Preoperative Pelvic Floor Physical Therapy to Minimize Stress Urinary Incontinence After Holmium Laser Enucleation of the Prostate

Launched by THE CLEVELAND CLINIC · Dec 11, 2023

Keywords

ClinConnect Summary

This clinical trial is studying whether starting pelvic floor physical therapy (a type of exercise for the muscles that support the bladder) before surgery can help men who are having a procedure called HoLEP (holmium laser enucleation of the prostate) for an enlarged prostate. The goal is to see if this therapy can reduce urinary incontinence, which is the leaking of urine, after the surgery. Usually, pelvic floor therapy starts after the surgery, but this trial is exploring if beginning it beforehand can lead to faster recovery and less time spent dealing with incontinence.

To participate in this trial, you need to be a man aged 18 or older who is scheduled for HoLEP surgery due to issues like difficulty urinating or urinary retention. If you have certain neurological disorders or specific urological conditions, you may not qualify. If you join the study, you will start pelvic floor therapy before your surgery and continue it afterward, with the aim of improving your recovery experience. This trial is currently looking for participants, and it could be a helpful option for men facing these challenges.

Gender

MALE

Eligibility criteria

• Inclusion Criteria:
• • 1. Age: \>=18 years of age
• • 2. Sex: male sex assigned at birth (needs to have a prostate)
• • 3. BMI: all BMI
• • 4. Ethnic background: all ethnicities
• • 5. Medical history: patients scheduled to undergo HoLEP for BPH/LUTS and associated complications (i.e. gross hematuria, retention, etc.).
• Exclusion Criteria:
• • 1. Neurological disorders: patients with a history of a neurologic disorder that could affect muscle function, neurogenic bladder, lumbosacral spine pathology
• • 2. Specific urologic conditions: patients with pre-operative indwelling catheter, urethral stricture greater than 1 centimeter in length or requiring dilation/incision, indwelling ureteral stent
• • 3. History of pelvic radiation: patient with prior pelvic radiation will be excluded
• • 4. Patients unable to give consent
• • 5. Non-English speaking patients given the need for multiple surveys and telephone follow-ups.