Trial Outcomes & Findings for Does a Preoperative Bowel Regimen Change Time to First Bowel Movement After Robotic Sacral Colpopexy (NCT NCT04197869)

NCT ID: NCT04197869

Last Updated: 2024-12-27

Results Overview

Time to first post-operative bowel movement will be evaluated.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

71 participants

Primary outcome timeframe

7 days post-operatively

Results posted on

2024-12-27

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental
The experimental group will take a pre-operative course of polyethylene glycol daily for seven days prior to procedure date. Polyethylene Glycol Powder: Polyethylene Glycol 3350 17g should be mixed in 8 ounces of fluid for administration. Polyethylene glycol is a high molecular weight, water soluble polymer which can form hydrogen bonds with water molecules. It is an osmotic laxative solution which stimulates bowel movements by increasing the amount of water absorbed in the GI tract. It decreases feces consistency and increases their volume by promoting peristalsis and evacuation. The side effects of polyethylene glycol are bloating, gas or diarrhea. The half-life of polyethylene glycol is 4-6 hours and after 18 hours the concentration declines to non-quantifiable levels.
Control
The control group will not be given any intervention preoperatively.
Overall Study
STARTED
34
37
Overall Study
COMPLETED
24
25
Overall Study
NOT COMPLETED
10
12

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Does a Preoperative Bowel Regimen Change Time to First Bowel Movement After Robotic Sacral Colpopexy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental
n=24 Participants
The experimental group will take a pre-operative course of polyethylene glycol daily for seven days prior to procedure date. Polyethylene Glycol Powder: Polyethylene Glycol 3350 17g should be mixed in 8 ounces of fluid for administration. Polyethylene glycol is a high molecular weight, water soluble polymer which can form hydrogen bonds with water molecules. It is an osmotic laxative solution which stimulates bowel movements by increasing the amount of water absorbed in the GI tract. It decreases feces consistency and increases their volume by promoting peristalsis and evacuation. The side effects of polyethylene glycol are bloating, gas or diarrhea. The half-life of polyethylene glycol is 4-6 hours and after 18 hours the concentration declines to non-quantifiable levels.
Control
n=25 Participants
The control group will not be given any intervention preoperatively.
Total
n=49 Participants
Total of all reporting groups
Age, Continuous
64.8 years
STANDARD_DEVIATION 6.8 • n=5 Participants
60.4 years
STANDARD_DEVIATION 8.7 • n=7 Participants
62.6 years
STANDARD_DEVIATION 7.8 • n=5 Participants
Sex: Female, Male
Female
24 Participants
n=5 Participants
25 Participants
n=7 Participants
49 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
White
21 Participants
n=5 Participants
21 Participants
n=7 Participants
42 Participants
n=5 Participants
Race/Ethnicity, Customized
Unknown/not reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 7 days post-operatively

Time to first post-operative bowel movement will be evaluated.

Outcome measures

Outcome measures
Measure
Experimental
n=24 Participants
The experimental group will take a pre-operative course of polyethylene glycol daily for seven days prior to procedure date. Polyethylene Glycol Powder: Polyethylene Glycol 3350 17g should be mixed in 8 ounces of fluid for administration. Polyethylene glycol is a high molecular weight, water soluble polymer which can form hydrogen bonds with water molecules. It is an osmotic laxative solution which stimulates bowel movements by increasing the amount of water absorbed in the GI tract. It decreases feces consistency and increases their volume by promoting peristalsis and evacuation. The side effects of polyethylene glycol are bloating, gas or diarrhea. The half-life of polyethylene glycol is 4-6 hours and after 18 hours the concentration declines to non-quantifiable levels.
Control
n=25 Participants
The control group will not be given any intervention preoperatively.
First Bowel Movement
1.96 days
Standard Deviation 1
2.32 days
Standard Deviation 0.99

SECONDARY outcome

Timeframe: 7 days post-operatively

Population: one experimental patient did not report this data point therefore there were 23, not 24, patients analyzed

Patients will record their pain levels with first post-operative bowel movement using the Visual Analogue Scale (VAS) pain scale. The scale is numbered 0 through 10, with 0 being no pain and 10 being worst possible pain.

