Bowel Dysfunction and HoLEP Outcomes

Launched by NORTHWESTERN UNIVERSITY · Nov 12, 2024

Keywords

ClinConnect Summary

This clinical trial is looking into how bowel problems might affect the recovery of men who are undergoing a specific prostate surgery called holmium laser enucleation of the prostate (HoLEP). This surgery is often performed to help relieve lower urinary tract symptoms caused by an enlarged prostate, a common issue for older men. The researchers want to see if men who report more severe bowel issues before the surgery experience more discomfort and take longer to regain urinary control afterward. To gather information, they will use questionnaires that ask about bowel function and any related symptoms.

To participate in this study, men aged 18 to 89 who are scheduled for HoLEP and can fill out questionnaires are welcome to join. However, those with certain conditions, like having had specific bowel surgeries or known nerve issues affecting bowel control, will not be eligible. Participants can expect to complete questionnaires before, during, and after their surgery, helping researchers understand the link between bowel health and recovery from this type of prostate procedure. This information could ultimately improve care for future patients facing similar surgeries.

Gender

MALE

Eligibility criteria

• Inclusion Criteria:
• • Males18-89 undergoing HoLEP
• • Able to read, understand, and complete patient questionnaires
• • Willing to sign the informed consent form
• Exclusion Criteria:
• • Patients with bowel diversion (colostomy, ileostomy)
• • Patients with known neurogenic bowel
• • Patients having concurrent ureteroscopy+/-laser lithotripsy, percutaneous nephrolithotomy, or non-urologic surgery at time of HoLEP
• • Anticipated need for perineal urethrostomy at time of HoLEP
• • Prior pelvic radiation or patients with history of bladder cancer with or without Bacillus Calmette-Guerin (BCG) therapy
• • Patients who lack decisional capacity