Effect of Group Preoperative Pelvic Floor Training for HoLEP

University of California San Francisco (UCSF)

Status: Enrolling

Conditions: BPH; Urinary Incontinence

Treatments: Behavioral: Group preoperative pelvic floor training

Study type: Observational

Funder types: Other

Identifiers

NCT05719220

23-38400

Details and patient eligibility

About

The main goal of this study is to see if group pelvic floor training before surgery can help prevent urinary incontinence after Holmium laser enucleation of the prostate (HoLEP) surgery. The study has the potential to inform preoperative intervention strategies for managing incontinence after HoLEP.

Full description

Preoperative pelvic floor training (PFT) may improve early urinary incontinence after prostate surgery. Group-based training potentially provides additional benefits such as cost-benefit, social support, and motivation. However, the efficacy of group preoperative PFT has not been reported. This study aims to determine the effect of group preoperative PFT on transient urinary incontinence after HoLEP in a prospective cohort of patients and to identify any potential predictors of transient urinary incontinence after HoLEP.

In this study, the investigators will recruit approximately 50 patients in each cohort (total 100) and will be followed over time to collect data on both the exposure (group PFT) and the outcome (incidence of urinary incontinence 1 month and 3 months after HoLEP). Potential confounding variables, such as patient demographics, preoperative imaging, and operative data, will be collected and analyzed. The results of this study have the potential to inform the development of effective preoperative interventions for the management of transient urinary incontinence after HoLEP.

Enrollment: 100 estimated patients

Sex: Male

Ages: 50 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Consecutive patients with a diagnosis of BPH with a plan to undergo HoLEP.
• Between the age of 50-90.
• Ability to understand and provide informed consent.

Exclusion criteria

• Patients whom inability to carry out PFT protocol.
• Patients unwilling or unable to complete follow up care.
• Severe urinary incontinence due to a history of neurological diseases such as a cerebrovascular accident or spinal cord injuries.
• Patients whom inability to read and understand the English language.

Trial design

100 participants in 2 patient groups

Group preoperative pelvic floor training

Description:

Patients will receive group preoperative PFT, 4 weeks prior to HoLEP.

Treatment:

Behavioral: Group preoperative pelvic floor training

No preoperative pelvic floor training

Description:

The control group will receive standard care, which may include patient education about postoperative care and pelvic floor muscle exercises, but will not receive structured group PFT.