Restorelle Direct Fix Anterior and Posterior (A&P) for Female Pelvic Organ Prolapse: A Prospective Post Market Study ((A&P))
Restorelle Direct Fix A&P for Female Pelvic Organ Prolapse: A Prospective Post Market Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Maryland
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Baltimore, Maryland, United States, 21237
- MedStar Health Research Institute at Baltimore
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Michigan
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Grand Rapids, Michigan, United States, 49503
- Female Pelvic Medicine & Urogynecology Institute of MI
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Missouri
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Marshall, Missouri, United States, 65340
- Central Missouri Women's Healthcare
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Tennessee
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Franklin, Tennessee, United States, 37067
- Center for Pelvic Health
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Virginia
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Norfolk, Virginia, United States, 23502
- The Group for Women
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Washington
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Mountlake Terrace, Washington, United States, 98043
- Integrity Medical Research, LLC
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Adult female at least 18 years of age
- Willing and able to provide written informed consent
- Diagnosed with clinically significant pelvic organ prolapse of Stage 2 or higher as determined by Pelvic Organ Prolapse Quantification System (POP-Q) requiring surgical intervention in the anterior and/or posterior compartment
- Willing and able to complete all follow-up visits and procedures indicated in the protocol
Exclusion Criteria:
- Concurrent surgical treatment of pelvic organ prolapse using anything other than the Restorelle Direct Fix A&P
- Confirmed Stage 2 or higher prolapse as determined by POP-Q for a compartment that is not being repaired in the same procedure
- Previous pelvic organ prolapse repair using synthetic grafts
- Patients requiring a total hysterectomy (i.e. removal of the cervix) at the time of vaginal reconstruction
- Patients requiring a procedure for fecal incontinence (i.e.) anal sphincteroplasty) at the time of vaginal reconstruction
- Pregnant or a desire to become pregnant
- Previous radiation or other treatments for cancer in the pelvic area
- Immunosuppression and/or current systemic steroid user
- On any anticoagulation therapy at the time of implant or with bleeding diathesis
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Palpability of the Restorelle Direct Fix Anterior and Posterior (A&P)
Time Frame: Baseline
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Measured via palpability scale with possible outcomes of none, mild, moderate, or severe.
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Baseline
|
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Palpability of the Restorelle Direct Fix A&P
Time Frame: 6 weeks
|
Measured via palpability scale with possible outcomes of none, mild, moderate, or severe.
|
6 weeks
|
|
Palpability of the Restorelle Direct Fix A&P
Time Frame: 3 months
|
Measured via palpability scale with possible outcomes of none, mild, moderate, or severe.
|
3 months
|
|
Palpability of the Restorelle Direct Fix A&P
Time Frame: 6 months
|
Measured via palpability scale with possible outcomes of none, mild, moderate, or severe.
|
6 months
|
|
Palpability of the Restorelle Direct Fix A&P
Time Frame: 12 months
|
Measured via palpability scale with possible outcomes of none, mild, moderate, or severe.
|
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rates of de Novo Dyspareunia
Time Frame: 6 weeks
|
Percentage of de novo dyspareunia measured via validated Participant Sexual Function Questionnaire-12 (PISQ-12) questionnaire at 6 weeks.
The specific PISQ-12 score was based upon Question 3.5, "Do you feel pain during sexual intercourse?"
The subjects' response was counted as having de novo dyspareunia if the response was "sometimes" "usually" or "always."
|
6 weeks
|
|
Rates of de Novo Dyspareunia
Time Frame: 3 months
|
Percentage of de novo dyspareunia measured via validated Participant Sexual Function Questionnaire-12 (PISQ-12) questionnaire at 3 months.
The specific PISQ-12 score was based upon Question 3.5, "Do you feel pain during sexual intercourse?"
The subjects' response was counted as having de novo dyspareunia if the response was "sometimes" "usually" or "always."
|
3 months
|
|
Rates of de Novo Dyspareunia
Time Frame: 6 months
|
Percentage of de novo dyspareunia measured via validated Participant Sexual Function Questionnaire-12 (PISQ-12) questionnaire at six months.
