Functional Outcomes of the Miami Pouch Continent Cutaneous Urinary Diversion: A Quality of Life Study (MiaDIG)

November 6, 2026 updated by: Hospices Civils de Lyon

Functional Urinary and Digestive Outcomes After Miami Pouch: A Quality-of-Life Study (MIADIG)

The Miami Pouch is a continent cutaneous urinary diversion using the plicated right colon and the ileocecal valve as a catheterizable continent stoma. Despite its long history, functional outcomes remain poorly reported, with no consensus on continence definition or standardized assessment tools.

This single-center cross sectional cohort study evaluates functional outcomes in patients who underwent Miami Pouch urinary diversion at Hôpital Lyon Sud (Hospices Civils de Lyon, France) between 2015 and 2025. Patients were identified through institutional medical coding (PMSI) and contacted by telephone to complete validated patient-reported outcome measures.

The primary objective is to assess stomal continence using the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF).

Hypothesis: The Miami Pouch provides acceptable long-term stomal continence with limited impact on digestive function.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Estimated)

35

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Consecutive patients who underwent Miami Pouch continent cutaneous urinary diversion at the Urology Department of Hôpital Lyon Sud, Hospices Civils de Lyon, Pierre-Bénite, France, between 2015 and 2025. 35 patients estimation.

Patients identification through institutional surgical coding (PMSI) and contacted by phone for study participation

Description

Inclusion Criteria:

  • Adult patients aged 18 years or older
  • Miami Pouch continent cutaneous urinary diversion performed at Lyon Sud Hospital (HCL) between January 2015 and December 2025
  • Minimum postoperative follow-up of 6 months
  • No opposition to participation in the study

Exclusion Criteria:

  • Patient deceased at time of study contact
  • Patient unreachable or unavailable after three contact attempts
  • Opposition to participation or to personal data processing
  • Postoperative follow-up of less than 6 months

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: COHORT
  • Time Perspectives: CROSS_SECTIONAL

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Miami pouch

Adult patients who underwent Miami Pouch continent cutaneous urinary diversion at the Urology Department of Hôpital Lyon Sud (HCL) between 2015 and 2025, with a minimum postoperative follow-up of 6 months

Patients completed four validated questionnaires by telephone: the ICIQ-SF (urinary symptom frequency and impact), the SF-Qualiveen (urinary quality of life in neurogenic and non-neurogenic patients), a modified 20-item Gastrointestinal Quality of Life Index (digestive quality of life), and the Bristol Stool Scale (stool consistency)

Patients performed a self-administered 24-hour stomal pad test at home. Absorbent pads were weighed before and after placement over the stoma. Total pad weight gain (grams) over 24 hours was used as an objective measure of stomal urinary leakage.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Stomal Continence Rate
Time Frame: 6 months post-surgery

Stomal continence classified into three categories based on ICIQ-SF questionnaire :

  • No Leakage
  • Occasional Leakage
  • Daily Leakage. Social continence defined as No Leakage or Occasional Leakage.
6 months post-surgery

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: ARBER Théo, MD, Hospices Civils de Lyon

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

November 16, 2026

Primary Completion (Estimated)

March 16, 2027

Study Completion (Estimated)

April 16, 2027

Study Registration Dates

First Submitted

November 6, 2026

First Submitted That Met QC Criteria

November 6, 2026

First Posted (Actual)

November 12, 2026

Study Record Updates

Last Update Posted (Actual)

November 12, 2026

Last Update Submitted That Met QC Criteria

November 6, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • 69HCL26_0869

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.