Status:

TERMINATED

Pharmacological Penile Rehabilitation in the Preservation of Erectile Function Following Bilateral Nerve-Sparing Radical Prostatectomy

Lead Sponsor:

Memorial Sloan Kettering Cancer Center

Collaborating Sponsors:

Pfizer

Conditions:

Penile Cancer

Erectile Dysfunction

Eligibility:

MALE

18+ years

Phase:

NA

Brief Summary

When a bilateral nerve-sparing radical prostatectomy (RP) is performed, recovery of erectile function (rigid erections) is reported for up to 80% of patients, who are less than 60 years old. Erectile ...

Eligibility Criteria

Inclusion

  • Male, must be ≥ 18 years of age, with histologically confirmed prostate adenocarcinoma, that is clinically localized to the prostate gland
  • Stable sexual relationship for ≥ 6 months
  • Open or laparoscopic bilateral nerve-sparing radical prostatectomy
  • Baseline score of ≥ 22 on the International Index of Erectile Function Domain (Appendix A)
  • Able to speak, read and write in the English language
  • Calculated creatinine clearance using the 4 variable MDRD equation based on serum creatinine, age, race, and gender of \> 60 cc/min
  • Patient is able to walk up two flights of stairs briskly without chest pain
  • Patient needs to have their baseline sitting AND standing blood pressure and pulse done at the time of consent

Exclusion

  • Preoperative or planned postoperative pelvic radiation therapy
  • Preoperative or planned postoperative androgen deprivation
  • Presence of Peyronie's disease at baseline
  • Presence of a penile prosthesis at baseline
  • Resection of one or both nerve bundles at surgery
  • Any contraindications to sildenafil:
  • Patient is currently using nitrates;
  • Presence of retinitis pigmentosa;
  • Presence macular degeneration;
  • MI or CVA within 3 months;
  • Patient is currently using MAOI medications
  • Patient is currently using penile self injection medication (Trimix, Bimix, or PGE-1)
  • Patient requiring sildenafil for penetration
  • Use of sildenafil within 30 days of consent

Key Trial Info

Start Date :

August 6 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 9 2020

Estimated Enrollment :

76 Patients enrolled

Trial Details

Trial ID

NCT00955929

Start Date

August 6 2009

End Date

December 9 2020

Last Update

November 10 2021

Active Locations (1)

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1

Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065