Actively Recruiting

Phase Not Applicable
Age: 18Years - 89Years
All Genders
ID04527445

Reduction in Fluoroscopy Radiation Exposure During Lead Implantation for Sacral Neuromodulation: A Randomized Prospective Study

Led by Loma Linda University · Updated on 2026-03-06

44

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to compare radiation exposure during lead placement in sacral neuromodulation procedures for patients with overactive bladder. It evaluates conventional fluoroscopy settings against an experimental reduced radiation technique to understand differences in radiation exposure and related outcomes. The study is randomized and conducted in an operating room setting with patients scheduled for lead implantation. Participants will be randomly assigned to one of two groups: the experimental group receiving reduced radiation fluoroscopy, where the C-arm is set at 1 pulse per second with reduced current, or the control group receiving conventional fluoroscopy at 30 pulses per second with default current. The surgeon may adjust settings during the procedure for optimal lead placement and safety, with any changes recorded. During the study, researchers will measure radiation exposure, optimal lead placement, operative complications, and operative times at the time of surgery. Additionally, participants will complete bladder voiding logs and clinical questionnaires three months after surgery to assess outcomes. The study begins in June 2026 and continues until June 2027, with no masking or blinding applied.

CONDITIONS

Brief Title

Fluoroscopy Radiation Reduction During Sacral Neuromodulation Lead Placement

Who Can Participate

Age: 18Years - 89Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients undergoing lead implantation for sacral neuromodulation
  • Diagnosis of overactive bladder characterized by urinary urgency, frequency, nocturia, with or without urgency incontinence
  • Age between 18 and 89 years
  • Able to provide consent and undergo surgery
Not Eligible

You will not qualify if you...

  • Diagnosis of neurogenic bladder
  • Body mass index greater than 40
  • Presence of peripheral neuropathy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Day of surgery

Participants undergo lead implantation surgery with fluoroscopy using either reduced radiation settings or conventional settings during the procedure.

1 surgical visit (in-person)

Follow-up

Duration - 3 months

Participants are monitored for clinical outcomes, voiding function, and any complications after surgery.

Approximately 2 follow-up visits over 3 months

Trial Site Locations

Total: 1 location

1

Loma Linda University Health

Loma Linda, California, United States, 92354

Actively Recruiting

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Research Team

F

Forrest Jellison, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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