- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03048799
Radiofrequency in the Treatment of Urinary Incontinence After Radical Prostatectomy
Radiofrequency in the Treatment of Urinary Incontinence After Radical Prostatectomy: Randomized Clinical Trial
Post-prostatectomy urinary incontinence (IUPP) is a difficult to treat complication that causes a profound negative impact on the individual's quality of life, as well as seriously disrupts the physician-patient relationship and is a substantial public health problem . Urinary incontinence (UI) can occur both in the treatment of benign prostatic hyperplasia (BPH) and in the treatment of prostate cancer.
In the treatment of benign disease, this complication is associated with a very low prevalence, initially of 9% and about 1% in 12 months postoperatively. In radical prostatectomy, the prevalence is higher, varying from 2% to 87%, depending on the populations and sites studied, the definitions used, the different methodologies employed in the evaluation of incontinence, and also the different degrees of intensity of the disease . Several authors have evaluated the incidence of incontinence after robotic radical prostatectomy, open and laparoscopically. With these techniques, the reported total UI incidence varies from 4% to 40% .
With the high prevalence of IUPP, accelerating the recovery of urinary control is an important priority for patients and their caregivers, and the search for effective and low-risk treatments is a constant. Thus, the possibility of treatment with the radiofrequency (RF) feature arises.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Patricia Lordelo, post doc
- Phone Number: +5571988592400
- Email: pvslordelo@hotmail.com
Study Locations
-
-
Bahia
-
Salvador, Bahia, Brazil, 40290000
- Recruiting
- Centro de Atenção ao assoalho pélvico
-
Contact:
- Patricia Lordelo, post doc
- Phone Number: +5571988592400
- Email: pvslordelo@hotmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- will be individuals from 18 to 65 years of age with clinical complaints of urinary incontinence after prostatectomy and who agree to voluntarily participate in the research.
Exclusion Criteria:
- Will be excluded from the study the patients with time less than 45 days postoperative, difficulty understanding the proposed instruments, patients with neurological degenerative chronic diseases, patients with implantable cardioverter defibrillators and carriers of iatrogenic metals in the pelvic region.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Radiofrequency on and Kinesiotherapy
The radiofrequency application protocol with CAPENERGY device, which has two electrodes: an active one, which will be introduced into the anal region, using a condom and gel to The emission of radiofrequency and another electrode, dispersive, coupled to the patient's hip, which will function as earth.
The temperature used in the treatment will be 41 ° C, which this parameter will be placed in the equipment, maintained for 2 minutes.
Five RF sessions will be performed, with a seven-day interval between them.
For the application, participants will be placed in lateral decubitus position.
The session will be quick, with an average duration of 20 minutes.Kinesiotherapy will be done once a week, totaling five sessions.
Initially, verbal information about location, function, and the correct way to contract the pelvic floor (PA) will be given.
|
The radiofrequency application protocol will be used in the form of capacitive electrical transfer, bipolar configuration, with CAPENERGY device (Figure 1), which has two electrodes: an active one, which will be introduced into the anal region, using a condom and gel to The emission of radiofrequency and another electrode, dispersive, coupled to the patient's hip, which will function as earth.
The active electrode has at its end a sensor capable of capturing the temperature.
The temperature used in the treatment will be 41 ° C, which this parameter will be placed in the equipment.
Upon reaching the desired heating, the apparatus maintains the temperature and thus the application of the radiofrequency will be maintained for 2 minutes.
|
Placebo Comparator: Radiofrequency off and Kinesiotherapy
The patient will be in lateral decubitus, the anal probe of the radiofrequency apparatus will be introduced, with the gel previously heated. The radio frequency will be off. Kinesiotherapy will be done once a week, totaling five sessions. Initially, verbal information about location, function, and the correct way to contract the pelvic floor (PA) will be given. In addition, at this point will be advised on the performance of "The Knack", which is a pre-contraction of the PA during the performance of some abdominal effort such as coughing, sneezing or laughing. |
The radiofrequency application protocol will be used in the form of capacitive electrical transfer, bipolar configuration, with CAPENERGY device (Figure 1), which has two electrodes: an active one, which will be introduced into the anal region, using a condom and gel to The emission of radiofrequency and another electrode, dispersive, coupled to the patient's hip, which will function as earth.
The active electrode has at its end a sensor capable of capturing the temperature.
The temperature used in the treatment will be 41 ° C, which this parameter will be placed in the equipment.
Upon reaching the desired heating, the apparatus maintains the temperature and thus the application of the radiofrequency will be maintained for 2 minutes.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pad Test (grams)
Time Frame: 1 month
|
The pad test aims to quantify the urinary loss in different physical activities in the period of 1 hour.
|
1 month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pad Test (grams)
Time Frame: 6 month after
|
The pad test aims to quantify the urinary loss in different physical activities in the period of 1 hour.
|
6 month after
|
Erectile dysfunction
Time Frame: 1 month
|
A questionnaire with 15 questions will be applied in which it evaluates the erectile dysfunction, the name of questionnaire is International Index of Erectile Dysfunction (IIEF-5)
|
1 month
|
Erectile dysfunction
Time Frame: 6 month
|
A questionnaire with 15 questions will be applied in which it evaluates the erectile dysfunction, the name of questionnaire is International Index of Erectile Dysfunction (IIEF-5)
|
6 month
|
quality of life specified urinary incontinence
Time Frame: 1 month
|
The ICIQ-SF is a self-administered questionnaire composed of four questions that assess the frequency, severity and impact of UI, as well as a set of eight self-diagnosis items related to the causes or UI situations experienced by the respondents.
The final score is found from the sum of the score of questions 3, 4 and 5.
The overall score ranges from 0 to 21 points and the higher the score the greater the impact on the quality of life.
The impact on the quality of life is divided in such a way: no impact (0 point); Light impact (from 1 to 3 points); Moderate impact (from 4 to 6 points); Serious impact (from 7 to 9 points); And very serious impact (10 or more points
|
1 month
|
quality of life specified urinary incontinence
Time Frame: 6 month
|
The ICIQ-SF is a self-administered questionnaire composed of four questions that assess the frequency, severity and impact of UI, as well as a set of eight self-diagnosis items related to the causes or UI situations experienced by the respondents.
The final score is found from the sum of the score of questions 3, 4 and 5.
The overall score ranges from 0 to 21 points and the higher the score the greater the impact on the quality of life.
The impact on the quality of life is divided in such a way: no impact (0 point); Light impact (from 1 to 3 points); Moderate impact (from 4 to 6 points); Serious impact (from 7 to 9 points); And very serious impact (10 or more points
|
6 month
|
Quality of life Scale Questionaire
Time Frame: 1 month after
|
Scale questionaire
|
1 month after
|
Quality of life Scale Questionaire
Time Frame: 6 month after
|
Scale questionaire
|
6 month after
|
Quality of life Scale Questionaire
Time Frame: 1 year after
|
Scale questionaire
|
1 year after
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Behavioral Symptoms
- Mental Disorders
- Urologic Diseases
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urination Disorders
- Elimination Disorders
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Urinary Incontinence
- Enuresis
Other Study ID Numbers
- U1111-1192-4467
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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