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Effects of External Electric Stimulating in Individuals With Urinary Incontinence After Prostatectomy

Primary Purpose

Urinary Incontinence

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
ES application
Sham application
Sponsored by
Ataturk Training and Research Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Urinary Incontinence

Eligibility Criteria

40 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Being a male individual with stress or stress-dominant mixed UI symptoms after undergoing prostatectomy surgery for prostate cancer in the urology clinic
  • Being over 40 years old
  • Being 24 and over with Mini Mental Test results in individuals over 65 years of age.
  • Not having residual cancerous tissue
  • Volunteering to participate in the study

Exclusion Criteria:

  • Having serious cardiovascular disease (unstable angina and arrhythmia patients, heart failure patients, etc.)
  • Having sensory loss
  • Having an ongoing urinary infection
  • Having only urgency urinary incontinence
  • Using a pacemaker
  • Receiving active cancer treatment (radiotherapy, chemotherapy)
  • Lack of evaluation parameters
  • Not continuing the treatment regularly

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Sham Comparator

    Arm Label

    ES group

    Sham group

    Arm Description

    External neuromuscular electrical stimulation was applied to the patients in supine position. It was applied for 30 minutes 3 days a week for 8 weeks. This stimulation consists of a total of eight external electrodes, including 2 sheaths wrapped around the thigh area and 4 electrodes for each leg. Electrodes were placed on the anterior and posterior proximal thighs, buttocks, and outside of the hips. The treatment protocol was applied with symmetrical biphasic current at a frequency of 50 Hertz (Hz), with stimulation and rest periods of 5 seconds of contraction and 5 seconds of rest.

    In the Sham group, for 45 minutes, 2 days a week, a vacuum electrode was connected from combined vacuum electrotherapy device over the pelvis and thigh, and only vacuum was applied while the patient was in the supine position, and no current was given from the applied device.

    Outcomes

    Primary Outcome Measures

    Pad Test
    A 1-hour pad test will be applied. Beginning with an empty bladder, a pre-weighed sanitary napkin will be inserted into the underwear. The patient will be asked to drink 500 ml of water within 15 minutes and then remain active for half an hour. Then, various activities will be made to the patient to provoke involuntary urine leakage with a full bladder. weight will be measured.
    UI symptoms
    The ICIQ_SF is a UI questionnaire that evaluates symptom type and severity. It consists of 6 questions in total and the total score is 3., 4., 5. It is obtained by adding the scores they get from the questions

    Secondary Outcome Measures

    Life quality
    Life quality will be assessed with King's Health Questionnaire (KHQ).This questionnaire consists of two parts and 32 items.. The minimum possible score is 0 (best health) and the maximum possible score is 100 (worst health).
    Sexual Function
    Evaluation of sexual functions will be evaluated with International Index of Erectile Function IIEF-5 (IIEF-5), which is one of the most commonly used forms in men presenting with sexual complaints. It includes 5 main topics; erectile function, orgasm function, sexual desire, sexual intercourse satisfaction and general satisfaction are questioned with a total of 5 questions. Each question gets a score between 0-5. Total score; severe (5-7), moderate (8-11), mild-moderate (12-16), mild (17-21), no erectile dysfunction (22-25).
    Evaluation of Subjective Improvement Perception
    The subjective improvement of UI symptoms pf the patients after treatment was evaluated using a 4-item Likert-type scale.
    Evaluation of Treatment Satisfaction
    After the 8-week treatment program, the patients' satisfaction with the treatment for UI was evaluated using a 5-item Likert-type scale.

    Full Information

    First Posted
    November 17, 2021
    Last Updated
    November 17, 2021
    Sponsor
    Ataturk Training and Research Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05127447
    Brief Title
    Effects of External Electric Stimulating in Individuals With Urinary Incontinence After Prostatectomy
    Official Title
    Effects of External Electric Stimulating in Individuals With Urinary Incontinence After Prostatectomy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2021
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    December 2021 (Anticipated)
    Primary Completion Date
    July 2022 (Anticipated)
    Study Completion Date
    December 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Ataturk Training and Research Hospital

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    The aim of this study is to investigate effects of external electric stimulating in individuals with urinary incontinence after prostatectomy.
    Detailed Description
    Urinary incontinence (UI) is common in men after prostotectomy, and patients' quality of life is adversely affected. In addition, electric stimulation (ES) can be played an important role in the management of UI . However, there are limitations in clearly demonstrating the effects of ES on men with UI after prostatectomy.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Urinary Incontinence

