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To evaluate the AMS 800 Artificial Urinary Sphincter (AUS) in men with primary stress urinary incontinence as measured by pad weight tests.
Study is designed to evaluate the performance of the AMS 800 Artificial Urinary Sphincter (AUS) in men with primary stress urinary incontinence as measured by pad weight tests.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AMS 800 Artificial Urinary Sphincter Recipients | Adult males with moderate to severe primary stress urinary incontinence (as assessed by a baseline pad weight test) due to ISD who meet the indications for surgical correction of urinary incontinence. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AMS 800 Artificial Urinary Sphincter | Device | The AMS 800 Artificial Urinary Sphincter (AUS) is an implantable, fluid filled, solid silicone elastomer device used to treat stress urinary incontinence due to reduced urethral/bladder outlet resistance (intrinsic sphincter deficiency). It is designed to restore the natural process of urinary control. The device simulates normal sphincter function by opening and closing the urethra under the control of the patient. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects With Reduction in 24 Hour Pad Weight Test at 12 Months | Number of subjects achieving 50% reduction or greater in baseline urinary incontinence as measured by 24-hour pad weight test at 12 months post device activation | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants That Required Revision (Revision Rates), Had Serious Adverse Events, and Had Serious Adverse Events That Are Device and/or Procedure Related | Percentage of Participants that Required Revision (Revision Rates), had Serious Adverse Events, and had Serious Adverse Events that are Device and/or Procedure Related at 3 months, 6 months, and 12 months. Adverse event and revision rates are summarized by the Kaplan-Meier estimate with revision/event timing relative to the index procedure. |
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Inclusion Criteria:
Exclusion Criteria:
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This study will enroll adult males with moderate to severe primary stress urinary incontinence (as assessed by a baseline pad weight test) due to ISD who meet the indications for surgical correction of urinary incontinence.
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| Name | Affiliation | Role |
|---|---|---|
| Melissa Kaufman, MD | Vanderbilt Urology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, San Francisco | San Francisco | California | 94110 | United States | ||
| University of Colorado Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42226712 | Derived | Chandrasekhar V, Kaufman MR, Peterson AC, Chaussee EL, Wood HM; AUSCO Collaboration Group. One-Year Functional Satisfaction and Quality of Life Outcomes of Patients With a History of Radiotherapy With Artificial Urinary Sphincters. Neurourol Urodyn. 2026 Jun 2. doi: 10.1002/nau.70321. Online ahead of print. | |
| 41042705 | Derived |
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Subjects will be considered enrolled in the study once they sign the informed consent. All enrolled subjects will have been consented prior to the procedure. All enrolled subjects with a surgery initiated (i.e. first incision) will be considered part of the Intent-to-Treat (ITT) population. A total of 145 subjects were enrolled and 115 continued on to undergo the index procedure, qualifying them for inclusion in the ITT population.
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| ID | Title | Description |
|---|---|---|
| FG000 | AMS 800 Artificial Urinary Sphincter Recipients | Adult males with moderate to severe primary stress urinary incontinence (as assessed by a baseline pad weight test) due to ISD who meet the indications for surgical correction of urinary incontinence. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Nov 10, 2021 |
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| 3 months, 6 months, and 12 months |
| Number of Subjects Achieving ≥ 50% Reduction in 24 Hour Pad Weight Test at Device Activation | Number of subjects achieving ≥ 50% reduction in urinary incontinence as measured by 24-hour pad weight test at device activation compared to baseline | Device Activation |
| Number of Subjects Achieving ≥ 75% Reduction in 24 Hour Pad Weight Test at Device Activation | ≥ 75% reduction in urinary incontinence as measured by 24-hour pad weight test at device activation compared to baseline | Device Activation |
| Change in Number of Pads Per Day at 3 Months | Change in number of pads per day at 3 months compared to baseline. Change was calculated by subtracting the number of pads per day at baseline from the number of pads per day at 3 months. | 3 months |
| Number of Subjects Achieving ≥ 50% Reduction in 24 Hour Pad Weight Test at 6 Months | Number of subjects achieving ≥ 50% reduction in urinary incontinence as measured by 24-hour pad weight test at 6 months post device activation compared to baseline | 6 months |
| Number of Subjects Achieving ≥ 75% Reduction in 24 Hour Pad Weight Test at 6 Months | ≥ 75% reduction in urinary incontinence as measured by 24-hour pad weight test at 6 months post device activation compared to baseline | 6 months |
| Number of Subjects Achieving ≥ 75% Reduction in 24 Hour Pad Weight Test at 12 Months | ≥ 75% reduction in urinary incontinence as measured by 24-hour pad weight test at 12 months post device activation compared to baseline | 12 months |
| Change in Number of Pads Per Day at 6 Months | Change in number of pads per day at 6 months post-device activation compared to baseline. Change was calculated by subtracting the number of pads per day at baseline from the number of pads per day at 6 months. | 6 months |
| Change in Number of Pads Per Day at 12 Months | Change in number of pads per day at 12 months post-device activation compared to baseline. Change was calculated by subtracting the number of pads per day at baseline from the number of pads per day at 12 months. | 12 months |
| Aurora |
| Colorado |
| 80045 |
| United States |
| University of Iowa Hospitals and Clinics | Iowa City | Iowa | 52242 | United States |
| University of Kansas Hospital | Kansas City | Kansas | 66160-7234 | United States |
| Willis-Knighton Bossier Medical Center | Bossier City | Louisiana | 71111 | United States |
