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Urinary IncontinenceNCT03539107

Voiding Assessment Based on Minimum Spontaneous Void of 150 mL Compared to Retrograde Fill Method After Female Pelvic Floor Reconstructive Surgery

A study testing Retrograde bladder fill and spontaneous void in people with Urinary Incontinence and Pelvic Organ Prolapse, run by Yale University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will compare voiding assessment based on a minimum spontaneous voided volume of 150 cc with the standard retrograde fill approach in women after pelvic floor procedures. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Urinary Incontinence, Pelvic Organ Prolapse
What is being tested?
Retrograde bladder fill and spontaneous void
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
110 participants
Where
1 siteUnited States
Study dates
1 Sep 2019to 20 Dec 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • All 18-year-old or older women who undergo surgery for urinary incontinence and/or pelvic organ prolapse (POP)

Who cannot join

  • Patients who require prolonged Foley catheter or suprapubic catheter

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Yale University

    New Haven, Connecticut, 06510

Other trials in United States

About this study

Official title: Voiding Assessment Based on Minimum Spontaneous Void of 150 mL Compared to Retrograde Fill Method After Female Pelvic Floor Reconstructive Surgery: A Randomized Controlled Trial

This study will compare voiding assessment based on a minimum spontaneous voided volume of 150 cc with the standard retrograde fill approach in women after pelvic floor procedures.

Being tested
Retrograde bladder fill, spontaneous void
Medical subject headings
Urinary Incontinence, Pelvic Organ Prolapse

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Retrograde bladder fillProcedure or surgery

    Subjects will have their bladder retrograde filled with 300mL of fluid prior to a voiding trial.

  • spontaneous voidOther

    Subjects will not have retrograde fill of bladder, rather will be required to void 150 mL spontaneously prior to discharge.

Study groups in NCT03539107
Study groupRoleWhat they receive
Spontaneous voidExperimentalSubjects will not have retrograde fill of bladder, rather will be required to void 150 mL spontaneously prior to discharge.
Receives: Other: spontaneous void
Retrograde bladder fillActive comparatorSubjects will have their bladder retrograde filled with 300mL of fluid prior to a voiding trial.
Receives: Procedure: Retrograde bladder fill

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Failure rate

    The percentage of subjects who did not meet the required voiding assessment criteria and needed catheterization .

    Measured: Up to 2 days post op

Secondary outcomes (12)
  1. False pass rate

    The percentage of women who initially met the voiding assessment but returned for re-catheterization due to voiding difficulty .

    Measured: up to 30 days after discharge.

  2. Force of stream (FOS)

    Patient reported force of stream (FOS) during voiding; (0 being no urination, 10 being normal strong flow).

    Measured: Up to 2 days post op.

  3. Force of stream (FOS)

    Patient reported force of stream (FOS) during voiding; (0 being no urination, 10 being normal strong flow).

    Measured: Up to 2 days post-surgery.

  4. Patient Satisfaction Questionnaire for Voiding Assessment-method used

    This question asks "How satisfied were you with the method we used to evaluate how well you could urinate after our surgery?" It is measured on a continuum from 0 (very dissatisfied) to 100 (very satisfied).

    Measured: Up to 2 days post-surgery.

  5. Patient Satisfaction Questionnaire for Voiding Assessment-negative emotions

    This question asks "Did you experience any negative emotions such as fear or anxiety when we were evaluating urination after our surgery?" It is measured on a continuum from 0 (many negative emotions) to 100 (no negative emotions).

    Measured: Up to 2 days post-surgery.

  6. Patient Satisfaction Questionnaire for Voiding Assessment-recommend method

    This question asks "How likely would you be to recommend to a friend or family member, the method we used to evaluate your urination after our surgery, if they were in the same situation?" It is measured on a continuum from 0 (very unlikely) to 100 (very likely).

    Measured: Up to 2 days post-surgery.

  7. Patient Satisfaction Questionnaire for Voiding Assessment-convenience of method

    This question asks "How convenient was the method we used to evaluate your urination after our surgery (e.g. time, ease etc.)? It is measured on a continuum from 0 (very inconvenient) to 100 (very convenient).

    Measured: Up to 2 days post-surgery.

  8. Patient Satisfaction Questionnaire for Voiding Assessment-preferred method

    This question asks the patient: "If it was all up to you, which It is measured on a continuum from 0 (strongly prefer backfill before catheter) to 100 (strongly prefer no backfill before catheter removal).

    Measured: Up to 2 days post-surgery.

  9. Postoperative pain score

    This outcome is measured by a 10-point visual analog scale where 0= no pain, 10=worst pain you have ever experienced.

    Measured: One day post-surgery.

  10. Urinary tract infection (UTI)

    UTI is defined as culture-proven bladder infection or, in the absence of a culture, clinical suspicion of a bladder infection that resulted in treatment.

    Measured: Up to 30 days post surgery.

  11. Post-operative complications

    Post-operative complications assessed by medical record review.

    Measured: Up to 30 days post-surgery.

  12. Length of hospital stay

    Length of hospital stay assessed by medical record review.

    Measured: Up to 2 days post-surgery.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 May 2018
  2. Study start1 Sep 2019
  3. Primary completion20 Dec 2019
  4. Study completion20 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
110 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03539107
Sponsor's protocol ID
Popiel02
Status last verified
Jan 2020
First submitted
15 May 2018
Last updated
13 Jan 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Ellahi A, Stewart F, Kidd EA, Griffiths R, Fernandez R, Omar MI. Strategies for the removal of short-term indwelling urethral catheters in adults. Cochrane Database Syst Rev. 2021 Jun 29;6(6):CD004011. doi: 10.1002/14651858.CD004011.pub4.

    PubMed 34184246

Questions about this trial

What is this clinical trial studying?

A study testing Retrograde bladder fill and spontaneous void in people with Urinary Incontinence and Pelvic Organ Prolapse, run by Yale University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Failure rate (time frame: Up to 2 days post op). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03539107, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jan 2020.

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