Augmented BLAdder NecK rEconstruction Trial for Improved Urinary Function After Radical Prostatectomy
- Conditions
- Urinary IncontinenceProstate CancerSurgery
- Interventions
- Procedure: Augmented Bladder Neck ReconstructionProcedure: Standard Bladder Neck Reconstruction
- Registration Number
- NCT04305379
- Lead Sponsor
- Johns Hopkins University
- Brief Summary
The investigators are conducting a prospective, randomized trial to investigate whether patients randomized to receive an augmented bladder neck reconstruction (aBNR) at the time of robotic-assisted laparoscopic prostatectomy experience improved urinary function post-operatively compared to patients who undergo prostatectomy with a standard BNR. An aBNR here consists of the autologous medial umbilical ligament sling as well as a bladder neck intussusception stitch. The standard BNR group will receive the intussusception stitch only.
- Detailed Description
A bladder neck reconstruction is a standard step in performing a radical prostatectomy. Over the years, various maneuvers to improve continence have been tried and studied including intussusception stitches and slings. Slings of various origins have been used by surgeons at the time of radical prostatectomy without consistent evidence demonstrating a benefit (vas deferens, biologic). However, use of the medial umbilical ligament to create a sling has not previously been studied in a randomized trial.
The medial umbilical ligaments are normally cut during intraperitoneal robotic-assisted laparoscopic radical prostatectomy to allow the surgeon access to the Retzius space between the bladder and pubic bone. To create a medial umbilical ligament autologous sling, the ligaments are dissected out and wrapped around the vesicourethral anastomosis.
The investigators are conducting a prospective, randomized trial to investigate whether patients randomized to receive an augmented bladder neck reconstruction (aBNR) at the time of robotic-assisted laparoscopic prostatectomy experience improved urinary function post-operatively compared to patients who undergo prostatectomy with a standard BNR. An aBNR here consists of the autologous medial umbilical ligament sling as well as a bladder neck intussusception stitch. The standard BNR group will receive the intussusception stitch only.
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- Male
- Target Recruitment
- 31
- Men aged 40 to 70 years of age with localized prostate cancer (clinical stage T2c or less, Gleason grade 5+5=10 or less without any evidence of distant metastases)
- Scheduled to undergo curative robot-assisted radical prostatectomy
- Planned pre-operative or post-operative (within 1 month) androgen therapy
- Planned pre-operative or post-operative (within 1 month) radiation therapy
- History of spinal trauma or surgery to the brain or spinal cord
- Pre-operative history of stress urinary incontinence
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Augmented Bladder Neck Reconstruction Augmented Bladder Neck Reconstruction Augmented Bladder Neck Reconstruction (Sling + Intussusception) Standard Bladder Neck Reconstruction Standard Bladder Neck Reconstruction Standard Bladder Neck Reconstruction (Intussusception Only)
- Primary Outcome Measures
Name Time Method EPIC Urinary Incontinence subscale score 1 Month Score of 0-100 on questionnaire with higher scores reflecting better health-related quality of life related to urinary incontinence (closer to 0 is more incontinence, closer to 100 is less incontinence).
- Secondary Outcome Measures
Name Time Method EPIC Urinary Incontinence subscale score 12 Months Score of 0-100 on questionnaire with higher scores reflecting better health-related quality of life related to urinary incontinence (closer to 0 is more incontinence, closer to 100 is less incontinence).
Trial Locations
- Locations (1)
Johns Hopkins Hospital
🇺🇸Baltimore, Maryland, United States