contacts
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