Conservative treatment for urinary incontinence in men after prostate surgery
ISRCTN | ISRCTN87696430 |
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DOI | https://doi.org/10.1186/ISRCTN87696430 |
ClinicalTrials.gov number | NCT00632138 |
Secondary identifying numbers | HTA 03/14/03 |
- Submission date
- 09/07/2004
- Registration date
- 12/07/2004
- Last edited
- 26/10/2022
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Urological and Genital Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Contact information
Dr Cathryn Glazener
Scientific
Scientific
Health Services Research Unit
Polwarth Building
Foresterhill
Aberdeen
AB25 2ZD
United Kingdom
Phone | +44 (0)1224 553732 |
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c.glazener@abdn.ac.uk |
Study information
Study design | Randomised controlled trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Patient information can be found at https://www.charttrials.abdn.ac.uk/maps/pis.php |
Scientific title | Conservative treatment for urinary incontinence in men after prostate surgery (MAPS): multi-centre randomised controlled trial of pelvic floor muscle training and biofeedback |
Study acronym | MAPS |
Study objectives | Randomised controlled trial of conservative treatment for urinary incontinence in men after prostate surgery. The hypothesis being tested in each group of men (in two parallel but separate trials) is that active conservative management will increase the proportion of continent men by 15% at one year after recruitment. The questions: 1. For men with urinary incontinence six weeks after radical prostatectomy, what is the clinical and cost-effectiveness of active conservative treatment delivered by a specialist continence physiotherapist or a specialist continence nurse compared with usual management? 2. For men with urinary incontinence six weeks after endoscopic resection of prostate, what is the clinical and cost-effectiveness of active conservative treatment delivered by a specialist continence physiotherapist or a specialist continence nurse compared with usual management? Please note that, as of 25/01/2008, the anticipated end date of this trial was updated from 31/05/2009 to 28/02/2010. Please note that the official scientific title of the trial was added as of 26/01/2009. |
Ethics approval(s) | Multi-centre Research Ethics Committee for Scotland, approved on 11/06/2004 (ref: MREC/04/10/001) |
Health condition(s) or problem(s) studied | Urinary incontinence |
Intervention | Active Intervention: Pelvic floor muscle training and lifestyle advice with selective biofeedback (which may be digital or machine-mediated) with or without bladder training. It consists of four visits to a trained therapist who will teach the men the relevant exercises. Control Intervention: Lifestyle advice only Added as of 26/01/2009: Total duration of interventions: approximately 3 months |
Intervention type | Other |
Primary outcome measure | 1. Primary clinical outcome: subjective report of urinary continence at 12 months 2. Primary measure of cost effectiveness: incremental cost per quality-adjusted life year |
Secondary outcome measures | Clinical 1. Subjective report of continence or improvement of urinary incontinence at six months after randomisation, and improvement at 12 months 2. Number of incontinent episodes in previous week (objective, from diary) 3. Duration of incontinence (based on time of resolution relative to time of operation and randomisation) 4. Use of absorbent pads, penile collecting sheath, bladder catheter or bed/chair pads 5. Number and type of incontinence products used 6. Co-existence, cure or development of urgency or urge incontinence 7. Urinary frequency 8. Nocturia 9. Faecal incontinence (passive or urge) 10. Other bowel dysfunction (urgency, constipation, other bowel diseases) 11. Sexual function at 12 months (including information about erection, ejaculation, retrograde ejaculation, pain, change in sex life and reason for change) Quality of life 1. Incontinence-specific quality of life outcome measure (10-point scale, International Consultation on Incontinence [ICI] questionnaire, Incontinence Quality of Life [I-QOL] questionnaire) 2. General health measures (SF-12® Health Survey, Euroqol EQ-5D) Use of health services for urinary incontinence 1. Need for alternative management for incontinence (e.g., surgery, drugs) 2. Use of GP, nurse, consultant urologist, physiotherapist Other use of health services 1. Visits to GP 2. Visits to practice nurse Effects of interventions 1. Use of pelvic floor muscle training (PFMT) 2. Lifestyle changes (weight, constipation, lifting, coughing, exercise) Economic measures 1. Patient costs (e.g., self care [e.g., pads, laundry], travel to health services, sick leave) 2. Cost of conservative trial treatment 3. Cost of alternative or additional NHS treatments (e.g., pads, catheters, drugs [eg adrenergic agonists, anticholinergics, oral medication for erectile dysfunction], hospital admissions or further surgery) 4. Other measures of cost-effectiveness (e.g., incremental cost per additional man continent at 12 months) |
Overall study start date | 01/12/2004 |
Completion date | 28/02/2010 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Sex | Male |
Target number of participants | 800 |
Total final enrolment | 853 |
Key inclusion criteria | 1. Men (no age limits) who have urinary incontinence after prostate surgery (incontinence defined as a response indicating a loss of urine to either of two questions in the screening questionnaire: (how often do you leak urine? and how much urine do you leak?) 2. Informed consent 3. Ability to comply with intervention |
Key exclusion criteria | 1. Radiotherapy planned or given during the first three months after surgery for men with prostate cancer 2. Endoscopic resection of prostate carried out as palliation for outflow obstruction in advanced prostate cancer 3. Multiple sclerosis or Parkinson's disease 4. Inability to complete study questionnaires |
Date of first enrolment | 01/12/2004 |
Date of final enrolment | 28/02/2010 |
Locations
Countries of recruitment
- Scotland
- United Kingdom
Study participating centre
Health Services Research Unit
Aberdeen
AB25 2ZD
United Kingdom
AB25 2ZD
United Kingdom
Sponsor information
University of Aberdeen (UK)
University/education
University/education
-
Aberdeen
AB24 3FX
Scotland
United Kingdom
Website | http://www.abdn.ac.uk/ |
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https://ror.org/016476m91 |
Funders
Funder type
Government
Health Technology Assessment Programme
Government organisation / National government
Government organisation / National government
- Alternative name(s)
- NIHR Health Technology Assessment Programme, HTA
- Location
- United Kingdom
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan | Not provided at time of registration |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
---|---|---|---|---|---|
Protocol article | protocol | 01/09/2009 | Yes | No | |
Results article | results | 23/07/2011 | Yes | No | |
Plain English results | 26/10/2022 | No | Yes |
Editorial Notes
25/10/2022: Cancer Research UK plain English results link and total final enrolment added.