| Johns Hopkins Hospital | Baltimore | Maryland | 21287 | United States |
| Lahey Clinic Hospital | Burlington | Massachusetts | 01805 | United States |
| University of Minnesota Medical Center | Minneapolis | Minnesota | 55455 | United States |
| Duke University Medical Center | Durham | North Carolina | 27710 | United States |
| Wake Forest University School of Medicine | Winston-Salem | North Carolina | 27103 | United States |
| Cleveland Clinic Foundation | Cleveland | Ohio | 44195 | United States |
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| The Methodist Hospital Research Institute | Houston | Texas | 77030 | United States |
| Urology San Antonio Research, PA. | San Antonio | Texas | 78229 | United States |
| University of Utah | Salt Lake City | Utah | 84132 | United States |
| Concord Repatriation General Hospital | Concord | New South Wales | 2139 | Australia |
| Australian Urology Associates | Melbourne | Victoria | 3144 | Australia |
| Kaufman MR, Wood HM, Terlecki R, Moon D, Myers J, Vanni AJ, Jones L, Broghammer JA, Henry G, Breyer BN, Erickson B, Burnett AL, Johnsen NV, Loong Chan LW, Flynn BJ, Khavari R, Smith TG 3rd, Elliott S, Chaussee EL, Rainbow K, Peterson AC. The Artificial Urinary Sphincter Clinical Outcomes Trial: Primary Results. J Urol. 2026 Feb;215(2):194-202. doi: 10.1097/JU.0000000000004796. Epub 2025 Oct 3. |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | AMS 800 Artificial Urinary Sphincter Recipients | Adult males with moderate to severe primary stress urinary incontinence (as assessed by a baseline pad weight test) due to ISD who meet the indications for surgical correction of urinary incontinence. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Subjects With Reduction in 24 Hour Pad Weight Test at 12 Months | Number of subjects achieving 50% reduction or greater in baseline urinary incontinence as measured by 24-hour pad weight test at 12 months post device activation | The analysis was performed on subjects in the Intent to Treat (ITT) population who had available 24-hr pad weight data available at their 12 month follow-up visit. The ITT subject population included all subjects who provided written informed consent to be enrolled into the study, and have a surgery initiated (defined as the first incision). | Posted | Count of Participants | Participants | 12 months |
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| Secondary | Percentage of Participants That Required Revision (Revision Rates), Had Serious Adverse Events, and Had Serious Adverse Events That Are Device and/or Procedure Related | Percentage of Participants that Required Revision (Revision Rates), had Serious Adverse Events, and had Serious Adverse Events that are Device and/or Procedure Related at 3 months, 6 months, and 12 months. Adverse event and revision rates are summarized by the Kaplan-Meier estimate with revision/event timing relative to the index procedure. | The analysis was performed for the Intent to Treat (ITT) population. The ITT subject population included all subjects who provided written informed consent to be enrolled into the study, and have a surgery initiated (defined as the first incision). | Posted | Number | 95% Confidence Interval | Percentage of participants | 3 months, 6 months, and 12 months |
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| Secondary | Number of Subjects Achieving ≥ 50% Reduction in 24 Hour Pad Weight Test at Device Activation | Number of subjects achieving ≥ 50% reduction in urinary incontinence as measured by 24-hour pad weight test at device activation compared to baseline | 107 subjects had data at both baseline and device activation. | Posted | Count of Participants | Participants | Device Activation |
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| Secondary | Number of Subjects Achieving ≥ 75% Reduction in 24 Hour Pad Weight Test at Device Activation | ≥ 75% reduction in urinary incontinence as measured by 24-hour pad weight test at device activation compared to baseline | Posted | Count of Participants | Participants | Device Activation |
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| Secondary | Change in Number of Pads Per Day at 3 Months | Change in number of pads per day at 3 months compared to baseline. Change was calculated by subtracting the number of pads per day at baseline from the number of pads per day at 3 months. | 109 subjects had data at both baseline and 3 months post device activation. | Posted | Mean | 95% Confidence Interval | Pads per day | 3 months |
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| Secondary | Number of Subjects Achieving ≥ 50% Reduction in 24 Hour Pad Weight Test at 6 Months | Number of subjects achieving ≥ 50% reduction in urinary incontinence as measured by 24-hour pad weight test at 6 months post device activation compared to baseline | 99 subjects had data at both baseline and 6 months post device activation. | Posted | Count of Participants | Participants | 6 months |
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| Secondary | Number of Subjects Achieving ≥ 75% Reduction in 24 Hour Pad Weight Test at 6 Months | ≥ 75% reduction in urinary incontinence as measured by 24-hour pad weight test at 6 months post device activation compared to baseline | 99 subjects had data at both baseline and 6 months post device activation. | Posted | Count of Participants | Participants | 6 months |
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| Secondary | Number of Subjects Achieving ≥ 75% Reduction in 24 Hour Pad Weight Test at 12 Months | ≥ 75% reduction in urinary incontinence as measured by 24-hour pad weight test at 12 months post device activation compared to baseline | 97 subjects had data at both baseline and 6 months post device activation. | Posted | Count of Participants | Participants | 12 months |
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| Secondary | Change in Number of Pads Per Day at 6 Months | Change in number of pads per day at 6 months post-device activation compared to baseline. Change was calculated by subtracting the number of pads per day at baseline from the number of pads per day at 6 months. | 99 subjects had data at both baseline and 6 months post device activation. | Posted | Mean | 95% Confidence Interval | Pads per day | 6 months |
