Pelvic floor symptoms in women receiving peritoneal dialysis

ISRCTN ISRCTN99227624
DOI https://doi.org/10.1186/ISRCTN99227624
IRAS number 352200
Secondary identifying numbers EDGE ID - 176516
Submission date
27/05/2025
Registration date
05/06/2025
Last edited
05/06/2025
Recruitment status
Recruiting
Overall study status
Ongoing
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

Background and study aims
Peritoneal dialysis is normally carried out at home. This gives the person some flexibility over work, study, and other activities. Because peritoneal dialysis involves the dwelling and exchange of dialysis fluid within the abdomen, the increased pressure may lead to problems in the pelvic floor muscles, such as pelvic floor prolapse. Such problems may be more common in women who have given birth, are or have been overweight.
The pelvic floor is made up of muscles that form a sling from the front to the back to the back of the pelvis. They provide support to the organs within the pelvis and play a role in controlling your bladder, bowel and sexual functions. Pelvic floor prolapse refers to a bulging of bowel, bladder or womb into or outside of the vagina. There have been a few reports of this problem in women who receive peritoneal dialysis. However, we do not know how common it is or how it affects daily living.
The aim of this pilot study is to test questionnaires in women receiving peritoneal dialysis, which ask about pelvic floor symptoms. The information we receive will help us with the design of a larger study.

Who can participate?
Women aged between 18 and 90 years who are receiving peritoneal dialysis

What does the study involve?
The study involves completing questionnaires that ask about the presence of pelvic floor symptoms and how they affect daily life. These will be completed at the start of the study and after 6 months.

What are the possible benefits and risks of participating?
While we do not expect that there will be direct health benefits, symptoms or other health issues may be identified from completing the questionnaires. The doctor will be informed so that treatment or referral for help can be arranged.
The risk is that the study questionnaires may touch on sensitive topics. Psychological support will be provided where there is distress as a result of participating in the study.

Where is the study run from?
University Hospitals of Leicester NHS Trust (UK)

When is the study starting and how long is it expected to run for?
April 2025 to September 2026

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Osasuyi Iyasere, osasuyi.iyasere@nhs.net

Contact information

Dr Osasuyi Iyasere
Public, Scientific, Principal Investigator

John Walls renal unit
Leicester General Hospital
Gwendolen Road
Leicester
LE5 4PW
United Kingdom

ORCiD logoORCID ID 0000-0002-4787-0105
Phone +44 (0)1162584195
Email osasuyi.iyasere@nhs.net

Study information

Study designPilot single-centre prospective cohort study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleExploring pelvic floor symptoms in women receiving peritoneal dialysis – a pilot observational study
Study acronymEXPLORE PD
Study objectivesIt is feasible to evaluate pelvic floor dysfunction in women receiving peritoneal dialysis (PD)
Ethics approval(s)

Approved 07/04/2025, Health and Social Care Research Ethics Committee A (HSC REC A) (Business Services Organisation Unit 4, Lissue Industrial Estate West Rathdown Walk Moira Road Lisburn BT28 2RF, Lisburn, BT28 2RF, United Kingdom; +44 (0)28 95 361404; RECA@hscni.net), ref: 25/NI/0046

Health condition(s) or problem(s) studiedPelvic floor symptoms in women on peritoneal dialysis
InterventionPelvic floor questionnaires that examine the burden and impact of pelvic floor symptoms will be administered to eligible at baseline and after 6 months. Demographic and clinical data will also be captured during the study period.
Intervention typeOther
Primary outcome measure1. Study recruitment rate measured as a percentage at baseline
2. Study dropout rate measured as a percentage over 6 months follow-up
3. Questionnaire completion rates measured as pa ercentage at baseline and 6 months
Secondary outcome measures1. Pelvic floor symptoms measured using the Pelvic Floor Distress Inventory (PDFI-20) at baseline and 6 months
2. Impact of pelvic floor symptoms on wellbeing measured using the Pelvic Floor Impact Questionnaire (PFIQ-7) scores at baseline and 6 months
Overall study start date07/04/2025
Completion date30/09/2026

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit90 Years
SexFemale
Target number of participants35
Key inclusion criteria1. Aged between 18 and 90 years
2. Receiving peritoneal dialysis
3. Female
4. Able to provide informed consent
Key exclusion criteria1. Unable to provide informed consent
2. Any other significant disease or disorder which, in the opinion of the patient’s own clinician, may put the participants at risk because of participation in the study. For example, a severe mental health disorder or recent bereavement
Date of first enrolment15/05/2025
Date of final enrolment30/04/2026

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University Hospitals of Leicester NHS Trust
Leicester Royal Infirmary
Infirmary Square
Leicester
LE1 5WW
United Kingdom

Sponsor information

University Hospitals of Leicester NHS Trust
Hospital/treatment centre

Research and Innovation
Leicester General Hospital
Gwendolen Road
Leicester
LE5 4PW
England
United Kingdom

Phone +44 (0)1162588239
Email UHLSponsor@uhl-tr.nhs.uk
Website http://www.uhl-tr.nhs.uk/
ROR logo "ROR" https://ror.org/02fha3693

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from Dr Osasuyi Iyasere (osasuyi.iyasere@nhs.net)

Editorial Notes

27/05/2025: Study's existence confirmed by Health and Social Care Research Ethics Committee A (HSC REC A).