The specific PISQ-12 score was based upon Question 3.5, "Do you feel pain during sexual intercourse?"
The subjects' response was counted as having de novo dyspareunia if the response was "sometimes" "usually" or "always."
|
6 months
|
|
Rates of de Novo Dyspareunia
Time Frame: 12 months
|
Percentage of de novo dyspareunia measured via validated Participant Sexual Function Questionnaire-12 (PISQ-12) questionnaire at 12 months.
The specific PISQ-12 score was based upon Question 3.5, "Do you feel pain during sexual intercourse?"
The subjects' response was counted as having de novo dyspareunia if the response was "sometimes" "usually" or "always."
|
12 months
|
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Percentage of Participants With Surgical Success Rates of the Anterior Compartment After Vaginal Reconstruction Surgery Via Pelvic Organ Prolapse Quantification System (POP-Q) at 6 Weeks
Time Frame: 6 weeks
|
Surgical success rates of the anterior compartments after vaginal reconstruction surgery via Pelvic Organ Prolapse Quantification system (POP-Q) at 6 weeks.
Surgical success rate is defined as the post-operative point of maximal prolapse being less than 0 cm (i.e.
above the hymenal ring).
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6 weeks
|
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Percentage of Participants With Surgical Success Rates of the Anterior Compartment After Vaginal Reconstruction Surgery Via Pelvic Organ Prolapse Quantification System (POP-Q) at 3 Months
Time Frame: 3 months
|
Percentage of participants with surgical success rates of the anterior compartments after vaginal reconstruction surgery via Pelvic Organ Prolapse Quantification system (POP-Q) at 3 months.
Surgical success rate is defined as the post-operative point of maximal prolapse being less than 0 cm (i.e.
above the hymenal ring).
|
3 months
|
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Percentage of Participants With Surgical Success Rates of the Anterior Compartment After Vaginal Reconstruction Surgery Via Pelvic Organ Prolapse Quantification System (POP-Q) at 6 Months
Time Frame: 6 months
|
Percentage of participants with surgical success rates of the anterior compartments after vaginal reconstruction surgery via Pelvic Organ Prolapse Quantification system (POP-Q) at 6 months.
Surgical success rate is defined as the post-operative point of maximal prolapse being less than 0 cm (i.e.
above the hymenal ring).
|
6 months
|
|
Percentage of Participants With Surgical Success Rates of the Anterior Compartment After Vaginal Reconstruction Surgery Via Pelvic Organ Prolapse Quantification System (POP-Q) at 12 Months
Time Frame: 12 months
|
Percentage of participants with surgical success rates of the anterior compartments after vaginal reconstruction surgery via Pelvic Organ Prolapse Quantification system (POP-Q) at 12 months.
Surgical success rate is defined as the post-operative point of maximal prolapse being less than 0 cm (i.e.
above the hymenal ring).
|
12 months
|
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Percentage of Participants With Mesh Exposure/Extrusion After Vaginal Reconstruction Surgery at 12 Months.
Time Frame: 12 months
|
Percentage of participants with anterior and posterior compartment mesh exposure/extrusion after vaginal reconstruction with Restorelle Direct Fix at 12 months.
Per the protocol, mesh extrusion is defined as "passage gradually out of a body structure or tissue."
Mesh exposure is defined as " a condition of displaying, revealing, exhibiting or making accessible e.g.
vaginal mesh visualized through separated vaginal epithelium."
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12 months
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Percentage of Participants With Surgical Success of the Posterior Compartment After Vaginal Reconstruction Surgery Via Pelvic Organ Prolapse Quantification System (POP-Q) at the 6 Week Visit
Time Frame: 6 week
|
Percentage of participants with surgical success of the posterior compartment after vaginal reconstruction surgery via Pelvic Organ Prolapse Quantification system (POP-Q) at the 6 week visit.
