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/21883820Actively Recruiting
Age: 50Years - 90Years
MALE
ID05719220
The Effect of Group Preoperative Pelvic Floor Training on Transient Urinary Incontinence After Holmium Laser Enucleation of the Prostate: A Prospective Cohort Study
Led by University of California, San Francisco · Updated on 2025-01-17
100
Participants Needed
1
Research Sites
12 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to determine whether group pelvic floor training before Holmium laser enucleation of the prostate (HoLEP) surgery can help reduce early urinary incontinence after the procedure. The study focuses on patients diagnosed with benign prostatic hyperplasia (BPH) who are planning to undergo HoLEP. Researchers also seek to identify factors that might predict transient urinary incontinence following surgery. Participants will be divided into two groups: one receiving group preoperative pelvic floor training led by a physical therapist in sessions of 8-10 people for at least 4 weeks before surgery, and one receiving standard care without structured group training. The training includes weekly 45-minute classes where patients can attend multiple sessions to practice pelvic floor exercises before their operation. During the study, patients will be followed to assess urinary incontinence at 1 month and 3 months after surgery. Measurements will include urinary symptom questionnaires, pelvic floor muscle strength tests, and patient satisfaction surveys. Researchers will collect data on patient characteristics, imaging, and surgical details to analyze outcomes. The total study duration covers the preoperative training period and at least 3 months of postoperative follow-up.
CONDITIONS
Brief Title
Effect of Group Preoperative Pelvic Floor Training for HoLEP
Who Can Participate
Age: 50Years - 90Years
MALE
Eligibility Criteria
You may qualify if you...
- Diagnosis of benign prostatic hyperplasia (BPH) with planned HoLEP surgery
- Age between 50 and 90 years
- Ability to understand and provide informed consent
You will not qualify if you...
- Inability to perform pelvic floor training protocol
- Unwilling or unable to complete follow-up care
- Severe urinary incontinence due to neurological diseases such as stroke or spinal cord injuries
- Inability to read and understand the English language
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Group Preoperative Pelvic Floor Training
Duration - At least 4 weeks prior to surgery
Participants in the treatment group attend group pelvic floor training classes led by a physical therapist before surgery. They can attend weekly 45-minute group sessions as many times as they want, starting at least 4 weeks prior to their prostate surgery.
Weekly group classes for 4 weeks or more
Surgery
Duration - Day of surgery
Participants undergo Holmium Laser Enucleation of the Prostate (HoLEP) surgery.
1 visit (in-person)
Postoperative Follow-up
Duration - 3 months after surgery
Participants are followed for outcomes related to urinary incontinence and pelvic floor muscle strength at 1 month and 3 months after surgery.
2 visits (in-person) at 1 month and 3 months post-surgery
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
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/30572440Management 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/34384236Predictor of de novo urinary incontinence following holmium laser enucleation of the prostate.
Min Chul Cho, Ji Hyun Park, Min Su Jeong...
https://pubmed.ncbi.nlm.nih.gov/21538499Risk Factors for Transient Urinary Incontinence after Holmium Laser Enucleation of the Prostate.
Jong Kil Nam, Hyeon Woo Kim, Dong Hoon Lee...
https://pubmed.ncbi.nlm.nih.gov/26331125Comparison 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/27032559Predictive 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/32219512Improvement 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/31092098Pelvic 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/17433028Preoperative 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