Pragmatic Evaluation of Performance and Safety of the Anchorsure® Transvaginal Device for Surgical Treatment of Apical Prolapse in Women
APAS Study: Pragmatic Evaluation of the Performance and Safety of the Anchorsure System® Transvaginal Device for Surgical Treatment of Apical Prolapse in Women. A Post-market Multicentre Prospective Observational Cohort Study.
Centre Hospitalier Universitaire de Nīmes
120 participants
May 11, 2023
OBSERVATIONAL
Conditions
Summary
Pelvic Organ Prolapse affects 50% of parous women, and apical prolapse is one of the most common types of prolapse. Treatment for apical prolapse ranges from observation, non-surgical treatment or surgical repair. An anchoring device can reduce dissection and operative time and is meant to provide strong fixation whilst minimizing potential postoperative pain by avoiding neurovascular injuries. These potential advantages must be evaluated in terms of performance and safety. This cohort study will be on patients undergoing sacrospinous fixation with the Anchorsure® system with a follow-up of 36 months.
Eligibility
Inclusion Criteria4
- Women with pelvic organ prolapse with leading edge at or beyond the hymen as confirmed by the pelvic organ prolapse quantification system (POP-Q), i.e. Ba ≥ -1 cm for the anterior compartment, and/or Bp ≥ -1 cm for the posterior compartment, and/or C ≥ -1 cm for the apical compartment including recurrence.
- Women due for POP surgery using the Anchorsure System® for apical prolapse suspension with or without concomitant native tissue repair, with or without concomitant hysterectomy and with or without concomitant sling for stress urinary incontinence.
- All women who have not indicated any objection to participating in the study.
- All women who have been correctly informed.
Exclusion Criteria10
- Patient taking part or having taken part in a device or drug interventional study within the last three months (except for VIGI-MESH national registry).
- Patients due for pelvic organ prolapse repair without apical suspension or with anything other than native tissue repair and the Anchorsure System®.
- Patients with uncontrolled diabetes mellitus.
- Patients with active non-controlled or chronic gynaecologic or urinary tract infection and/or local tissue necrosis.
- Patients with ongoing pelvic organ cancer (e.g. uterine, ovarian, bladder, cervix …).
- Patients with a history of radiotherapy in the pelvic area.
- Patients on therapy with immunosuppressive or immunomodulatory treatment within the previous month.
- patients under ongoing oral anticoagulant therapy.
- Patients with stage 0 and 1 pelvic organ prolapse at the time of surgery
- Patients with a preoperative infection contraindicating the surgery
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Interventions
Sacrospinous ligament fixation performed with the Anchorsure Device
Locations(4)
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NCT05836844