Surgical success is defined as the post-operative point of maximal prolapse being less than 0 cm (i.e.
above the hymenal ring).
|
6 week
|
|
Percentage of Participants With Surgical Success of the Posterior Compartment After Vaginal Reconstruction Surgery Via Pelvic Organ Prolapse Quantification System (POP-Q) at the 3 Month Visit
Time Frame: 3 month
|
Percentage of participants with surgical success of the posterior compartment after vaginal reconstruction surgery via Pelvic Organ Prolapse Quantification system (POP-Q) at the 3 month visit.
Surgical success is defined as the post-operative point of maximal prolapse being less than 0 cm (i.e.
above the hymenal ring).
|
3 month
|
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Percentage of Participants With Surgical Success of the Posterior Compartment After Vaginal Reconstruction Surgery Via Pelvic Organ Prolapse Quantification System (POP-Q) at the 6 Month Visit
Time Frame: 6 month
|
Percentage of participants with surgical success of the posterior compartment after vaginal reconstruction surgery via Pelvic Organ Prolapse Quantification system (POP-Q) at the 6 month visit Surgical success is defined as the post-operative point of maximal prolapse being less than 0 cm (i.e.
above the hymenal ring).
|
6 month
|
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Percentage of Participants With Surgical Success of the Posterior Compartment After Vaginal Reconstruction Surgery Via Pelvic Organ Prolapse Quantification System (POP-Q) at the12 Month Visit
Time Frame: 12 month
|
Percentage of participants with surgical success of the posterior compartment after vaginal reconstruction surgery via Pelvic Organ Prolapse Quantification system (POP-Q) at the 12 month visit.
Surgical success is defined as the post-operative point of maximal prolapse being less than 0 cm (i.e.
above the hymenal ring).
|
12 month
|
|
Patient Global Impression of Improvement (PGI-I) Questionnaire Since Treatment at 6 Weeks.
Time Frame: 6 weeks
|
The PGI-I Index consists on one question and was collected at 6 weeks.
The question is "Check the box that best describes how your condition is now, compared with how it was before you had the operation."
There are seven possible responses including "very much better," "much better," "a little better," "no change," "a little worse," "much worse" and "very much worse" and the subject chooses one response.
|
6 weeks
|
|
Patient Global Impression of Improvement (PGI-I) Index Since Treatment at 3 Months.
Time Frame: 3 months
|
The PGI-I Index consists on one question and was collected at 3 months.
The question is "Check the box that best describes how your condition is now, compared with how it was before you had the operation.
There are seven possible responses including "very much better," "much better," "a little better," "no change," "a little worse," "much worse" and "very much worse" and the subject chooses one response.
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3 months
|
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Patient Global Impression of Improvement (PGI-I) Index Since Treatment at 6 Months.
Time Frame: 6 months
|
The PGI-I Index consists on one question and was collected at 6 months.
The question is "Check the box that best describes how your condition is now, compared with how it was before you had the operation.
There are seven possible responses including "very much better," "much better," "a little better," "no change," "a little worse," "much worse" and "very much worse" and the subject chooses one response.
|
6 months
|
|
Patient Global Impression of Improvement (PGI-I) Index Since Treatment at 12 Months.
Time Frame: 12 months
|
The PGI-I Index consists on one question and was collected at 12 months.
The question is "Check the box that best describes how your condition is now, compared with how it was before you had the operation.
There are seven possible responses including "very much better," "much better," "a little better," "no change," "a little worse," "much worse" and "very much worse" and the subject chooses one response.
|
12 months
|
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Bladder Function After Vaginal Reconstruction Surgery With Restorelle Direct Fix A & P Measured by Urinary Distress Inventory-6 (UDI-6) Questionnaire at 6 Weeks
Time Frame: Baseline and 6 weeks
|
Bladder function is measured by UDI-6 Questionnaire at 6 weeks.
The UDI-6 measures bladder function.
The range of responses is: 1-4 with (1) not at all, (2) somewhat, (3) moderately, and (4 quite a bit).
To allow for missing responses, the average score of items responded to, rather than the total, is taken.
