Impact of Robot-assisted Radical Prostatectomy Technique on Short-term Continence Recovery
The Impact of Retzius-sparing Approach for Robot-assisted Laparoscopic Radical Prostatectomy on Short-term Continence Recovery: Randomized Controlled Trial
1 other identifier
interventional
120
1 country
2
Brief Summary
To assess and compare the short-term post-operative continence recovery rate in two cohorts of men undergoing Robot Assisted Radical Prostatectomy (RARP), each randomized to undergo RARP with Vattikuti Institute technique or Retzius sparing technique.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Jan 2015
Typical duration for phase_3
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2015
CompletedFirst Submitted
Initial submission to the registry
January 22, 2015
CompletedFirst Posted
Study publicly available on registry
February 2, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2018
CompletedResults Posted
Study results publicly available
September 18, 2019
CompletedFebruary 25, 2022
February 1, 2022
1.2 years
January 22, 2015
February 22, 2019
February 11, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Urinary Continence Recovery
24-hour pad weights
One week after the removal of the suprapubic urinary catheter
Secondary Outcomes (5)
Number of Participants With Urinary Continence Recovery
within 3 months from the intervention
Number of Participants With Peri and Postoperative Complications
1-year median follow up
Number of Participants Who Regained Potency Postoperatively (as Measured by Sexual Health Inventory for Men (SHIM) Score of 17 or Greater)
1-year median follow up
Number of Participants Who Had Biochemical Recurrence (Post-operative Prostate-Specific Antigen (PSA) Value >=0.2 ng/ml)
1-year median follow up
Post-operative Urinary Function and Urinary Function-related Quality of Life
Within 3 months from the intervention
Other Outcomes (2)
Number of Patients Who Regained Urinary Continence Postoperatively
1 year median follow up
Post-operative Urinary Function and Urinary Function-related Quality of Life
1 year median follow up
Study Arms (2)
Control arm
ACTIVE COMPARATORVattikuti Urology Institute radical prostatectomy da Vinci Surgical System
Treatment arm
EXPERIMENTALRetzius sparing radical prostatectomy da Vinci Surgical System
Interventions
Robotic assisted laparoscopic radical prostatectomy based on Retzius sparing technique
Robotic assisted laparoscopic radical prostatectomy based on Vattikuti Urology Institute technique
The da Vinci Surgical System is a sophisticated robotic platform designed to expand the surgeon's capabilities and offer a state-of-the-art minimally invasive option for major surgery.
Eligibility Criteria
You may qualify if:
- All patients with newly diagnosed prostate cancer undergoing robotic-assisted radical prostatectomy at the Vattikuti Urology Institute (performed by single surgeon, MM) as the primary treatment modality
- Be able to read and speak English and be able to provide written informed consent
You may not qualify if:
- patients with high risk prostate cancer,defined as a biopsy Gleason score ≥8 and/or a pre-operative prostate specific antigen value ≥20 ng/ml.
- evidence of clinical nodal involvement (cN1) or metastatic disease (M1)
- patients participating in a competing study
- patients with pre-operative urinary incontinence.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Henry Ford Hospital
Detroit, Michigan, 48202, United States
Henry Ford West Bloomfield Hospital
West Bloomfield, Michigan, 48322, United States
Related Publications (2)
Dalela D, Jeong W, Prasad MA, Sood A, Abdollah F, Diaz M, Karabon P, Sammon J, Jamil M, Baize B, Simone A, Menon M. A Pragmatic Randomized Controlled Trial Examining the Impact of the Retzius-sparing Approach on Early Urinary Continence Recovery After Robot-assisted Radical Prostatectomy. Eur Urol. 2017 Nov;72(5):677-685. doi: 10.1016/j.eururo.2017.04.029. Epub 2017 May 6.
PMID: 28483330RESULTMenon M, Dalela D, Jamil M, Diaz M, Tallman C, Abdollah F, Sood A, Lehtola L, Miller D, Jeong W. Functional Recovery, Oncologic Outcomes and Postoperative Complications after Robot-Assisted Radical Prostatectomy: An Evidence-Based Analysis Comparing the Retzius Sparing and Standard Approaches. J Urol. 2018 May;199(5):1210-1217. doi: 10.1016/j.juro.2017.11.115. Epub 2017 Dec 7.
PMID: 29225060RESULT
Related Links
- A Pragmatic Randomized Controlled Trial Examining the Impact of the Retzius-sparing Approach on Early Urinary Continence Recovery After Robot-assisted Radical Prostatectomy
- Functional Recovery, Oncologic Outcomes and Postoperative Complications after Robot-Assisted Radical Prostatectomy: An Evidence-Based Analysis Comparing the Retzius Sparing and Standard Approaches
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Deepansh Dalela, MD
- Organization
- Vattikuti Urology Institute, Henry Ford Hospital
Study Officials
- PRINCIPAL INVESTIGATOR
Mani Menon, MD
Henry Ford Hospital
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director, Vattikuti Urology Institute
Study Record Dates
First Submitted
January 22, 2015
First Posted
February 2, 2015
Study Start
January 1, 2015
Primary Completion
April 1, 2016
Study Completion
May 1, 2018
Last Updated
February 25, 2022
Results First Posted
September 18, 2019
Record last verified: 2022-02