- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03614429
Urethral Sterilization With Chlorhexidine Digluconate to Facilitate Primary Repair & Same-Session Implantation
Management of Urethral Injury During Penile Prosthesis Implantation: Urethral Sterilization With Chlorhexidine Digluconate to Facilitate Primary Repair and Same-Session Implantation
The introduction of penile implants has revolutionized the management of male erectile dysfunction. However, a number of intraoperative complications may occur, which have a major impact on clinical outcomes and patient satisfaction such as bleeding, infection and urethral injury.
Patients undergoing penile implant surgery with fibrotic corpora (e.g., after priapism, after infection, or with Peyronie disease) have a higher risk rates of urethral perforation. This may be related to previous scarring, the difficultly in dilating scarred and fibrotic corpora and its inherent risk of corporal crossover and urethral perforation.
This work examines the efficacy of pre-operative urethral sterilization in rendering the urethra as sterile as the skin of the genital area, with the skin sterilized as per the ISSM guidelines for penile prosthesis implantation, thereby allowing primary repair of urethral injuries should they occur, and implantation in the same setting, without a higher risk of infection.
The study will involve 100 male patients undergoing aseptic surgery (regardless the procedure). Patients will be divided into two groups:
Group 1: control group, n=50 Group 2: Chlorhexidine group (Ch group), n=50 Pre-operatively, urethral instillation with Chlorhexidine gel will be performed for the Ch group, while for the control group, instillation will not be performed.
After conclusion of surgery and with the patient on the operative table, the following swabs will be obtained:
- A penile skin swab.
- A urethral swab. Skin and urethral swabs will be compared for bacterial colonization by culture and sensitivity, across the two groups.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
study design Comparative experimental (interventional) study Sample size
The study will involve 100 male patients undergoing aseptic surgery (regardless the procedure). Patients will be divided into two groups:
Group 1: control group, n=50 Group 2: Chlorhexidine group (Ch group), n=50
Pre-operatively, urethral instillation with Chlorhexidine gel will be performed for the Ch group, while for the control group, instillation will not be performed.
Chlorhexidine gel will be prepared according to an international product; Instillagel®, used prior to urethral catheterization as analgesic / anti-septic, with the following composition:
6ml of Instillagel® gel contain: 117.6mg lidocaine hydrochloride, 3.1mg chlorhexidine digluconate, 3.8mg methyl hydroxybenzoate (E218), 1.6mg propyl hydroxybenzoate (E216) 11ml of Instillagel® gel contain: 215.7mg lidocaine hydrochloride, 5.8mg chlorhexidine digluconate, 6.9mg methyl hydroxybenzoate (E218), 2.9mg propyl hydroxybenzoate (E216)
The other ingredients are:
Hyetellose, propylene glycol* (E 1520), sodium hydroxide and purified water. Intra-operatively, the Ch group will receive Chlorhexidine instillation again before surgery, while the control group will not.
For both groups, skin sterilization will be performed according to the ISSM "International Society of Sexual Medicine" guidelines for skin preparation before penile prosthesis surgery (Darren J. Katz et.al 2012)
After conclusion of surgery and with the patient on the operative table, the following swabs will be obtained:
- A penile skin swab.
- A urethral swab.
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Osama K Shaeer, M.D., PhD
- Phone Number: +201006600606
- Email: osamashaeer@gmail.com
Study Contact Backup
- Name: Islam F.S. Abdelrahman, M.D.
- Phone Number: +201004244360
- Email: islamandrology@yahoo.com
Study Locations
-
-
-
Cairo, Egypt, 11553
- Recruiting
- Andrology department - Kasr El Aini Hospitals - Faculty of Medicine - Cairo University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male patients aged 20-50 years-old or older undergoing a sterile surgical procedure
Exclusion Criteria:
- Unwilling patient for this procedure
- Patients with history of urethral surgery, urinary calculi, urethral structure, or ongoing pyospermia, prostatitis or pyuria will be excluded, and so will be patients undergoing non-sterile surgeries such as abscess drainage.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Control
Group 1: control group, n=50 Male patients undergoing aseptic surgery (regardless the procedure) Inclusion criteria Male patients aged 20-50 years-old or older undergoing a sterile surgical procedure. Exclusion criteria Unwilling patient for this procedure Patients with history of urethral surgery, urinary calculi, urethral structure, or ongoing pyospermia, prostatitis or pyuria will be excluded, and so will be patients undergoing non-sterile surgeries such as abscess drainage. |
|
Experimental: Ch group
Group 2: Chlorhexidine group (Ch group), n=50 Male patients undergoing aseptic surgery (regardless the procedure) Inclusion criteria Male patients aged 20-50 years-old or older undergoing a sterile surgical procedure. Exclusion criteria Unwilling patient for this procedure Patients with history of urethral surgery, urinary calculi, urethral structure, or ongoing pyospermia, prostatitis or pyuria will be excluded, and so will be patients undergoing non-sterile surgeries such as abscess drainage. |
Pre-operatively, urethral instillation with Chlorhexidine gel will be performed for the Ch group, while for the control group, instillation will not be performed. Chlorhexidine gel will be prepared according to an international product; Instillagel®, used prior to urethral catheterization as analgesic / anti-septic, with the following composition: 6ml of Instillagel® gel contain: 117.6mg lidocaine hydrochloride, 3.1mg chlorhexidine digluconate, 3.8mg methyl hydroxybenzoate (E218), 1.6mg propyl hydroxybenzoate (E216) 11ml of Instillagel® gel contain: 215.7mg lidocaine hydrochloride, 5.8mg chlorhexidine digluconate, 6.9mg methyl hydroxybenzoate (E218), 2.9mg propyl hydroxybenzoate (E216) The other ingredients are: Hyetellose, propylene glycol* (E 1520), sodium hydroxide and purified water. Intra-operatively, the Ch group will receive Chlorhexidine instillation again before surgery, while the control group will not. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Bacterial colonization by culture and sensitivity
Time Frame: 4 days
|
After conclusion of surgery and with the patient on the operative table, the following swabs will be obtained:
|
4 days
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
Other Study ID Numbers
- 1-4-2018
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
product manufactured in and exported from the U.S.
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.
Clinical Trials on Penile Prosthesis; Complications
-
Centre Hospitalier Universitaire de NiceUnknownSurgery | Satisfaction | Penile Prosthesis; ComplicationsFrance
-
Al-Azhar UniversityNot yet recruitingPenile Prosthesis Infection | Penile Prosthesis; Complications, Infection or Inflammation
-
Cairo UniversityActive, not recruitingTo Try to Eliminate Frequencies of Insertions in Order to Arrive to Adequate Size of Implanted Penile ProsthesisEgypt
-
Cukurova UniversityCompletedSurvival, Prosthesis | Clinical Acceptability, ProsthesisTurkey
-
Dentsply Sirona Implants and ConsumablesRecruitingDental Prosthesis Failure | Dental Prosthesis ComplicationUnited States
-
University of EdinburghCambridge University Hospitals NHS Foundation Trust; NHS Lothian; Papworth Hospital... and other collaboratorsActive, not recruitingHeart; Complications, Valve, Prosthesis
-
Hospices Civils de LyonNot yet recruiting
-
Cairo UniversityNot yet recruiting
-
Mansoura UniversityCompletedProsthesis DurabilityEgypt
-
Mansoura UniversityCompletedProsthesis DurabilityEgypt