Outcome measures

Outcome measures
Measure
Experimental
n=23 Participants
The experimental group will take a pre-operative course of polyethylene glycol daily for seven days prior to procedure date. Polyethylene Glycol Powder: Polyethylene Glycol 3350 17g should be mixed in 8 ounces of fluid for administration. Polyethylene glycol is a high molecular weight, water soluble polymer which can form hydrogen bonds with water molecules. It is an osmotic laxative solution which stimulates bowel movements by increasing the amount of water absorbed in the GI tract. It decreases feces consistency and increases their volume by promoting peristalsis and evacuation. The side effects of polyethylene glycol are bloating, gas or diarrhea. The half-life of polyethylene glycol is 4-6 hours and after 18 hours the concentration declines to non-quantifiable levels.
Control
n=25 Participants
The control group will not be given any intervention preoperatively.
Post Operative Pain With First Bowel Movement as Measured by the VAS Scale.
1 units on a scale
Interval 0.0 to 2.0
4 units on a scale
Interval 2.0 to 5.0

SECONDARY outcome

Timeframe: 1 day post-operatively

Population: Some patients did not report this data point therefore there were fewer patients analyzed than were described in the Participant Flow

Patients will record their pain level using the Visual Analogue Scale (VAS) pain scale. The scale is numbered 0 through 10, with 0 being no pain and 10 being worst possible pain.

Outcome measures

Outcome measures
Measure
Experimental
n=18 Participants
The experimental group will take a pre-operative course of polyethylene glycol daily for seven days prior to procedure date. Polyethylene Glycol Powder: Polyethylene Glycol 3350 17g should be mixed in 8 ounces of fluid for administration. Polyethylene glycol is a high molecular weight, water soluble polymer which can form hydrogen bonds with water molecules. It is an osmotic laxative solution which stimulates bowel movements by increasing the amount of water absorbed in the GI tract. It decreases feces consistency and increases their volume by promoting peristalsis and evacuation. The side effects of polyethylene glycol are bloating, gas or diarrhea. The half-life of polyethylene glycol is 4-6 hours and after 18 hours the concentration declines to non-quantifiable levels.
Control
n=21 Participants
The control group will not be given any intervention preoperatively.
Post Operative Pain at Day 1 as Measured by the VAS Scale
4 units on a scale
Interval 3.0 to 6.0
2 units on a scale
Interval 0.0 to 4.0

SECONDARY outcome

Timeframe: Averaged over 7 days post-operatively

Population: One patient did not report this data point therefore there were fewer patients analyzed than were described in the Participant Flow

Patients will record their pain level daily for 7 days using the Visual Analogue Scale (VAS) pain scale. The scale is numbered 0 through 10, with 0 being no pain and 10 being worst possible pain. The average value over 7 days for each patient will be calculated. We will then report the median postoperative pain score averaged across 7 days for each group.

Outcome measures

Outcome measures
Measure
Experimental
n=23 Participants
The experimental group will take a pre-operative course of polyethylene glycol daily for seven days prior to procedure date. Polyethylene Glycol Powder: Polyethylene Glycol 3350 17g should be mixed in 8 ounces of fluid for administration. Polyethylene glycol is a high molecular weight, water soluble polymer which can form hydrogen bonds with water molecules. It is an osmotic laxative solution which stimulates bowel movements by increasing the amount of water absorbed in the GI tract. It decreases feces consistency and increases their volume by promoting peristalsis and evacuation. The side effects of polyethylene glycol are bloating, gas or diarrhea. The half-life of polyethylene glycol is 4-6 hours and after 18 hours the concentration declines to non-quantifiable levels.
Control
n=25 Participants
The control group will not be given any intervention preoperatively.
Median Postoperative Pain
1.3 units on a scale
Interval 0.0 to 2.9
3.2 units on a scale
Interval 2.3 to 3.6

Adverse Events

Experimental

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Control

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Experimental
n=24 participants at risk
The experimental group will take a pre-operative course of polyethylene glycol daily for seven days prior to procedure date. Polyethylene Glycol Powder: Polyethylene Glycol 3350 17g should be mixed in 8 ounces of fluid for administration. Polyethylene glycol is a high molecular weight, water soluble polymer which can form hydrogen bonds with water molecules. It is an osmotic laxative solution which stimulates bowel movements by increasing the amount of water absorbed in the GI tract. It decreases feces consistency and increases their volume by promoting peristalsis and evacuation. The side effects of polyethylene glycol are bloating, gas or diarrhea. The half-life of polyethylene glycol is 4-6 hours and after 18 hours the concentration declines to non-quantifiable levels.
Control
n=25 participants at risk
The control group will not be given any intervention preoperatively.
Gastrointestinal disorders
loose stool
12.5%
3/24 • through study completion, an average of 1 month
0.00%
0/25 • through study completion, an average of 1 month

Additional Information

Dr. Alexandra Goodwin

UCLA Health

Phone: 917-969-1654

Results disclosure agreements

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