Status:

UNKNOWN

Low Intensity Shock-wave Therapy (Li-ESWT) in Penile Rehabilitation After Radical Prostatectomy

Lead Sponsor:

Guy's and St Thomas' NHS Foundation Trust

Conditions:

Erectile Dysfunction Following Radical Prostatectomy

Eligibility:

MALE

40-65 years

Phase:

NA

Brief Summary

Erectile dysfunction (ED) is reported in up to 85% of men who have undergone a radical prostatectomy for prostate cancer. A few small studies have recently shown that low-intensity shockwave therapy m...

Detailed Description

Erectile dysfunction (ED) is reported in up to 85% of men who have undergone a radical prostatectomy for prostate cancer. At present, this debilitating consequence of surgery is managed in a step-wise...

Eligibility Criteria

Inclusion

  • Age 40 - 65
  • Diagnosed with low/intermediate-risk prostate cancer:
  • PSA \< 20 ng/ml
  • Gleason score \< 8
  • PCa stage =\< T2b
  • Baseline IIEF-ED 17-30 without erectogenic aids
  • No pre-operative urinary incontinence (no usage of urinary pads)
  • Sexually active
  • Able to understand and complete patient questionnaires
  • Consent to participate

Exclusion

  • Anatomical abnormalities in the genitalia or pelvic region
  • Post-RP complications that could impact safety or effectiveness of ESWT (eg. hematoma, fistula, unresolved anastomotic leak)
  • Incomplete tumor removal (positive surgical margin)
  • Tumor upstaging beyond T2b
  • Nerve sparing score \> 5
  • Previous or scheduled treatment with pelvic radiotherapy and/or androgen deprivation therapy
  • Untreated hypogonadism (serum total testosterone \< 300 mg/dL)
  • Anti-coagulant medication, except acetylsalicyclic acid up to 100mg daily
  • Any other condition that would prevent the patient from completing the study, as judged by the principle investigator

Key Trial Info

Start Date :

June 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2025

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT03862599

Start Date

June 1 2021

End Date

May 1 2025

Last Update

March 7 2023

Active Locations (1)

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1

Guy's and St Thomas' NHS Trust

London, United Kingdom