Sling versus sphincter for post prostatectomy incontinence

ISRCTN ISRCTN55599282
DOI https://doi.org/10.1186/ISRCTN55599282
Secondary identifying numbers 14690
Submission date
10/09/2013
Registration date
10/09/2013
Last edited
15/04/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Antoine Kass-Iliyya
Scientific

250 Euston Road
London
NW1 2PG
United Kingdom

Email antoine.kass-iliyya@uclh.nhs.uk

Study information

Study designRandomised interventional treatment trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA comparison of the effectiveness of the Advance male sling and AMS 800 artificial urinary sphincter for mild to moderate post prostatectomy incontinence: a single-site, two-arm randomised controlled study
Study objectivesA two-arm randomised comparison of the American Medical System (AMS) Advance male sling and AMS 800 artificial urinary sphincter for patients with mild and moderate post prostatectomy incontinence.
Ethics approval(s)11/0528
Health condition(s) or problem(s) studiedTopic: Generic Health Relevance and Cross Cutting Themes; Subtopic: Generic Health Relevance (all Subtopics); Disease: Surgery
InterventionAdvance Male Sling, Polypropylene mesh, retrourethral transobturator position.
Inserted using two needle passers and through a perineal incision.

Artificial Urinary Sphincter, A mechanical device made of silicon, has three components: cuff, pump and a baloon. Implanted through a perineal incision and inguinal incision.

Follow Up Length: 12 month(s)

Study Entry : Single Randomisation only
Intervention typeProcedure/Surgery
Primary outcome measureDifference in 24 hour Pad weight; Timepoint(s): 3 months, 6 months, 12 months after surgery
Secondary outcome measuresNot provided at time of registration
Overall study start date08/02/2013
Completion date08/02/2014

Eligibility

Participant type(s)Patient
Age groupAdult
SexMale
Target number of participantsPlanned Sample Size: 50; UK Sample Size: 50
Total final enrolment36
Key inclusion criteria1. Post prostatectomy men at least 6 months after surgery
2. Mild to moderate stress urinary incontinence (mild 50-200 ml 1-2 pads/day; moderate 200-400 ml 3-4 pads/day)
3. Able and willing to participate in the study for its duration
4. Able to comprehend and complete health outcomes questionnaires
5. Able to understand instructions related to study procedures and give written informed consent
6. Target Gender: Male; Upper Age Limit 80 years ; Lower Age Limit 40 years
Key exclusion criteria1. Very mild incontinence (<50 ml/day; not approriate for artificial sphincter)
2. Severe incontinence (>400ml; 5 pads or more; not appropriate for male sling)
3. Previous radiotherapy for prostate cancer
4. Previous surgery for post prostatectomy incontinence or urethral stenosis
5. Urodynamics showing detrusor overactivity or compliance loss deemed a significant contributor to incontinence, or bladder outflow obstruction
6. Any unstable serious coexisting medical condition(s)) including but not limited to: myocardial infarction, coronary bypass surgery, unstable angina, cardiac arrhythmias, clinically evident congestive heart failure, cerebrovascular accident or uncontrolled diabetes or peptic ulcer disease which is uncontrolled by medical management within 6 months prior to Screening visit; which would preclude them from standard therapies as designated within the study design
Date of first enrolment08/02/2013
Date of final enrolment08/02/2014

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

250 Euston Road
London
NW1 2PG
United Kingdom

Sponsor information

University College London (UK)
University/education

Gower Street
London
WC1E 6BT
England
United Kingdom

Website http://www.ucl.ac.uk/
ROR logo "ROR" https://ror.org/02jx3x895

Funders

Funder type

Industry

American Medical Systems
Private sector organisation / For-profit companies (industry)
Alternative name(s)
AMS
Location
United States of America

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Abstract results preliminary results presented at the Association of Surgeons in Training (ASiT) meeting 01/04/2014 15/04/2019 No No

Editorial Notes

15/04/2019: The following changes have been made:
1. Publication reference added.
2. The total final enrolment has been added.
06/09/2016: No publications found, verifying study status with principal investigator.