Preoperative Pelvic Floor Physical Therapy to Minimize Stress Urinary Incontinence After Holmium Laser Enucleation of the Prostate

Part of paid clinical trials in Cleveland, Ohio.

Sponsor
The Cleveland Clinic
Study ID
NCT06179654
Status
Recruiting
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Conditions

  • Benign Prostatic Hyperplasia With Outflow Obstruction
  • Lower Urinary Tract Symptoms
  • Urinary Retention

Eligibility Criteria

Sex
MALE
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Preoperative pelvic floor physical therapy — BEHAVIORAL
    Pelvic floor physical therapy to start before prostate surgery rather than after surgery.

Study Details

The purpose of this study is to allow us to assess the effectiveness (or success) of starting pelvic floor physical therapy (i.e. exercises for your pelvic muscles) prior to HoLEP (holmium laser enucleation of the prostate) surgery for enlarged prostates in order to manage or prevent urinary incontinence (i.e. leaking) after surgery (i.e. post-operatively). Your pelvic floor refers to the muscles under your bladder along your pelvic bones that prevent you from leaking urine or stool. Traditionally, pelvic floor physical therapy is started after surgery and continued until urinary continence (i.e. no leaking of urine) is regained. We want to assess if beginning pelvic floor physical therapy prior to surgery (and continuing afterwards) reduces the time required to regain urinary continence following HoLEP.

Key Dates

Start date
Nov 29, 2023
Status verified
Aug 2025
Primary completion
Jun 30, 2026
Completion
Oct 31, 2026

Study Design

Enrollment
36 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • Experimental: Preoperative PFPT
    This group of patients will be instructed to start pelvic floor physical therapy 1 month before surgery.
  • No Intervention: Postoperative PFPT
    This group of patients will be instructed to start pelvic floor physical therapy after surgery (standard of care).

Primary Outcome Measure

Time to continence [ Time Frame: 6 months after surgery ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Cleveland ClinicClevelandOhio44195
Smita Clinic
[email protected]
2163129460

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By research site
Cleveland Clinic· Cleveland, OH

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