Urinary Incontinence After Radical Prostatectomy

NCT ID: NCT05625048

Last Updated: 2022-11-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-12

Study Completion Date

2025-10-31

Brief Summary

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The aims of this project are; 1) To examine the efficacy of ultrasound-guided pelvic floor muscle training compared to standard care on urinary incontinence in patients undergoing robot assisted radical prostatectomy and 2) To compare physical function, incontinence, and QoL in two groups of patients with low or high function of the pelvic floor muscles respectively before the surgery.

This study consists of two parts. The first part is a randomized controlled trial where 44 patients with weak pelvic floor muscle function are randomized to either treatment as usual (control group 1) or ultrasound-guided pelvic floor muscle training (Intervention group). In the second part the patients in control group 1 will be compared with 22 patients with normal/strong pelvic floor muscle function (control group 2).

Patients not able to perform the pelvic floor muscle test consisting of 8 repetitions of 4-seconds pelvic floor muscle contraction and 1 repetition of 15-seconds pelvic floor muscle contraction will be randomized to either intervention group or control group 1. Patients able to perform the pelvic floor muscle test will be included in control group 2.

Detailed Description

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Conditions

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Incontinence, Urinary Radical Prostatectomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Intervention group

The intervention group receives same treatment as the control groups and in addition transperinal ultrasound guided instruction in pelvic floor muscle training at 2nd and 3rd session.

Group Type EXPERIMENTAL

Transperinal ultrasound guided instruction in pelvic floor muscle training

Intervention Type OTHER

The physiotherapists uses transperinal ultrasound as a biofeedback or pedagogical tool to improve the muscle contractions and visualize the muscle work.

Control group 1

The patients recieve standard care including three physiotherapist sessions; within one week preoperatively, one week postoperatively at catheter removal, and six weeks postoperatively

Group Type NO_INTERVENTION

No interventions assigned to this group

Control group 2

The patients recieve standard care including three physiotherapist sessions; within one week preoperatively, one week postoperatively at catheter removal, and six weeks postoperatively

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Transperinal ultrasound guided instruction in pelvic floor muscle training

The physiotherapists uses transperinal ultrasound as a biofeedback or pedagogical tool to improve the muscle contractions and visualize the muscle work.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Men aged 18 and above
* Diagnosis of prostatic adenocarcinoma and referred to robot assisted radical prostatectomy
* No comorbidity that prevents pelvic floor training or effects the function of the pelvic floor
* Adequacy in written and spoken Danish Performance status 0-1
* Able to understand the study procedures and willing to provide written informed consent

Exclusion Criteria

* Major surgery within the last month that may affect pelvic floor function.
* Urinary incontinence prior to surgery
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Regional Hospital West Jutland

OTHER

Sponsor Role lead

Responsible Party

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Sara Birch

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Regional Hospital Goedstrup

Herning, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Birch

Role: CONTACT

Facility Contacts

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Sara Birch

Role: primary

Other Identifiers

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1-10-72-356-21

Identifier Type: -

Identifier Source: org_study_id

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