Lymphoedema and Nocturia/ Nocturnal Polyuria After Pelvic Lymph Node Dissection for Urogenital Cancer (UroLymph)
Lower Limb Lymphedema, Urogenital Cancer
About this trial
This is an interventional treatment trial for Lower Limb Lymphedema focused on measuring manual lymph drainage
Eligibility Criteria
Inclusion Criteria:
- Patients included in the prospective observational study and developing lymphoedema within the first year after surgery
- Before inclusion, written informed consent must be given according to ICH/GCP, and national/local regulations.
Inclusion criteria of the prospective observational study were:
- Non-metastatic urogenital cancer (i.e. prostate cancer or bladder cancer)
- Pelvic lymph node dissection
Exclusion Criteria: same as for the prospective observational study:
- Radiological evidence of metastatic disease based on pelvic CT/MRI and bone scan
- Clinical signs of chronic venous insufficiency
Sites / Locations
- University Hospitals Leuven, campus GasthuisbergRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Usual care
Additional manual lymph drainage
Skin care, exercise and compression stocking: The patient has to wear custom-made compression thigh stocking(s) in case of unilateral/ bilateral swelling of the leg and has to wear a bermuda in case of swelling of the midline region. The patient continues the skin care and continues/ restarts exercise therapy with the home physical therapist 2 times a week. Frequency of exercises is gradually decreased: M1-3 2x/w, M4-6 1x/w, M7-9 1x/M; M10-12 only self-exercises.
Usual care + manual lymph drainage. Manual lymph drainage is performed by the home physical therapist. Every session lasts for 30 minutes. Frequency of manual lymph drainage is gradually decreased: M1-3 2x/w, M4-6 1x/w, M7-9 1x/M; M10-12 only self-MLD.