Active — Not RecruitingNot Applicable

Evaluation of the Impact of Preoperative Pelvic Floor Exercise on Incontinence After Laser Enucleation of the Prostate: a Feasibility Study.

Canada30 participantsStarted 2024-04-29

Plain-language summary

The purpose of this study is to assess the acceptability and feasibility of including a pelvic floor muscle exercise program into the care provided to patients undergoing prostate enucleation, studying both patients and clinicians perpsectives. A second part of the study will be to compare two groups, one receiving pelvic floor muscle exercise before surgery and and the other receiving the standard treatment, which is surgery. We will evaluate patients' perceptions of integrating physiotherapy sessions before surgery and attempt to identify facilitators and barriers to pelvic floor muscle exercise among both patients and clinicians.

Who can participate

Age range

18 Years

Sex

MALE

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: * Patients with symptomatic BPH who are candidates for prostate enucleation, including: urinary retention, post-renal AKI, refractory hematuria, recurrent UTIs, symptoms refractory to medical therapies, IPSS \> 8, urinary flow rate \< 15 mL/sec. * Patients able to perform pelvic floor physiotherapy exercises independently. * Patients who agree to additional outpatient physiotherapy visits. * Patients who provide consent to participate in the study. Exclusion Criteria: * Patients with severe central or peripheral neurological diseases and gait disorders * Patients with a history of prostate or bladder cancer, prior prostate surgery, neurogenic bladder, or urethral stricture * Patients with bladder atony * Patients unable to continue pelvic floor muscle training independently

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

Patient Acceptability of the Perineal Physiotherapy Program as Measured by Patient Acceptability of a Postoperative Pelvic Floor Physiotherapy Program After Endoscopic Prostate Enucleation Questionnaire (PPP-EEP) and Percentage of Session Attendance

Timeframe: From enrollment to 3-5 months after surgery

Clinician-Reported Feasibility of a Preoperative Pelvic Floor Physiotherapy Program (Urologists and Physiotherapists) Assessed by the Program Integration and Perceived Continence Benefit Questionnaire

Timeframe: From enrollment to 3-5 months after surgery

Trial details

NCT IDNCT07456345

SponsorCentre hospitalier de l'Université de Montréal (CHUM)

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-04

View on ClinicalTrials.gov More BPH (Benign Prostatic Hyperplasia) trials

Plain-language summary

Who can participate

Age range

18 Years

Sex

MALE

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

What they're measuring

Timeframe: From enrollment to 3-5 months after surgery