| Unique ID issued by UMIN | UMIN000061323 |
|---|---|
| Receipt number | R000070161 |
| Scientific Title | Ultrasound-Guided Bilateral re-M-TAPA Block Versus Surgical Wound Infiltration for Postoperative Analgesia After Robot-Assisted Radical Prostatectomy: A Prospective Randomized Assessor-Blinded Parallel-Group Trial |
| Date of disclosure of the study information | 2026/04/20 |
| Last modified on | 2026/04/20 16:01:48 |
Comparison of Ultrasound-Guided Bilateral re-M-TAPA Block and Surgical Wound Infiltration for Postoperative Analgesia After Robot-Assisted Radical Prostatectomy
re-M-TAPA Prostate Trial
Ultrasound-Guided Bilateral re-M-TAPA Block Versus Surgical Wound Infiltration for Postoperative Analgesia After Robot-Assisted Radical Prostatectomy: A Prospective Randomized Assessor-Blinded Parallel-Group Trial
re-M-TAPA Prostate RCT
| Japan |
Prostate Cancer, Postoperative Pain
| Urology | Anesthesiology |
Malignancy
NO
The aim of this study is to evaluate the effect of ultrasound-guided bilateral re-M-TAPA block on postoperative analgesia compared with surgical wound infiltration in patients undergoing robot-assisted radical prostatectomy. The primary outcome is cumulative opioid consumption within 24 hours postoperatively, expressed as intravenous morphine milligram equivalents (MME). Secondary outcomes include postoperative pain scores (Numerical Rating Scale) at 2, 6, 12, and 24 hours, incidence of postoperative nausea and vomiting, time to first rescue analgesia, quality of recovery (QoR-15) at 24 hours, and sensory block distribution.
Efficacy
Cumulative opioid consumption within 24 hours postoperatively, expressed as intravenous morphine milligram equivalents (MME)
Postoperative pain scores (Numerical Rating Scale) at 2, 6, 12, and 24 hours; incidence of postoperative nausea and vomiting within 24 hours; time to first rescue analgesia; quality of recovery (QoR-15) at 24 hours; and sensory block distribution
Interventional
Parallel
Randomized
Individual
Single blind -investigator(s) and assessor(s) are blinded
Active
NO
NO
Institution is not considered as adjustment factor.
YES
Numbered container method
2
Treatment
| Maneuver |
In the intervention group, ultrasound-guided bilateral re-M-TAPA block will be performed after induction of general anesthesia and before the start of surgery. The type, concentration, and volume of local anesthetic will be determined according to the institutional protocol. Perioperative general anesthesia management and postoperative analgesic protocols will be standardized between the two groups.
In the control group, surgical wound infiltration with local anesthetic will be performed at the end of surgery. The type, concentration, and volume of local anesthetic will be determined according to the institutional protocol. Perioperative general anesthesia management and postoperative analgesic protocols will be standardized between the two groups.
| 20 | years-old | <= |
| Not applicable |
Male
Male patients aged 20 years or older
Scheduled for elective robot-assisted radical prostatectomy
American Society of Anesthesiologists (ASA) physical status 1-3
Provided written informed consent
History of allergy to local anesthetics
Chronic opioid use prior to surgery
Coagulopathy or ongoing anticoagulant therapy
Infection at the injection site
Severe obesity or anatomical difficulty precluding block performance
Cognitive impairment interfering with pain assessment
60
| 1st name | YUKIKO |
| Middle name | |
| Last name | YOSHIDA |
Kawasaki Medical School General Medical Center
Department of Anesthesiology and Critical Care Medicine
700-8505
2-6-1 Nakasange, Kita-ku, Okayama 700-8505, Japan
086-225-2111
funkii_tim@yahoo.co.jp
| 1st name | YUKIKO |
| Middle name | |
| Last name | YOSHIDA |
Kawasaki Medical School General Medical Center
Department of Anesthesiology and Critical Care Medicine
700-8505
2-6-1 Nakasange, Kita-ku, Okayama 700-8505, Japan
086-225-2111
funkii_tim@yahoo.co.jp
Kawasaki Medical School General Medical Center
yoshida yukiko
None
Other
Ethics Committee, Kawasaki Medical School
577 Matsushima, Kurashiki, Okayama 701-0192, Japan
086-462-1111
kenkyu-soudan@med.kawasaki-m.ac.jp
NO
| 2026 | Year | 04 | Month | 20 | Day |
Unpublished
Preinitiation
| 2026 | Year | 04 | Month | 25 | Day |
| 2026 | Year | 07 | Month | 01 | Day |
| 2027 | Year | 07 | Month | 01 | Day |
| 2026 | Year | 04 | Month | 20 | Day |
| 2026 | Year | 04 | Month | 20 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070161