Prevention of lower urinary tract symptoms in elderly males: the effects of an increased urine output on symptoms and bladder functioning

ISRCTN ISRCTN91699014
DOI https://doi.org/10.1186/ISRCTN91699014
Secondary identifying numbers NCT100; ZonMw: 2100.0070
Submission date
20/02/2007
Registration date
20/02/2007
Last edited
03/08/2009
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
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr M G Spigt
Scientific

University Maastricht (UM)
CAPHRI Research Institute
PO Box 616
Maastricht
6200 MD
Netherlands

Phone +31 (0)43 388 2309
Email m.spigt@hag.unimaas.nl

Study information

Study designRandomised active controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typePrevention
Scientific title
Study objectivesIncreasing the urine output will lead to improved bladder function and to a decrease in symptom severity.
Ethics approval(s)Approval received by the ethical review board of the Maastricht University/University Hospital Maastricht on the 8th December 2002 (ref: MEC-00-155).
Health condition(s) or problem(s) studiedProstate Cancer, Lower Urinary Tract Symptoms (LUTS)
InterventionThe study population was recruited via 21 general practices.
The General Practitioners (GPs) invited their total male population between 55 and 75 years of age to participate. A screening questionnaire, containing the International Prostate Symptom Score (IPSS; range zero to 35), questions on co-morbidity, and a 24-hours drink diary, together with the informed consent documents, were enclosed with the doctor's invitation.

People in the intervention group were advised to drink 1.5 litres of water per day, additional to their normally consumed beverages, for a period of six months. They were advised to divide this amount into three portions of 0.5 litre spread over the day. To improve the adherence to the intervention they were supplied with 0.5 litre glasses. The control group received a placebo intervention in the form of syrup (one tablespoon [8 ml] each day during dinner), also for a period of six months.
Intervention typeOther
Primary outcome measureMaximum Uroflow, measured in ml/s Symptoms, measured with the International Prostate Symptom Score (IPSS).
Secondary outcome measures1. Perceived benefit of the intervention, seven-point scale (ranging from "much worse" to "much better")
2. Isovolumetric maximum bladder pressure, measured with non-invasive extrenal condom catheter method
3. Bladder wall thickness, measured ultrasonografically by measuring the thickness of the anterior bladder wall
Overall study start date15/06/2000
Completion date15/06/2003

Eligibility

Participant type(s)Patient
Age groupSenior
SexMale
Target number of participants141
Key inclusion criteria1. Males, aged between 55 and 75 years of age
2. Gave informed consent
3. Screened for moderate Lower Urinary Tract Symptoms (LUTS) (International Prostate Symptom Score [IPSS] : eight to 19)
Key exclusion criteriaThe main exclusion criteria were:
1. The presence of mild (IPSS-score: zero to seven) or severe (IPSS-score: 20 to 35) LUTS
2. A self reported fluid intake above 2 litres per day

Other exclusion criteria were:
1. The presence of diabetes
2. Parkinson's disease
3. Renal diseases
4. Past surgery of the lower urinary tract
5. A history of prostatic or bladder carcinoma
1. The use of diuretics, medication for LUTS, or tricyclic antidepressive agents

We excluded 1673 men on the basis of these criteria. The remaining 238 men were invited for an intake visit and for a baseline assessment. At this point participants were excluded if no baseline assessment was possible (e.g., inability to urinate in the presence of the assessor), if prostate cancer was diagnosed (Prostate Specific Antigen [PSA] more than 4.0 ìg/l followed by biopsy that confirmed the presence of a carcinoma), or if they had a serum sodium level below 130 mmol/l.
Date of first enrolment15/06/2000
Date of final enrolment15/06/2003

Locations

Countries of recruitment

  • Netherlands

Study participating centre

University Maastricht (UM)
Maastricht
6200 MD
Netherlands

Sponsor information

University Maastricht (UM) (The Netherlands)
University/education

Department General Practitioner Medicine
PO Box 616
Maastricht
6200 MD
Netherlands

Phone +31 (0)43 388 2309
Email m.spigt@hag.unimaas.nl
Website http://www.unimaas.nl/default.asp?taal=en
ROR logo "ROR" https://ror.org/02jz4aj89

Funders

Funder type

Research organisation

The Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands)

No information available

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