Exair® Versus Native Tissue Repair for Prolapse

Study Overview
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Brief Summary
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The purpose of this study is to compare safety and effectiveness of the Exair Prolapse Repair System for treatment of pelvic organ prolapse to traditional native tissue repair through 36 months of follow-up.

Official Title
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Exair® Prolapse Repair System Versus Native Tissue Repair for Treatment of Pelvic Organ Prolapse, Exair 522 Study

Conditions
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Pelvic Organ Prolapse

Intervention / Treatment
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* Device: Exair Prolapse Repair System
* Procedure: Total Native Tissue Repair


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Female at least 18 years of age Subject has pelvic organ prolapse with leading edge at or beyond the hymen. At or beyond the hymen is defined as POP-Q scores of Ba ≥0 and Bp ≥0 and C≥ -1/2 tvl Subject reports a bothersome bulge they can see or feel per PFDI-20 question 3, response of 2 or higher (i.e. responses of somewhat, moderately or quite a bit) Subject is willing to provide written informed consent Subject is willing and able to comply with the follow-up regimen Exclusion Criteria: Subject is pregnant or intends to become pregnant during the study Subject has an active or chronic systemic infection including any gynecologic infection, untreated urinary tract infection (UTI), or tissue necrosis Subject has a history of pelvic organ cancer (e.g. uterine, ovarian, bladder, or cervical) Subject has had prior or is currently undergoing radiation, laser therapy, or chemotherapy in the pelvic area Subject has taken systemic steroids (within the last month), or immunosuppressive or immunomodulatory treatment (within the last 3 months) Subject has a systemic connective tissue disease (e.g. scleroderma, systemic lupus erythematosus (SLE), Marfan syndrome, Ehlers Danlos, collagenosis, polymyositis or polymyalgia rheumatica) Subject has chronic systemic pain that includes the pelvic area or chronic focal pain that involves the pelvis Subject has uncontrolled diabetes mellitus (DM) Subject has a known neurologic or medical condition affecting bladder function (e.g. multiple sclerosis, spinal cord injury, or stroke with residual neurologic deficit) Subject is seeking obliterative vaginal surgery as treatment for pelvic organ prolapse (colpocleisis) Subject is not able to conform to the modified dorsal lithotomy position Subject is currently participating in or plans to participate in another device or drug study during this study Subject has a known sensitivity to polypropylene Subject has had previous prolapse repair with mesh in the target compartment(s)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Exair for Total Repair<br>Total repair with Exair Prolapse Repair System alone or in combination with native tissue repair | Device: Exair Prolapse Repair System<br> <br> |
| Total Native Tissue Repair<br>Total repair with native tissue only | Procedure: Total Native Tissue Repair<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recurrence of Prolapse | Recurrent prolapse is measured anatomically at the target compartment by leading edge of prolapse beyond the hymenal ring by POP-Q examination, or additional surgical treatment for pelvic organ prolapse in the target vaginal compartment(s), or patient reporting symptoms of vaginal bulging. | 36 Month | 
| Rate of device and procedure related adverse events |  | 36 Month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recurrence of prolapse | Recurrent prolapse is measured anatomically by leading edge of prolapse in the target compartment at or beyond the hymenal ring by POP-Q examination, or additional surgical treatment for pelvic organ prolapse in the target vaginal compartment(s), or patient reporting symptoms of vaginal bulging. | 36 Month | 
| Rates of other adverse events |  | 36 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Uterine Prolapse, Pelvic Floor Disorder, Pelvic Organ Prolapse, Sexual Dysfunction, Mesh, POP, Transvaginal, Total Repair, Cystocele, Rectocele, Enterocele, Vaginal Vault Prolapse, Native Tissue Repair, Repair Augmented with Mesh, Pathological Conditions, Anatomical, Exair Prolapse Repair System, Vaginal Mesh, Transvaginal Mesh