Unique ID issued by UMIN | UMIN000046560 |
---|---|
Receipt number | R000052932 |
Scientific Title | The effect of ultrasound-guided floor muscle training on urinary incontinence in patients after robot-assisted radical prostatectomy |
Date of disclosure of the study information | 2022/01/06 |
Last modified on | 2022/01/06 10:48:01 |
The effect of ultrasound-guided floor muscle training on urinary incontinence in patients after robot-assisted radical prostatectomy
The effect of ultrasound-guided floor muscle training on urinary incontinence in patients after robot-assisted radical prostatectomy
The effect of ultrasound-guided floor muscle training on urinary incontinence in patients after robot-assisted radical prostatectomy
The effect of ultrasound-guided floor muscle training on urinary incontinence in patients after robot-assisted radical prostatectomy
Japan |
Prostate cancer
Urology |
Malignancy
NO
We will clarify whether the guidance of pelvic floor muscle exercises under abdominal ultrasonography, which could monitor the movement of pelvic floor muscles, contributes to the improvement of urinary incontinence rate in comparison with the paper-based pelvic floor muscle training guidance group.
Efficacy
Urinary incontinence rate during hospitalization and at 1,3,6 months after operation.
(1)Mental burden of performing ultrasonic examination(2)Do you feel that pelvic floor muscle exercises contribute to the improvement of urinary incontinence? (questionnaire) (3)Whether they feel they are getting effective training. (questionnaire)(4)Whether pelvic floor muscle training is still being provided after discharge from the hospital (questionnaire)(5)How do you feel about the degree of urinary incontinence (questionnaire)?(6)Urinary incontinence rate in the nerve-sparing group(7)Urinary incontinence rate in the non-nerve-preserving group.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Placebo
2
Educational,Counseling,Training
Maneuver |
The subjects were patients undergoing robot assisted radical prostatectomy(RARP). Fifty patients received pelvic floor muscle exercise instruction on ultrasound in addition to paper instruction. The survey will include measurements of daily urine volume and frequency, in-diaper urinary incontinence volume, and urinary incontinence rate, as well as a questionnaire on the implementation and effectiveness of the training. Allocation method: After obtaining consent to participate in the study, a distinction was made between groups of patients who underwent nerve-sparing and non-sparing techniques. Then the instructional method was assigned in each. Among the nerve-sparing/non-nerve sparing techniques, the age group was divided by decade. The odd numbers in the built-in order are divided into the instruction group under abdominal ultrasound, and the even numbers are divided into the instruction group on paper.
Instruct pelvic floor muscle training using pamphlets with/without abdominal ultrasonography before and after surgery. From the day after removal of the urethral catheter, daily urine volume and frequency, as well as the amount of urinary incontinence in the diaper, were measured. The urinary incontinence rate is calculated from the daily urine volume and the amount of urinary incontinence in the diaper. In addition, a questionnaire survey will be conducted in the period leading up to discharge from the hospital. At the outpatient visit 1 month, 3 months, and 6 months after discharge, the research members collect information on the daily urine volume and frequency, and the amount of urinary incontinence in the diaper from the urination diary. The urinary incontinence rate is calculated.
Fifty patients who underwent RARP, will be trained with only paper-based pelvic floor muscle exercise instruction.
In this group, as in the therapeutic intervention group, the groups were divided by the presence or absence of nerve preservation and stratified by age.
The content of the survey is the same as in the treatment intervention group.
50 | years-old | <= |
Not applicable |
Male
Patients who meet all of the following criteria are included.
(1) Robot-assisted radical prostatectomy patient.
(2) Age: At the time of obtaining consent, the age is 50 years or older.
(3) Gender: Male.
(4)Inpatient / Outpatient: Inpatient and outpatient.
(5) Patients who have fully understood the sufficient explanation of this study and have given written consent of their own free will.
(1) Patients with cognitive decline who are judged by the principal investigator. And sub-investigators to be unsuitable as subjects, and patients who cannot understand the instruction and cannot perform pelvic floor muscle training on their own will.
(2) In addition, patients who are judged by the principal investigator to be inappropriate as research subjects.
(3) Patients who continue to take concomitantly prohibited or excluded drugs after surgery.
Banned drugs: Drugs that may reduce urinary incontinence.
1)Stress Urinary Incontinence Treatment.
2)Overactive bladder remedies.
Concomitant exclusions: Drugs that may reduce urinary incontinence.
1)Other anticholinergic agents.
100
1st name | Issei |
Middle name | |
Last name | Hirai |
University of Fukui Hospital
Nursing Department
910-1193
23-3 Matsuoka Shimoaizuki,Eiheiji-cho,Yoshida-gun,Fukui 910-1193 Japan
0776-61-3111
isseihri@u-fukui.ac.jp
1st name | Issei |
Middle name | |
Last name | Hirai |
University of Fukui Hospital
Nursing Department
910-1193
23-3 Matsuoka Shimoaizuki,Eiheiji-cho,Yoshida-gun,Fukui 910-1193 Japan
0776-61-3111
isseihri@u-fukui.ac.jp
University of Fukui Hospital
None
Self funding
Medical Research Support Center/University of Fukui Hospital
23-3 Matsuoka Shimoaizuki,Eiheiji-cho,Yoshida-gun,Fukui 910-1193 Japan
0776-61-8529
chiken@ml.u-fukui.ac.jp
NO
2022 | Year | 01 | Month | 06 | Day |
Unpublished
Open public recruiting
2020 | Year | 09 | Month | 25 | Day |
2020 | Year | 09 | Month | 25 | Day |
2020 | Year | 09 | Month | 25 | Day |
2022 | Year | 03 | Month | 31 | Day |
2022 | Year | 01 | Month | 06 | Day |
2022 | Year | 01 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052932