Rectus Abdominis Detrusor Myoplasty for Urinary Retention
50 participantsStarted 2026-05-01
Plain-language summary
This investigates the outcomes of a surgical technique using the patient's own abdominal wall muscles to help contract the bladder in patients with urinary retention
Who can participate
Age range
18 Years – 75 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Hypo- or acontractility of the bladder documented on urodynamic testing
* Injury \>1 year ago for spinal cord injury patients, no improvement in contractility with time
* Failed sacral nerve stimulation implant for urinary retention treatment (If previously implanted)
* Irreversible non-neurogenic bladder acontractility/hypocontractility (i.e myogenic failure after chronic obstruction, aging, frailty, idiopathic)
* Undergoing RADM
Exclusion Criteria:
* Documented bladder outlet obstruction
* Spinal cord lesion above T12
* Upper motor neuron lesion (i.e. multiple sclerosis, stroke)
* Rectus diastasis, significant abdominal wall hernia, or other anatomic barrier to rectus flap harvest
* Life expectancy \<10 years
* Pregnant at time of surgery
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Change in Bladder Compliance
Timeframe: 6 Months and 1 Year Post-Op
2
Change in Detrusor Pressure
Timeframe: 6 Months and 1 Year Post-Op
3
Change in presence of Detrusor Overactivity
Timeframe: 6 Months and 1 Year Post-Op
4
Change in Urinary Flow Rate
Timeframe: 6 Months and 1 Year Post-Op
5
Change In Post-Void Residual Urine Volume in Urine
Timeframe: 6 Months and 1 Year Post-Op
Trial details
NCT IDNCT07379814
SponsorUniversity Hospitals Cleveland Medical Center