- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03823014
Use of an External Erectile Device in Transgender Man Following Phalloplasty (ProstHEsis)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
There are approximately 1.4 million transgender adults in the United States. Approximately half are transgender men, individuals who have a male gender identity but were assigned female at birth. A national survey of transgender adults found more than half of transgender men have had, or may want, gender affirmation surgery in the form of phalloplasty - the surgical creation of a penis and scrotum. The neophallus created in this manner can be used for standing urination but not for penetrative sex, due to the lack of erectile structures.
Research suggests that one factor limiting interest in phalloplasty is the lack of reliable, durable, and desirable erectile devices. Internal prostheses are the primary method used to attain penile rigidity after phalloplasty. However, these devices carry a significant risk of mechanical failure and other adverse events. The high failure and complication rates associated with internal erectile prostheses demonstrate a need for alternative options for transgender men after phalloplasty. One such option consists of an external erectile prosthesis or support. The Elator™ consists of two silicone rings connected by a pair of plastic coated rigid metal rods. Use of such an external device may be preferable for men who do not wish to undergo additional surgery after phalloplasty, and/or those who have had problems with internal prostheses.
Word of mouth suggests that a number of transgender men have experimented with these devices after phalloplasty, but to date no study has tested the safety and function of external erectile prostheses in this population. Currently, the FDA exempts most external penile rigidity devices from pre-market notification and review. As such, safety and efficacy testing is not required prior to public marketing. However, before medical professionals can feel comfortable recommending these devices to their patients, such testing is clearly indicated.
The proposed pilot study will test whether an external erectile prosthesis (The Elator™) is a feasible alternative to internal erectile prostheses for transgender men after phalloplasty. This study will recruit twenty men who have had a phalloplasty greater than one year prior to the study date, have protective sensation to the tip of their phallus, have a current sexual partner with whom they would like to explore sexual penetration using the neophallus, and who do not currently have an internal erectile prosthesis.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Massachusetts
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Boston, Massachusetts, United States, 02115
- Participation in this study is from participants home.
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Primary study subject must have had a phalloplasty with glansplasty a minimum of 1 year before enrollment and must have protective sensation to the tip of the phallus
- Primary study subject must be in a relationship in which they are having, or would like to have, penetrative sex with their partner. Partner must also be interested in having penetrative sex with primary subject.
- Both primary study subject and partner must have (individual) e-mail addresses and access to the Internet to complete surveys
- Primary study subject must be willing to be contacted by postal mail, in order to receive the device
- Both subjects must be willing to receive e-mails
Exclusion Criteria:
- Either subject or partner does not speak English
- Primary subject has an internal erectile prosthesis.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: External Erectile Prosthesis
Study participants will be recruited as couples (transgender man + sexual partner.)
Couples will use an external erectile prosthesis (Elator) over the course of 1 month and keep track of their experiences.
20 men and their partners will be enrolled.
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Measurement for device, use of device
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Quality of Sexual Experience Scale
Time Frame: Baseline and at study completion (~1.5 months)
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Brief measure of quality of most recent sexual experience
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Baseline and at study completion (~1.5 months)
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Change in Relationship Satisfaction Subscale
Time Frame: Baseline and at study completion (~1.5 months)
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Measure of overall relationship satisfaction with romantic partner
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Baseline and at study completion (~1.5 months)
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Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS)
Time Frame: The intervention period of 4 weeks, assessed at study completion
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Validated measure of satisfaction with erectile dysfunction treatment
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The intervention period of 4 weeks, assessed at study completion
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Qualitative Device Feedback
Time Frame: The intervention period of 4 weeks, assessed at study completion
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Interview with men and their partners about the experience of using the device (optional)
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The intervention period of 4 weeks, assessed at study completion
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB-P00029965
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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