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The Role of Sugammadex in Posotoperative Urinary Retention in Patients Undergoing Pelvic Floor Reconstructive Procedures

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West Virginia University

Status and phase

Withdrawn
Phase 2
Phase 1

Conditions

Postoperative Urinary Retention

Treatments

Drug: Sugammadex

Study type

Interventional

Funder types

Other

Identifiers

NCT05664633
2107367192

Details and patient eligibility

About

The Investigator will perform a single-institution randomized double-blinded controlled trial comparing intraoperative Sugammadex vs. standard dose of glycopyrrolate/neostigmine combination for participants undergoing a total vaginal hysterectomy with or without pelvic organ prolapse procedures under general endotracheal anesthesia.

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • female patients undergoing a vaginal hysterectomy with the indications of pelvic organ prolapse or abnormal uterine bleeding

Exclusion criteria

  • Patients who are already known to have voiding dysfunction
  • Patients who have a contraindication or intolerance to any of the drugs used in the study
  • Has a medical condition or surgical procedure that precludes reversal of neuromuscular block at the end of surgery.
  • Has a neuromuscular disorder(s) that may affect neuromuscular block and/or trial assessments.
  • Is dialysis-dependent or has severe renal insufficiency, defined as estimated creatinine clearance of <30 mL/min.
  • Has or is suspected of having a personal history or family history (parents, grandparents, or siblings) of malignant hyperthermia.
  • Has or is suspected of having an allergy (e.g., hypersensitivity and/or anaphylactic reaction) to study treatments or its/their excipients, to opioids/opiates, muscle relaxants or their excipients, or other medication(s) used during general anesthesia.
  • Has received or is planned to receive toremifene within 24 hours before or within 24 hours after study medication administration.
  • Has any condition that would contraindicate the administration of study medication.
  • Is pregnant, is attempting to become pregnant, or is lactating.
  • Is currently participating in or has participated in an interventional clinical trial (including any other current or ongoing trial with a sugammadex treatment arm) with an investigational compound or device within 30 days of signing the informed consent form of this current trial.
  • Male patients
  • Patients undergoing a conventional laparoscopic or robotic approach
  • Patients having a midurethral sling in addition to the vaginal hysterectomy
  • Patients declining to participate in the study
  • Patients allergic to any of the drugs used in the study (sugammadex, neostigmine and/or glycopyrrolate)

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

0 participants in 2 patient groups

Sugammadex
Active Comparator group
Description:
Sugammadex dose=4 mg x kg
Treatment:
Drug: Sugammadex
Standard of Care
No Intervention group
Description:
Standard of care= glycopyrrolate and neostigmine (0.01 mg/kg - 50mg/kg)

Trial contacts and locations

1

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Central trial contact

Omar Duenas Garcia, MD

Data sourced from clinicaltrials.gov

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