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Patient-operated Valved Catheter Versus Indwelling Transurethral Catheter

Primary Purpose

Bladder Dysfunction, Urinary Retention

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Bladder catheter: OPTION-vf patient controlled catheter vs. indwelling transurethral catheter with leg bag
Transurethral catheter with leg bag
Sponsored by
University of Massachusetts, Worcester
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bladder Dysfunction focused on measuring Transurethral catheterization, Urinary retention, Bladder dysfunction, Patient comfort, Pelvic Reconstructive Surgery, Postoperative bladder dysfunction, Postoperative urinary retention

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • patients undergoing surgery for urinary incontinence and/or pelvic organ prolapse at the UMass Memorial Medical Center with one of the Urogynecology/Reconstructive Pelvic Surgery faculty.

Exclusion Criteria:

  • inability to provide consent
  • <18 years old
  • non-English speaking
  • patients using intermittent self-catheterization
  • patients sustaining bladder injury during surgery
  • prisoners
  • pregnant women

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    OPTION-vf patient controlled catheter

    Transurethral catheter w/leg bag

    Arm Description

    Patients who fail postop bladder challenge and are randomized to "OPTION-vf" arm will be instructed in the use and care of this catheter, discharged home with it in place and given an appointment between 5-10 days postop for a bladder challenge.

    Patients who fail postop bladder challenge and are randomized to "indwelling catheter with leg bag" arm will be instructed in the use and care of this catheter, discharged home with it in place and given an appointment between 5-10 days postop for a bladder challenge.

    Outcomes

    Primary Outcome Measures

    Total Catheter Related Pain
    Total Catheter Related Pain Range Scale (0 = none, to 10 = worst) on the Post Operative Questionnaire All subjects were given and appointment for an outpatient voiding trial after hospital discharge. The Post Operative questionnaire was completed by the subject one time at that appointment.

    Secondary Outcome Measures

    Composite Satisfaction Score (CSS)
    The mean scores for the first 5 questions of the Post Operative Questionnaire were used to calculate a Composite Satisfaction Score. Total Pain (0 none, 10 worst) Total Catheter Related Pain Range Scale (0 none, 10 worst) Ease of catheter use (0 easy, 10 difficult) Feeling of frustration (0 none, 10 very much) Limited social activities (0 none, 10 very much) All subjects were given and appointment for an outpatient voiding trial after hospital discharge. The Post Operative Questionnaire was completed by the subject one time at that appointment.

    Full Information

    First Posted
    October 19, 2011
    Last Updated
    May 2, 2018
    Sponsor
    University of Massachusetts, Worcester
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01460303
    Brief Title
    Patient-operated Valved Catheter Versus Indwelling Transurethral Catheter
    Official Title
    Clinical Trial of Patient Operated Valved Catheter Compared With Standard Indwelling Transurethral Catheter for Postoperative Bladder Management
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2011 (undefined)
    Primary Completion Date
    December 2015 (Actual)
    Study Completion Date
    December 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    University of Massachusetts, Worcester

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Following surgery for female urinary incontinence and/or pelvic organ prolapse, women are sometimes temporarily unable to empty their bladders and are sent home with a transurethral indwelling catheter attached to a bag which holds urine. The goal of this study is to compare a new type of patient-operated catheter without a bag to the catheter with a bag for ease of use, comfort and quality of life for patients during the postoperative recovery period. This new catheter, the OPTION-vf, is approved by the FDA and is available on the market.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Bladder Dysfunction, Urinary Retention
    Keywords
    Transurethral catheterization, Urinary retention, Bladder dysfunction, Patient comfort, Pelvic Reconstructive Surgery, Postoperative bladder dysfunction, Postoperative urinary retention

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    49 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    OPTION-vf patient controlled catheter
    Arm Type
    Experimental
    Arm Description
    Patients who fail postop bladder challenge and are randomized to "OPTION-vf" arm will be instructed in the use and care of this catheter, discharged home with it in place and given an appointment between 5-10 days postop for a bladder challenge.
    Arm Title
    Transurethral catheter w/leg bag
    Arm Type
    Active Comparator
    Arm Description
    Patients who fail postop bladder challenge and are randomized to "indwelling catheter with leg bag" arm will be instructed in the use and care of this catheter, discharged home with it in place and given an appointment between 5-10 days postop for a bladder challenge.
    Intervention Type
    Device
    Intervention Name(s)
    Bladder catheter: OPTION-vf patient controlled catheter vs. indwelling transurethral catheter with leg bag
    Other Intervention Name(s)
    OPTION-vf™ Valved Female Urinary Catheter, Patient Controlled Catheter
    Intervention Description
    OPTION-vf patient controlled catheter (transurethral catheter with external drainage valve to provide on-demand drainage of urine stored directly from the bladder), worn maximum of 30 days post-op until bladder challenge is passed. Bladder challenge is considered "passed" when a patient is able to void adequately and spontaneously (without the assistance of a catheter).
    Intervention Type
    Device
    Intervention Name(s)
    Transurethral catheter with leg bag
    Other Intervention Name(s)
    Foley catheter
    Intervention Description
    Transurethral catheter w/leg bag urine storage, worn maximum of 30 days post-up until bladder challenge is passed. Bladder challenge is considered "passed" when a patient is able to void adequately and spontaneously (without the assistance of a catheter).
    Primary Outcome Measure Information:
    Title
    Total Catheter Related Pain
    Description
    Total Catheter Related Pain Range Scale (0 = none, to 10 = worst) on the Post Operative Questionnaire All subjects were given and appointment for an outpatient voiding trial after hospital discharge. The Post Operative questionnaire was completed by the subject one time at that appointment.
    Time Frame
    5-10 days postoperatively
    Secondary Outcome Measure Information:
    Title
    Composite Satisfaction Score (CSS)
    Description
    The mean scores for the first 5 questions of the Post Operative Questionnaire were used to calculate a Composite Satisfaction Score. Total Pain (0 none, 10 worst) Total Catheter Related Pain Range Scale (0 none, 10 worst) Ease of catheter use (0 easy, 10 difficult) Feeling of frustration (0 none, 10 very much) Limited social activities (0 none, 10 very much) All subjects were given and appointment for an outpatient voiding trial after hospital discharge. The Post Operative Questionnaire was completed by the subject one time at that appointment.
    Time Frame
    5-10 days postoperatively

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: patients undergoing surgery for urinary incontinence and/or pelvic organ prolapse at the UMass Memorial Medical Center with one of the Urogynecology/Reconstructive Pelvic Surgery faculty. Exclusion Criteria: inability to provide consent <18 years old non-English speaking patients using intermittent self-catheterization patients sustaining bladder injury during surgery prisoners pregnant women
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Michael Flynn, MD
    Organizational Affiliation
    University of Massachusetts, Worcester
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

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    Patient-operated Valved Catheter Versus Indwelling Transurethral Catheter

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