Post Market Study Of Single Incision Sling Versus Transobturator Sling for Stress Urinary Incontinence

NCT ID: NCT01784588

Last Updated: 2021-02-10

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

281 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2018-01-17

Brief Summary

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The purpose of this research study is to compare the treatment device (Solyx) to a different mesh sling or control device (Obtryx II) for the treatment of symptoms for Stress Urinary Incontinence (SUI). Safety information and patient outcomes will be collected for three (3) years and evaluated.

Detailed Description

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Conditions

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Stress Urinary Incontinence

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Solyx Single Incision Sling System

Solyx Single Incision Sling System

Group Type ACTIVE_COMPARATOR

Solyx Single Incision Sling System

Intervention Type DEVICE

Solyx Single Incision Sling System

Obtryx II Sling System

Obtryx II Sling System

Group Type ACTIVE_COMPARATOR

Obtryx II Sling System

Intervention Type DEVICE

Standard outside-in transobturator sling

Interventions

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Solyx Single Incision Sling System

Solyx Single Incision Sling System

Intervention Type DEVICE

Obtryx II Sling System

Standard outside-in transobturator sling

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Female ≥ 18 years of age
2. Willing and able to comply with the study procedures and provide written informed consent to participate in the study (subject or legal representative)
3. Diagnosed with predominant SUI confirmed by positive cough stress test during the protocol required bladder fill procedure (see manual of operations)
4. Confirmed SUI is greater than urge incontinence with the Medical Epidemiologic Social Aspect (MESA) questionnaire
5. Cystometric capacity ≥ 300 cc
6. Post-void residual (PVR) of ≤ 150 cc
7. Medically approved for general, regional or monitored anesthesia

Exclusion Criteria

1. Subjects who are pregnant, lactating, or planning future pregnancies
2. Subjects with a chief complaint of overactive bladder
3. Subjects with a pattern of recurrent urinary tract infections, defined as ≥ 2 culture-proven urinary tract infections during a 6-month period prior to surgery or ≥ 3 in a 12-month period
4. Subjects with previous surgical procedures for SUI including bulking, urethral sling, bone anchor, Burch procedure, pubo-vaginal sling, and Marshall-Marchetti-Krantz (MMK) procedure. Excluding Kelly plication, Botox, anterior repair, or Inter-Stim
5. Subjects with prior pelvic organ prolapse surgery who experienced mesh complications
6. Subjects with previous radiation therapy to the pelvis
7. Subjects with known or suspected hypersensitivity to polypropylene mesh
8. Subjects with any of the following confounding conditions:

1. Neurogenic bladder
2. Urethral stricture and bladder neck contracture
3. Bladder stones or tumors
4. Urinary tract fistula or diverticula
5. Pathology which would compromise implant placement including subjects currently taking anticoagulation therapy
6. Pathology that would limit blood supply or infections that would compromise healing including chemotherapy, systemic steroids and systemic immunosuppressants
9. Subjects with diabetes and an A1c ≥ 7%
10. Non-English speaking subjects
11. Subjects who have participated in an investigational study (medical device or drug) within 30 days of study entry that may impact analysis of this device or have previously participated in the current study
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Amanda White, MD

Role: PRINCIPAL_INVESTIGATOR

University of Texas

Joseph Schaffer, MD

Role: PRINCIPAL_INVESTIGATOR

University of Texas Southwestern Medical Center

Locations

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Cedars Sinai Medical Center

Beverly Hills, California, United States

Site Status

Loma Linda University Medical Center

Loma Linda, California, United States

Site Status

Scripps Clinic Carmel Valley

San Diego, California, United States

Site Status

Norwalk Hospital

Norwalk, Connecticut, United States

Site Status

Christiana Hospital

Newark, Delaware, United States

Site Status

Physicians Regional Healthcare

Naples, Florida, United States

Site Status

Cherokee Women's Health Specialist

Canton, Georgia, United States

Site Status

Chesapeake Urology Research Associates

Hanover, Maryland, United States

Site Status

Novant Health Presbyterian Medical Center

Charlotte, North Carolina, United States

Site Status

Lyndhurst Clinical Research

Winston-Salem, North Carolina, United States

Site Status

St Alexius Medical Center

Bismarck, North Dakota, United States

Site Status

Genesis Healthcare System

Zanesville, Ohio, United States

Site Status

Center for Pelvic Health

Franklin, Tennessee, United States

Site Status

University of Texas Southwestern

Austin, Texas, United States

Site Status

University of Texas, Southwestern

Dallas, Texas, United States

Site Status

Baylor University Medical Center

Fort Worth, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Las Colinas OBGYN

Irving, Texas, United States

Site Status

MacArthur OB/GYN Management, LLC

Irving, Texas, United States

Site Status

Kyle P. McMorries, MD

Nacogdoches, Texas, United States

Site Status

Permian Research Foundation

Odessa, Texas, United States

Site Status

Valley Medical Center

Covington, Washington, United States

Site Status

Cabrini Medical Centre

Malvern, , Australia

Site Status

Countries

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United States Australia

References

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White AB, Anger JT, Eilber K, Kahn BS, Gonzalez RR, Rosamilia A. Female Sexual Function following Sling Surgery: A Prospective Parallel Cohort, Multi-Center Study of the Solyx Single Incision Sling System versus the Obtryx II Sling System. J Urol. 2021 Sep;206(3):696-705. doi: 10.1097/JU.0000000000001830. Epub 2021 May 6.

Reference Type DERIVED
PMID: 33955778 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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U9915-Solyx

Identifier Type: -

Identifier Source: org_study_id

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