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The Efficacy of Penile Rehabilitation Using Udenafil After Total Mesorectal Excision of Rectal Cancer

Phase 4
Completed
Conditions
Rectal Cancer
Interventions
Drug: Placebo drug
Registration Number
NCT01421940
Lead Sponsor
Kyungpook National University Hospital
Brief Summary

Sexual dysfunctions are well-recognized complications after rectal cancer surgery. Damage to the pelvic plexus and pelvic splanchnic nerves results in ejaculatory dysfunction. The purpose of this study is to evaluate the efficacy of Udenafil(Zydena®, Dong-A Pharmaceutical co., Ltd, Seoul, Korea) in penile rehabilitation for patients who undertake total mesorectal excision.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
80
Inclusion Criteria
  • Age : 20-65
  • Rectal cancer within 15cm from anal verge
  • Patients with more than 5 points decreased IIEF-5 after operation
  • Patients with sexual activity
Exclusion Criteria
  • Preoperative IIEF-5 : ≤14
  • Recent MI, CVA, nitrate medication
  • Severe cardiovascular disease, psychiatric disease
  • Severe hepatic dysfunction (GOT, GPT ≥100IU/L)
  • Renal dysfunction (Cr ≥2mg/dl)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ControlPlacebo drugIndividuals who take placebo after total mesorectal excision
UdenafilUdenafilIndividuals who take udenafil after total mesorectal excision
Primary Outcome Measures
NameTimeMethod
Change from baseline in International Index of Erectile Function (5-item Version) at 12 and 24 weekBaseline, 12weeks, 24 weeks

* IIEF-5 questionnaire is used to assess male erectile function

* IIEF-5 (5-item Version of the International Index of Erectile Function)is obtained by combining the scores of the responses to 5 questions. Each question is scored from 0-5 (1 questions is scored from 1-5) for IIEF-5 range of 1-25 points; lower numerical scores from the IIEF-5 questionnaire represnt greater severitt of erectile dysfunction.

Secondary Outcome Measures
NameTimeMethod
Number of patients with adverse events during 24 weeks of the studyBaseline through 24 weeks
Change from baseline in SEP Q2,Q3 and GEQbaseline, 12weeks, and 24 weeks

* SEP Q2 (Sexual encounter profile Q2) and SEP Q3 (Sexual encounter profile Q3) are used to assess erectile function

* The efficaty of medication is followed by GEQ (Global efficacy question).

Trial Locations

Locations (1)

Kyungpook National University Medical Center

🇰🇷

Daegu, Korea, Republic of

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