Actively Recruiting

Phase Not Applicable
Age: 18Years +
MALE
NCT06179654

Preoperative Pelvic Floor Physical Therapy to Minimize Stress Urinary Incontinence After Holmium Laser Enucleation of the Prostate

Led by The Cleveland Clinic · Updated on 2025-08-21

36

Participants Needed

1

Research Sites

152 weeks

Total Duration

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AI-Summary

What this Trial Is About

The purpose of this study is to allow us to assess the effectiveness (or success) of starting pelvic floor physical therapy (i.e. exercises for your pelvic muscles) prior to HoLEP (holmium laser enucleation of the prostate) surgery for enlarged prostates in order to manage or prevent urinary incontinence (i.e. leaking) after surgery (i.e. post-operatively). Your pelvic floor refers to the muscles under your bladder along your pelvic bones that prevent you from leaking urine or stool. Traditionally, pelvic floor physical therapy is started after surgery and continued until urinary continence (i.e. no leaking of urine) is regained. We want to assess if beginning pelvic floor physical therapy prior to surgery (and continuing afterwards) reduces the time required to regain urinary continence following HoLEP.

CONDITIONS

Official Title

Preoperative Pelvic Floor Physical Therapy to Minimize Stress Urinary Incontinence After Holmium Laser Enucleation of the Prostate

Who Can Participate

Age: 18Years +
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Male sex assigned at birth with a prostate
  • Age 18 years or older
  • All ethnic backgrounds and all BMI values
  • Scheduled for HoLEP surgery for benign prostatic hyperplasia or related urinary symptoms such as hematuria or urinary retention
Not Eligible

You will not qualify if you...

  • History of neurological disorders affecting muscle function or bladder control
  • Presence of pre-operative indwelling catheter or ureteral stent
  • Urethral stricture longer than 1 centimeter or requiring dilation/incision
  • Previous pelvic radiation treatment
  • Unable to give consent
  • Non-English speaking patients due to survey and follow-up requirements

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Actively Recruiting

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Research Team

S

Smita De

CONTACT

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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