Actively Recruiting
Pre-Operative Nurse-Led Education With Direct Physiotherapy Referral to Reduce Post-Prostatectomy Incontinence
Led by Royal College of Surgeons, Ireland · Updated on 2026-02-23
80
Participants Needed
1
Research Sites
52 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Urinary incontinence often occurs after radical prostatectomy and can greatly affect quality of life. This trial examines whether a structured pre-operative education program combined with direct referral to pelvic floor physiotherapy can reduce urinary incontinence after surgery compared to the usual care. The study is a single-centre, parallel-group randomized controlled trial involving men scheduled for radical prostatectomy at Beaumont Hospital. Participants are randomly assigned to one of two groups. The standard care group receives an educational video and a recommendation for physiotherapy, but patients must initiate their own referral. The intervention group receives a one-to-one education session led by an Advanced Nurse Practitioner, a scheduled follow-up call 7 to 10 days after surgery, and direct referral to supervised pelvic floor physiotherapy. Follow-up visits take place at 6 weeks and 3 months after surgery. During the study, participants will track their urinary pad use over 7 days, and researchers will measure the average number of pads used per day at 3 months. Other assessments include the time it takes to regain continence, quality of life surveys, physiotherapy adherence, and any complications within 90 days after surgery. The total participation involves observation and follow-up for at least 3 months post-operatively.
CONDITIONS
Brief Title
Pre-Operative Nurse-Led Education With Direct Physiotherapy Referral to Reduce Post-Prostatectomy Incontinence
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Male patients aged 2 18 years or older
- Diagnosed with prostate cancer
- Scheduled for radical prostatectomy (open, laparoscopic, or robotic-assisted)
- Able to provide written informed consent
You will not qualify if you...
- Pre-existing urinary incontinence requiring pad use
- Prior pelvic radiotherapy
- Prior prostate surgery affecting continence outcomes
- Medical contraindication to participation in pelvic floor physiotherapy
- Inability to provide informed consent
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to the day of surgery
Participants receive either standard pre-operative counselling with an educational video and patient-initiated physiotherapy referral, or a structured one-to-one education session with direct referral to supervised pelvic floor physiotherapy.
1 visit (in-person)
Duration - Up to 1 week or until hospital discharge
Participants undergo radical prostatectomy surgery and immediate recovery.
Duration - Approximately 3 months after surgery
Intervention group participants receive a scheduled follow-up telephone call 7-10 days after surgery to support physiotherapy uptake. Participants engage in pelvic floor physiotherapy as recommended.
1 telephone call 7-10 days post-operatively and follow-up visits at 6 weeks and 3 months post-operatively
Trial Site Locations
Total: 1 location
1
Beaumont RCSI Cancer Centre
Beaumont, Dublin, Ireland, D09V2N0
Actively Recruiting
Research Team
S
Sara White
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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