Urinary Incontinence,Stress
Conditions
Keywords
AUS, Artificial Urinary Sphincter
Brief summary
The ARTUS MONO implant is an active implantable medical device (AIMD) that assist the urethral sphincter function of female patients suffering from moderate to severe urinary incontinence, by remotely opening and closing a cuff placed around the bladder neck. The purpose of this clinical investigation is to evaluate the feasibility of implantation of the device, its safety and its efficacy, when temporarily implanted in female patients scheduled for anterior pelvic exenteration for bladder cancer.
Interventions
Temporarily implant and activation of the medical device
Sponsors
Study design
Eligibility
Inclusion criteria
1. Female patients aged ≥ 18 yo 2. BMI \> 18,5 and \< 35 3. Patient scheduled for an anterior pelvic exenteration with ileal conduit urinary diversion 4. Signed informed consent
Exclusion criteria
1. Advanced bladder cancer with bladder neck and/or urethral extension 2. Past pelvic radiation therapy 3. Patient previously treated with an artificial urinary sphincter or other urogenital implant 4. Positive urine culture during the past 2 weeks 5. Indwelling bladder catheter during the past 2 weeks 6. Documented history of sensitivity to silicone 7. History of connectivitis disease 8. Immunosuppressive therapy in the last 3 months 9. Vulnerable subjects 10. Participation in any other clinical investigation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bladder catheterization in presence of ARTUS MONO cuff | Day 0 | Injection then re-aspiration of 50 cc of saline water through 18 Fr Foley catheter |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ARTUS MONO cuff implant | Day 0 | Visual analogic scale (from worst to best imaginable easiness and safety) |
| ARTUS MONO cuff activation | Day 0 | Cuff closing to reach 10, 20 and 30% of urethral perimeter reduction |
Countries
Czechia, France