The average, which ranges from 1 to 4, is multiplied by 25 to put scores on a scale of 0 to 100.
Higher scores indicate worse symptoms.
|
Baseline and 6 weeks
|
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Bladder Function After Vaginal Reconstruction Surgery With Restorelle Direct Fix A & P Measured by Urinary Distress Inventory-6 (UDI-6) Questionnaire at 3 Months
Time Frame: Baseline and 3 months
|
Bladder function is measured by UDI-6 Questionnaire at 3 months.
The UDI-6 measures bladder function.
The range of responses is: 1-4 with (1) not at all, (2) somewhat, (3) moderately, and (4 quite a bit).
To allow for missing responses, the average score of items responded to, rather than the total, is taken.
The average, which ranges from 1 to 4, is multiplied by 25 to put scores on a scale of 0 to 100.
Higher scores indicate worse symptoms.
|
Baseline and 3 months
|
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Bladder Function After Vaginal Reconstruction Surgery With Restorelle Direct Fix A & P Measured by Urinary Distress Inventory-6 (UDI-6) Questionnaire at 6 Months
Time Frame: Baseline and 6 months
|
Bladder function is measured by UDI-6 Questionnaire at 6 months.
The UDI-6 measures bladder function.
The range of responses is: 1-4 with (1) not at all, (2) somewhat, (3) moderately, and (4 quite a bit).
To allow for missing responses, the average score of items responded to, rather than the total, is taken.
The average, which ranges from 1 to 4, is multiplied by 25 to put scores on a scale of 0 to 100.
Higher scores indicate worse symptoms.
|
Baseline and 6 months
|
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Bladder Function After Vaginal Reconstruction Surgery With Restorelle Direct Fix A & P Measured by Urinary Distress Inventory-6 (UDI-6) Questionnaire at 12 Months
Time Frame: Baseline and 12 months
|
Bladder function is measured by UDI-6 Questionnaire at 12 months.
The UDI-6 measures bladder function.
The range of responses is: 1-4 with (1) not at all, (2) somewhat, (3) moderately, and (4 quite a bit).
To allow for missing responses, the average score of items responded to, rather than the total, is taken.
The average, which ranges from 1 to 4, is multiplied by 25 to put scores on a scale of 0 to 100.
Higher scores indicate worse symptoms.
|
Baseline and 12 months
|
|
Sexual Function After Vaginal Reconstruction With Restorelle Direct Fix Measured by Participant Sexual Function Questionnaire-12 (PISQ-12) at 6 Weeks
Time Frame: Baseline and 6 weeks
|
Sexual function in women with pelvic organ prolapse is measured by the PISQ-12 at 6 weeks.
The scores range from 0-48 with lower scores indicating better sexual function.
Scores are calculated by totalling the scores for each question with (4) always, (3) usually, (2) sometimes, (1) seldom, and (0) never.
Reverse scoring is used for items 1, 2, 3 and 4. The short form questionnaire can be used with up to two missing responses.
To handle missing values, the sum is calculated by multiplying the number of items by the mean of the answered items.
|
Baseline and 6 weeks
|
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Sexual Function After Vaginal Reconstruction With Restorelle Direct Fix Measured by Participant Sexual Function Questionnaire-12 (PISQ-12) at 3 Months
Time Frame: Baseline and 3 months
|
Sexual function in women with pelvic organ prolapse is measured by the PISQ-12 at 3 months.
The scores range from 0-48 with lower scores indicating better sexual function.
Scores are calculated by totalling the scores for each question with (4) always, (3) usually, (2) sometimes, (1) seldom, and (0) never.
Reverse scoring is used for items 1, 2, 3 and 4. The short form questionnaire can be used with up to two missing responses.
To handle missing values, the sum is calculated by multiplying the number of items by the mean of the answered items.
|
Baseline and 3 months
|
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Sexual Function After Vaginal Reconstruction With Restorelle Direct Fix Measured by Participant Sexual Function Questionnaire-12 (PISQ-12) at 6 Months
Time Frame: Baseline and 6 months
|
Sexual function in women with pelvic organ prolapse is measured by the PISQ-12 at 6 months.
