Actively Recruiting

Age: 50Years - 90Years
MALE
ID05719220

Effect of Group Preoperative Pelvic Floor Training on Urinary Incontinence After HoLEP Surgery A Prospective Study Evaluating Pelvic Floor Training Before Holmium Laser Enucleation of the Prostate

Led by University of California, San Francisco · Updated on 2025-01-17

100

Participants Needed

1

Research Sites

111 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating if group pelvic floor training before Holmium laser enucleation of the prostate (HoLEP) surgery can reduce the chance of urinary incontinence afterward. This study focuses on patients diagnosed with benign prostatic hyperplasia (BPH) and aims to understand how this training may help manage urinary incontinence that can happen after the procedure. It is designed as a prospective cohort study following patients over time to observe outcomes and potential influencing factors. Patients in the treatment group will participate in group pelvic floor training sessions led by a trained physical therapist. These sessions, held weekly for 45 minutes, will group 8 to 10 patients together and cover basic pelvic floor training techniques. Participants are encouraged to attend at least one class starting four weeks before surgery but may attend more if they wish to practice further. The study will compare patients who receive this group training to those who do not, monitoring the frequency of attendance and its impact. During the study, about 100 patients will be followed, with data collected on their demographics, imaging before surgery, and surgical details. Researchers will assess the incidence of urinary incontinence at one month and three months after surgery. Participants will be tracked over these time points to measure outcomes, with the goal of identifying predictors of urinary incontinence and evaluating how group pelvic floor training influences recovery and continence after HoLEP.

CONDITIONS

Official Title

Effect of Group Preoperative Pelvic Floor Training for HoLEP

Who Can Participate

Age: 50Years - 90Years
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Consecutive patients diagnosed with BPH planning to undergo HoLEP
  • Aged between 50 and 90 years
  • Ability to understand and provide informed consent
Not Eligible

You will not qualify if you...

  • Unable to perform pelvic floor training protocol
  • Unwilling or unable to complete follow-up care
  • Severe urinary incontinence caused by neurological diseases such as stroke or spinal cord injury
  • Unable to read and understand English

AI-Screening

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Trial Site Locations

Total: 1 location

1

University of California, San Francisco

San Francisco, California, United States, 94143

Actively Recruiting

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Research Team

V

Victoria Hogue

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Published Research Related To This Trial

Long-term results of a randomized trial comparing holmium laser enucleation of the prostate and transurethral resection of the prostate: results at 7 years.

Peter J Gilling, Liam C Wilson, Colleen J King...

https://pubmed.ncbi.nlm.nih.gov/21883820

Transurethral procedures in the treatment of benign prostatic hyperplasia: A systematic review and meta-analysis of effectiveness and complications.

Feng Sun, Xincheng Sun, Qinglu Shi...

https://pubmed.ncbi.nlm.nih.gov/30572440

Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA GUIDELINE PART II-Surgical Evaluation and Treatment.

Lori B Lerner, Kevin T McVary, Michael J Barry...

https://pubmed.ncbi.nlm.nih.gov/34384236

Comparison of Predictive Factors for Postoperative Incontinence of Holmium Laser Enucleation of the Prostate by the Surgeons' Experience During Learning Curve.

Katsumi Shigemura, Kazushi Tanaka, Fukashi Yamamichi...

https://pubmed.ncbi.nlm.nih.gov/27032559

Predictive factors of urinary incontinence after holmium laser enucleation of the prostate: a multicentric evaluation.

Vianney Houssin, Jonathan Olivier, Martin Brenier...

https://pubmed.ncbi.nlm.nih.gov/32219512

Improvement of Urinary Incontinence, Life Impact, and Depression and Anxiety With Modified Pelvic Floor Muscle Training After Radical Prostatectomy.

Li-Hui Pan, Mei-Hsiu Lin, See-Tong Pang...

https://pubmed.ncbi.nlm.nih.gov/31092098

Pelvic floor muscle training to improve urinary incontinence after radical prostatectomy: a systematic review of effectiveness.

Roderick MacDonald, Howard A Fink, Chad Huckabay...

https://pubmed.ncbi.nlm.nih.gov/17433028

Preoperative pelvic floor muscle exercise for early continence after radical prostatectomy: a randomised controlled study.

Antonia Centemero, Lorenzo Rigatti, Donatella Giraudo...

https://pubmed.ncbi.nlm.nih.gov/20227168