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on-invasive evaluation of urinary bladder contractility and urethral resistance after ProACT treatment of stress urinary incontinence in men: a pilot study.

Completed
Conditions
stress urinary incontinenceurine stress incontinentie
Registration Number
NL-OMON21192
Lead Sponsor
Erasmus Medical Center, Department of Urology
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
50
Inclusion Criteria

1. Male ≥ 18 years of age;

2. Subjectively dry after ProACT implantation for post-prostatectomy incontinence;

Exclusion Criteria

1. Unable to urinate in a standing position;

2. Maximum urinary flow rate below 5 ml/s;

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
From invasive pressure flow study (if applicable):<br /><br>1. Urethral resistance parameters (BOOI (Bladder Outlet Obstruction Index));<br /><br>2. Bladder contractility parameters (Wmax (maximum bladder contractility)).<br><br /><br /><br>From non-invasive condom catheter measurements:<br /><br>1. Isovolumetric bladder pressure (Pcond.max);<br /><br>2. URR (urethral resistance); an experimental non-invasive measure for bladder outlet obstruction, calculated from the<br>maximum condom pressure (Pcond.max) and the maximum free flow rate.
Secondary Outcome Measures
NameTimeMethod
From free flow-rate measurement:<br /><br>1. Maximum urinary flow-rate;<br /><br>2. Voided volume.<br><br /><br /><br>From invasive pressure flow study (if applicable):<br /><br>1. Detrusor pressure at maximum flow-rate;<br /><br>2. Maximum flow-rate;<br /><br>3. Urethral resistance parameters (URA (Urethral Resistance Factor), Average and slope of lowest part of PURR (Passive Urethral Resistance Relation));<br /><br>4. Bladder contractility parameters (BCI (Bladder Contractility Index)).<br><br /><br /><br>From non-invasive condom catheter measurements:<br /><br>1. Maximum flow-rate;<br /><br>2. Residual urine volume measured by transabdominal ultrasound;<br /><br>3. IPSS (International Prostate Symptom Score) questionnaire;<br /><br>4. QoL questionnaire.
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