The scores range from 0-48 with lower scores indicating better sexual function.
Scores are calculated by totalling the scores for each question with (4) always, (3) usually, (2) sometimes, (1) seldom, and (0) never.
Reverse scoring is used for items 1, 2, 3 and 4. The short form questionnaire can be used with up to two missing responses.
To handle missing values, the sum is calculated by multiplying the number of items by the mean of the answered items.
|
Baseline and 6 months
|
|
Sexual Function After Vaginal Reconstruction With Restorelle Direct Fix Measured by Participant Sexual Function Questionnaire-12 (PISQ-12) at 12 Months
Time Frame: Baseline and 12 months
|
Sexual function in women with pelvic organ prolapse is measured by the PISQ-12 at12 months.
The scores range from 0-48 with lower scores indicating better sexual function.
Scores are calculated by totalling the scores for each question with (4) always, (3) usually, (2) sometimes, (1) seldom, and (0) never.
Reverse scoring is used for items 1, 2, 3 and 4. The short form questionnaire can be used with up to two missing responses.
To handle missing values, the sum is calculated by multiplying the number of items by the mean of the answered items.
|
Baseline and 12 months
|
|
Bowel Function After Vaginal Reconstruction Surgery With Restorelle Direct Fix A & P Measured by Colorectal-Anal Distress Inventory 8 (CRADI-8) Questionnaire at the 6 Week Visit
Time Frame: Baseline and 6 weeks
|
Colorectal-anal Distress Inventory is measured by the CRADI-8 at 6 weeks.
The range of responses is 1-4 with (1) Not at all, (2) Somewhat, (3) Moderately, and (4), Quite a bit.
Scores are calculated by multiplying the mean value of all questions answered by 25.
The range of responses is: 0-100 with 0 (least distress) to 100 (most distress).
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Baseline and 6 weeks
|
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Bowel Function After Vaginal Reconstruction Surgery With Restorelle Direct Fix A & P Measured by Colorectal-Anal Distress Inventory 8 (CRADI-8) Questionnaire at the 3 Month Visit
Time Frame: Baseline and 3 months
|
Colorectal-anal Distress Inventory is measured by the CRADI-8 at 3 months.
The range of responses is 1-4 with (1) Not at all, (2) Somewhat, (3) Moderately, and (4), Quite a bit.
Scores are calculated by multiplying the mean value of all questions answered by 25.
The range of responses is: 0-100 with 0 (least distress) to 100 (most distress).
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Baseline and 3 months
|
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Bowel Function After Vaginal Reconstruction Surgery With Restorelle Direct Fix A & P Measured by Colorectal-Anal Distress Inventory 8 (CRADI-8) Questionnaire at the 6 Month Visit
Time Frame: Baseline and 6 months
|
Colorectal-anal Distress Inventory is measured by the CRADI-8 at 6 months.
The range of responses is 1-4 with (1) Not at all, (2) Somewhat, (3) Moderately, and (4), Quite a bit.
Scores are calculated by multiplying the mean value of all questions answered by 25.
The range of responses is: 0-100 with 0 (least distress) to 100 (most distress).
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Baseline and 6 months
|
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Bowel Function After Vaginal Reconstruction Surgery With Restorelle Direct Fix A & P Measured by Colorectal-Anal Distress Inventory 8 (CRADI-8) Questionnaire at the12 Month Visit
Time Frame: Baseline and 12 months
|
Colorectal-anal Distress Inventory is measured by the CRADI-8 at 12 months.
The range of responses is 1-4 with (1) Not at all, (2) Somewhat, (3) Moderately, and (4), Quite a bit.
Scores are calculated by multiplying the mean value of all questions answered by 25.
The range of responses is: 0-100 with 0 (least distress) to 100 (most distress).
|
Baseline and 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Barry Jarnagin, MD, Center for Pelvic Health, Franklin, TN, United States
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- US011
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