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| Secondary | Change in Number of Pads Per Day at 12 Months | Change in number of pads per day at 12 months post-device activation compared to baseline. Change was calculated by subtracting the number of pads per day at baseline from the number of pads per day at 12 months. | 101 subjects had data at both baseline and 12 months post device activation. | Posted | Mean | 95% Confidence Interval | Pads per day | 12 months |
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Adverse events were collected from the time of index procedure through study completion, which was up to 12 months post-device activation.
AE reporting included: Serious Adverse Events, Serious Adverse Device Effects, Adverse Device Effects, and Procedure Related Adverse Events
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | AMS 800 Artificial Urinary Sphincter Recipients | Adult males with moderate to severe primary stress urinary incontinence (as assessed by a baseline pad weight test) due to ISD who meet the indications for surgical correction of urinary incontinence. | 3 | 115 | 17 | 115 | 27 | 115 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute myocardial infarction | Cardiac disorders | MedDRA | Systematic Assessment |
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| Coronary artery disease | Cardiac disorders | MedDRA | Systematic Assessment |
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| Death | General disorders | MedDRA | Systematic Assessment |
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| Medical device site erosion | General disorders | MedDRA | Systematic Assessment |
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| Medical device site induration | General disorders | MedDRA | Systematic Assessment |
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| Bacteraemia | Infections and infestations | MedDRA | Systematic Assessment |
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| Infected skin ulcer | Infections and infestations | MedDRA | Systematic Assessment |
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| Labyrinthitis | Infections and infestations | MedDRA | Systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA | Systematic Assessment |
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| Sepsis | Infections and infestations | MedDRA | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA | Systematic Assessment |
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| Rectal adenocarcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Systematic Assessment |
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| Cerebrovascular accident | Nervous system disorders | MedDRA | Systematic Assessment |
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| Transient ischaemic attack | Nervous system disorders | MedDRA | Systematic Assessment |
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| Device dislocation | Product Issues | MedDRA | Systematic Assessment |
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| Haematuria | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Incontinence | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Renal mass | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Urinary fistula | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Urinary incontinence | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Urinary retention | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Urothelium erosion | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Medical device change | Surgical and medical procedures | MedDRA | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Localized oedema | General disorders | MedDRA | Systematic Assessment |
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| Medical device site discomfort | General disorders | MedDRA | Systematic Assessment |
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| Medical device site haematoma | General disorders | MedDRA | Systematic Assessment |
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| Medical device site reaction | General disorders | MedDRA | Systematic Assessment |
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| Postoperative wound infection | Infections and infestations | MedDRA | Systematic Assessment |
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| Scrotal infection | Infections and infestations | MedDRA | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA | Systematic Assessment |
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| Incision site pain | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment |
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| Incision site swelling | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment |
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| Scrotal haematoma | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment |
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| Wound dehiscence | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment |
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| Pudendal canal syndrome | Nervous system disorders | MedDRA | Systematic Assessment |
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| Dysuria | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Haematuria | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Micturition urgency | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Urethritis noninfective | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Urinary retention | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Oedema genital | Reproductive system and breast disorders | MedDRA | Systematic Assessment |
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| Perineal pain | Reproductive system and breast disorders | MedDRA | Systematic Assessment |
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| Scrotal erythema | Reproductive system and breast disorders | MedDRA | Systematic Assessment |
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| Scrotal swelling | Reproductive system and breast disorders | MedDRA | Systematic Assessment |
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| Testicular pain | Reproductive system and breast disorders | MedDRA | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Winnie Chen | Boston Scientific | 952-930-6000 | Winnie.Chen@bsci.com |
| Apr 21, 2025 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D014550 | Urinary Incontinence, Stress |
| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| Unknown or Not Reported |
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