Trial Outcomes & Findings for Impact of Robot-assisted Radical Prostatectomy Technique on Short-term Continence Recovery (NCT NCT02352103)

NCT ID: NCT02352103

Last Updated: 2022-02-25

Results Overview

24-hour pad weights

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

120 participants

Primary outcome timeframe

One week after the removal of the suprapubic urinary catheter

Results posted on

2022-02-25

Participant Flow

Participant milestones

Participant milestones
Measure
Control Arm
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Overall Study
STARTED
60
60
Overall Study
COMPLETED
60
59
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Impact of Robot-assisted Radical Prostatectomy Technique on Short-term Continence Recovery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control Arm
n=60 Participants
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
n=60 Participants
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Total
n=120 Participants
Total of all reporting groups
Age, Continuous
61.5 years
n=5 Participants
61 years
n=7 Participants
61 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
60 Participants
n=5 Participants
60 Participants
n=7 Participants
120 Participants
n=5 Participants
BMI
28 kg/m^2
n=5 Participants
27.9 kg/m^2
n=7 Participants
28 kg/m^2
n=5 Participants
preoperative prostate specific antigen level
5.4 ng/ml
n=5 Participants
5.7 ng/ml
n=7 Participants
5.6 ng/ml
n=5 Participants
preoperative IPSS score
6.5 units on a scale
n=5 Participants
7 units on a scale
n=7 Participants
7 units on a scale
n=5 Participants
preoperative SHIM score
20 units on a scale
n=5 Participants
20 units on a scale
n=7 Participants
20 units on a scale
n=5 Participants
NCCN clinical risk
Low Risk
15 Participants
n=5 Participants
14 Participants
n=7 Participants
29 Participants
n=5 Participants
NCCN clinical risk
Intermediate Risk
45 Participants
n=5 Participants
46 Participants
n=7 Participants
91 Participants
n=5 Participants

PRIMARY outcome

Timeframe: One week after the removal of the suprapubic urinary catheter

24-hour pad weights

Outcome measures

Outcome measures
Measure
Control Arm
n=60 Participants
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
n=59 Participants
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Urinary Continence Recovery
25 grams
Interval 3.0 to 133.0
5 grams
Interval 0.0 to 25.0

SECONDARY outcome

Timeframe: within 3 months from the intervention

0 pad per day

Outcome measures

Outcome measures
Measure
Control Arm
n=60 Participants
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
n=60 Participants
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Number of Participants With Urinary Continence Recovery
46 participants
35 participants

SECONDARY outcome

Timeframe: 1-year median follow up

Clavien-Dindo complications

Outcome measures

Outcome measures
Measure
Control Arm
n=60 Participants
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
n=60 Participants
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Number of Participants With Peri and Postoperative Complications
7 Participants
11 Participants

SECONDARY outcome

Timeframe: 1-year median follow up

SHIM ranges from 0-25 with higher scores indicating better sexual function; a score of \>=22 is normal and \>=17 is considered mild ED

Outcome measures

Outcome measures
Measure
Control Arm
n=60 Participants
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
n=60 Participants
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Number of Participants Who Regained Potency Postoperatively (as Measured by Sexual Health Inventory for Men (SHIM) Score of 17 or Greater)
27 Participants
26 Participants

SECONDARY outcome

Timeframe: 1-year median follow up

Patients without biochemical evidence of disease recurrence (i.e. postop PSA \>=0.2 ng/mL)

Outcome measures

Outcome measures
Measure
Control Arm
n=60 Participants
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
n=60 Participants
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Number of Participants Who Had Biochemical Recurrence (Post-operative Prostate-Specific Antigen (PSA) Value >=0.2 ng/ml)
56 Participants
50 Participants

SECONDARY outcome

Timeframe: Within 3 months from the intervention

International Prostatic Symptom Score (continuous score from 0-35, higher scores indicating worse urinary function)

Outcome measures

Outcome measures
Measure
Control Arm
n=60 Participants
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
n=60 Participants
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Post-operative Urinary Function and Urinary Function-related Quality of Life
5.5 score on a scale
Interval 4.3 to 6.7
4.4 score on a scale
Interval 3.4 to 5.4

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year median follow up

0 pad per day

Outcome measures

Outcome measures
Measure
Control Arm
n=60 Participants
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
n=60 Participants
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Number of Patients Who Regained Urinary Continence Postoperatively
53 Participants
58 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 year median follow up

Population: The numbers in this analyses are different from the primary analyses as some patients were lost to follow up (by one year)

MSKCC (Memorial Sloan Kettering Cancer Center) STAR questionnaire (symptom tracking and reporting). Score ranges from 0-25, with higher scores indicating better urinary function

Outcome measures

Outcome measures
Measure
Control Arm
n=48 Participants
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
n=52 Participants
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Post-operative Urinary Function and Urinary Function-related Quality of Life
20 score on a scale
Interval 16.0 to 23.0
20 score on a scale
Interval 17.0 to 24.0

Adverse Events

Control Arm

Serious events: 5 serious events
Other events: 2 other events
Deaths: 0 deaths

Treatment Arm

Serious events: 7 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Control Arm
n=60 participants at risk
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
n=60 participants at risk
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Blood and lymphatic system disorders
Lymphocele
6.7%
4/60
10.0%
6/60
Blood and lymphatic system disorders
Pelvic hematoma
0.00%
0/60
1.7%
1/60
Gastrointestinal disorders
Umbilical hernia
1.7%
1/60
0.00%
0/60

Other adverse events

Other adverse events
Measure
Control Arm
n=60 participants at risk
Vattikuti Urology Institute radical prostatectomy da Vinci Surgical System Vattikuti Urology Institute radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Treatment Arm
n=60 participants at risk
Retzius sparing radical prostatectomy da Vinci Surgical System Retzius sparing radical prostatectomy: Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique da Vinci Surgical System: The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Infections and infestations
Urinary tract infection
1.7%
1/60
1.7%
1/60
Renal and urinary disorders
Acute urinary retention
1.7%
1/60
3.3%
2/60
Gastrointestinal disorders
Small Bowel obstruction
0.00%
0/60
1.7%
1/60

Additional Information

Deepansh Dalela, MD

Vattikuti Urology Institute, Henry Ford Hospital

Phone: 3139162600

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place