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    Participants will be randomly divided into two groups (such as ES and sham groups)
    Masking
    Outcomes Assessor
    Allocation
    Randomized
    Enrollment
    40 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    ES group
    Arm Type
    Experimental
    Arm Description
    External neuromuscular electrical stimulation was applied to the patients in supine position. It was applied for 30 minutes 3 days a week for 8 weeks. This stimulation consists of a total of eight external electrodes, including 2 sheaths wrapped around the thigh area and 4 electrodes for each leg. Electrodes were placed on the anterior and posterior proximal thighs, buttocks, and outside of the hips. The treatment protocol was applied with symmetrical biphasic current at a frequency of 50 Hertz (Hz), with stimulation and rest periods of 5 seconds of contraction and 5 seconds of rest.
    Arm Title
    Sham group
    Arm Type
    Sham Comparator
    Arm Description
    In the Sham group, for 45 minutes, 2 days a week, a vacuum electrode was connected from combined vacuum electrotherapy device over the pelvis and thigh, and only vacuum was applied while the patient was in the supine position, and no current was given from the applied device.
    Intervention Type
    Device
    Intervention Name(s)
    ES application
    Intervention Description
    Electrical stimulation (ES) application will be given to the ES group
    Intervention Type
    Other
    Intervention Name(s)
    Sham application
    Intervention Description
    Only vacuum was applied and no current was given from the applied device
    Primary Outcome Measure Information:
    Title
    Pad Test
    Description
    A 1-hour pad test will be applied. Beginning with an empty bladder, a pre-weighed sanitary napkin will be inserted into the underwear. The patient will be asked to drink 500 ml of water within 15 minutes and then remain active for half an hour. Then, various activities will be made to the patient to provoke involuntary urine leakage with a full bladder. weight will be measured.
    Time Frame
    change from baseline at 8 weeks
    Title
    UI symptoms
    Description
    The ICIQ_SF is a UI questionnaire that evaluates symptom type and severity. It consists of 6 questions in total and the total score is 3., 4., 5. It is obtained by adding the scores they get from the questions
    Time Frame
    change from baseline at 8 weeks
    Secondary Outcome Measure Information:
    Title
    Life quality
    Description
    Life quality will be assessed with King's Health Questionnaire (KHQ).This questionnaire consists of two parts and 32 items.. The minimum possible score is 0 (best health) and the maximum possible score is 100 (worst health).
    Time Frame
    change from baseline at 8 weeks
    Title
    Sexual Function
    Description
    Evaluation of sexual functions will be evaluated with International Index of Erectile Function IIEF-5 (IIEF-5), which is one of the most commonly used forms in men presenting with sexual complaints. It includes 5 main topics; erectile function, orgasm function, sexual desire, sexual intercourse satisfaction and general satisfaction are questioned with a total of 5 questions. Each question gets a score between 0-5. Total score; severe (5-7), moderate (8-11), mild-moderate (12-16), mild (17-21), no erectile dysfunction (22-25).
    Time Frame
    change from baseline at 8 weeks
    Title
    Evaluation of Subjective Improvement Perception
    Description
    The subjective improvement of UI symptoms pf the patients after treatment was evaluated using a 4-item Likert-type scale.
    Time Frame
    after treatment (8th week)
    Title
    Evaluation of Treatment Satisfaction
    Description
    After the 8-week treatment program, the patients' satisfaction with the treatment for UI was evaluated using a 5-item Likert-type scale.
    Time Frame
    after treatment (8th week)

    10. Eligibility

    Sex
    Male
    Gender Based
    Yes
    Gender Eligibility Description
    Participants with post-prostatectomy urinary incontinence
    Minimum Age & Unit of Time
    40 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Being a male individual with stress or stress-dominant mixed UI symptoms after undergoing prostatectomy surgery for prostate cancer in the urology clinic Being over 40 years old Being 24 and over with Mini Mental Test results in individuals over 65 years of age. Not having residual cancerous tissue Volunteering to participate in the study Exclusion Criteria: Having serious cardiovascular disease (unstable angina and arrhythmia patients, heart failure patients, etc.) Having sensory loss Having an ongoing urinary infection Having only urgency urinary incontinence Using a pacemaker Receiving active cancer treatment (radiotherapy, chemotherapy) Lack of evaluation parameters Not continuing the treatment regularly
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Seyda Toprak Celenay
    Phone
    +90312 906 1000
    Email
    sydtoprak@hotmail.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Seyda Toprak Celenay
    Organizational Affiliation
    Ankara Yildirim Beyazıt University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

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    Effects of External Electric Stimulating in Individuals With Urinary Incontinence After Prostatectomy

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