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The purpose of the clinical investigation is to generate clinical data to substantiate the safety and performance of the i-Stitch device for bilateral sacrospinous ligament fixation (SSLF) in pelvic organ prolapse (POP) repair.
The i-Stitch instrument is a reusable instrument for attaching sutures to tissue with or without surgical mesh implants in urogynaecology. It is used together with the i-Stitch loading units. The use of i-Stitch for the fixation of surgical urogynaecological mesh implants (e.g. BSC Mesh, InGYNious) has already been proven in several studies.
The aim of the present retrospective study is to generate clinical data to show the safety and performance of the i-Stitch instrument in bilateral sacrospinous ligament fixation (SSLF) without the use of a surgical mesh.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SSLF | Device | Bilateral sacrospinous ligament fixation with i-Stitch device |
| Measure | Description | Time Frame |
|---|---|---|
| Subjective outcome | German Pelvic Floor Questionnaire ("Deutscher Beckenboden-Fragebogen") | 12 months |
| Subjective outcome | German Pelvic Floor Questionnaire ("Deutscher Beckenboden-Fragebogen") | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life (ICIQ-UI SF) | urinary incontinence and its impact on quality of life using the short form of the International Consultation on Incontinence Questionnaire | 12 months |
| Postoperative complications |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with symptomatic pelvic organ prolapse indicated for a surgical intervention.
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| Name | Affiliation | Role |
|---|---|---|
| Ursula Peschers, Prof. Dr. | ISAR Klinikum Munich | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Isar Kliniken GmbH | Munich | Bavaria | 80331 | Germany |
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| ID | Term |
|---|---|
| D056887 | Pelvic Organ Prolapse |
| ID | Term |
|---|---|
| D011391 | Prolapse |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Complications in women undergoing bilateral SSLF using the i-Stitch
| 12 months |
| Anatomical outcome (POP-Q) | Objective anatomical failure/recurrent prolapse in any anatomical compartment | 12 months |