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12%

Currently Served

Surgical intervention for symptomatic prolapse

Everyone serves the 12%
We serve the 88%

Arcus Medical targets the vast underserved population of women seeking minimally invasive pelvic organ prolapse care.

Market Opportunity

88%

The Arcus Solution

The underserved population seeking minimally invasive alternatives

U.S. women are actively seeking minimally invasive, office-based alternatives

5.8

Women undergoing surgery

12% — ~800K women choose invasive surgical repair má»—i year.

The Untreated Majority

A massive population suffering in silence

88%

Women left untreated

88% — ~5.8M women avoid surgery due to cost, recovery time, and stigma.

12%

Where everyone else competes

Traditional Market (12%)

  • FDA Ban on Transvaginal Mesh: The FDA has
    prohibited the use of transvaginal mesh for pelvic
    organ prolapse repair, eliminating this as a
    treatment option.
  • Abdominal Mesh Placement Only: The only
    approved mesh-based approach now involves
    abdominal placement, primarily through Robotic
    Sacrocolpopexy.
  • Hospital-Based Procedure: Requiring specialized
    operating room infrastructure and equipment. 
  • Complex Native Tissue Reconstructive Surgery: Using the patient's own tissue instead of synthetic mesh is a highly complex procedure requiring surgeons with specialized training and advanced reconstructive expertise.

Significant TLT Advantage

While competitors fight over the saturated 12% surgical market, Arcus Medical owns the massive 88% non-surgical segment with minimal direct competition.

7x

1st

$900M

Larger addressable market
First office-based solution
Untapped opportunity

Competitive Landscape

Arcus advantage: targeting the underserved 88%

Where we dominate

Arcus TLT Market (88%)

  • Vaginal Pessaries as a Non-Surgical Option: For
    patients who are not yet ready or willing to undergo
    surgical intervention for pelvic floor disorders. High
    discontinuation rate, very uncomfortable

  • Pelvic Floor Muscle Therapies: Conservative
    treatment options include Kegel exercises, vaginal
    probe biofeedback, and new technologies Chair,
    which uses electromagnetic stimulation to
    strengthen pelvic floor muscles. High Failure rate
    for moderate to severe Pelvic Organ Prolapses.

  • Patients Living with Untreated Symptoms: Due
    to the limited treatment options available, many
    patients resign themselves to living with their pelvic
    floor symptoms, significantly impacting their quality
    of life.

Vaginal Pessaries

The oldest documented treatment, yet still widely used today:

  • Uncomfortable and require frequent maintenance
  • Low patient compliance and satisfaction
  • Outdated solution that doesn't address root cause
  • Many women simply give up on treatment

Current Market Limitations

3,000 years of limited progress in treating POP

Traditional Surgery

Invasive procedures with significant barriers:

  • Requires hospital setting and general anesthesia
  • High cost and extended recovery time
  • FDA removed transvaginal mesh creating vacuum
  • Only 12% of affected women choose this option

The Market Need

A simple, office-based, minimally invasive solution with immediate reimbursement — exactly what Arcus TLT provides.

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