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CompletedNCT02103088PROCANUpdated Feb 4, 2021

Sexual and Urological Rehabilitation to Men Operated for Prostate Cancer and Their Partners

An interventional study of Sexual and urological intervention in Prostate Cancer, sponsored by Danish Cancer Society. Completed at 1 site in Denmark. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-02-04.

Sponsored by Danish Cancer Society · Not applicable, Interventional, and Supportive care

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Phase
Not applicable
Study type
Interventional
Enrollment
72
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 170 studies in Prostatic Neoplasms with a site in Denmark — 30 open to participants now, 50 under way, 17 of them phase 3. Prostatic Neoplasms · Denmark.

Enrollment
95th of 144
72 · median 176
Started
2014
with 12 others
No phase
47 of 170
13 open now
Registered
67th of 170
by date
Lead sponsor
5 of 170
Danish Cancer Society

Among the 170 studies in Prostatic Neoplasms with a site in Denmark, this one is the 95th largest by enrollment of the 144 interventional ones that give a count, is one of 13 that started in 2014, is one of 47 with no phase, and was the 67th registered.

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,579 are open to participants now.

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Open to participants now

30 of the 170 studies in Prostatic Neoplasms with a site in Denmark are open now. Recruiting first, the newest first:

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A study can be open while its sites in Denmark have not opened yet or have stopped. Only those recruiting at a site in Denmark →

Who these studies take

Of the 1,228 Prostatic Neoplasms studies recruiting now, 927 (75%) set no upper age limit and 76 (6%) stop at 75 or younger; 67 take children under 18; 82 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · healthy volunteers too.

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02

Study summary

Today prostate cancer (PC) treatment with curative intent is primarily surgical removal of the prostate gland (prostatectomy) which may be associated with immediate and long lasting erectile dysfunction and decline in urinary function. Besides these physical late effects patients operated for PC have a twofold increased risk for depression up to ten years after the diagnosis. To reduce these late effects affecting both patient and partner the investigators have developed a sexual and urological intervention (PROCAN). The intervention is based on epidemiological data, evidence from previous clinical trials, a feasibility study and qualitative explorations among PC patients and partners. The investigators hereby suggest the conduction of a randomized controlled trial to test the effect of the PROCAN intervention on urological and sexual dysfunction, couples adjustment and quality of life. Results of the proposed trial may provide clinicians and decision makers with the evidence needed to optimize rehabilitation after PC.

Read the detailed description

Although the potential negative impact of prostate cancer on sexual and urological function is well documented there is no evidence based and standardized rehabilitation offer available for Danish couples affected by prostate cancer. This study proposal is based on a thorough literature review on PC treatment and late effects and interventions targeting sexual and urological late effects and a qualitative study including interviews with 6 couples affected by PC. The literature review showed that; medical treatment is effective for the treatment of erectile dysfunction, psychosocial intervention may ease sexual problems secondary to operation for prostate cancer and sexual counseling may improve compliance with medical treatment of erectile dysfunction. In regard to treatment of urological dysfunction studies showed that the effect of pelvic floor muscle training is enhanced by follow-up instructions by physiotherapist. Our interview study among patients operated for prostate cancer and their partners indicated a general need and demand for professional help to discuss the changed sexual life. Also studies have shown that health professionals find it difficult to discuss sexual problems with the patients. Medical treatment for erectile dysfunction is prescribed to patients operated for prostate cancer, however the treatment is not offered systematically in all hospitals and furthermore the drugs are sold on the internet.In view of this knowledge we determine that there is a need for studies which include patients systematically offered medical treatment for erectile dysfunction and further is offered sexual counseling and thus focusing on: i) treatment of physical, psychological and social aspects of sexual dysfunction ii) improvement of compliance with the medical treatment for erectile dysfunction and iii) reducing barriers among patients and health professionals for resolving sexual problems secondary to operation for prostate cancer.

The purpose of the PROCAN study is in a randomized design to test the effect of a theory based intervention on sexual and urological dysfunctions secondary to operation for prostate cancer. The PROCAN intervention consists of: i) Digital Video Disc (DVD) instruction in pelvic floor muscle training ii) group instructions in pelvic floor muscle training by physiotherapist including up to three individually follow-up and ii) up to six couple sessions performed by a sexual nurse counselor. The intervention is based on social and cognitive behavioral techniques and techniques derived from sexual therapy and counseling with a psycho-educational approach, in which sexuality is defined as a multidimensional construct involving biological, psychological and social aspects. The intervention is documented and developed in collaboration with urologists, physiotherapists and sexologists. The investigators will enroll patients and partners from the Urological Department Rigshospitalet and randomize 160 couples. Patients and partners will be randomized (1:1) to standard care plus the PROCAN intervention and to standard care (control Group). The investigators hypothesize that the PROCAN intervention will:

  • Improve urological and sexual functioning among prostate cancer patients and sexual function and satisfaction among patients and female partners
  • Improve the dyadic adjustment and the overall quality of life in prostate cancer patients and their partners
  • Reduce the prevalence of depression and anxiety in patients and their partners
03

Conditions studied

  • Prostate Cancer

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Keywords

  • Prostate cancer
  • Intervention
  • Rehabilitation
  • Couple
  • Sexology
  • Urology
  • Late effects
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria: Patients operated for primary prostate cancer with open or robot-assisted surgery using nerve sparring or non-nerve sparring technique living with a female partner and reported being sexually active before the operation.

Exclusion Criteria:Patients with other cancers (except non-melanoma skin cancer) within 5 years, major psychiatric disorder, abuse of alcohol or drugs, dementia, e.g. Alzheimer's disease and patients, who do not understand or speak Danish. Patients, who reported not being sexually active before the operation and partners who do not understand or speak Danish.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
72 participants (actual)

Study arms

  • Experimental
    Sexual and urological intervention

    Standard care and the PROCAN intervention consisting of i) DVD instruction in pelvic floor muscle training ii) group instructions in pelvic floor muscle training by physiotherapist including three individually follow-up and ii) up to six couple sessions performed by a sexual nurse counselor.

    Behavioral: Sexual and urological intervention

  • No intervention
    Control

    Standard care consists of:systematic offer of medical treatment for erectile dysfunction, if not contra indicated. The medical treatment will consist of either daily treatment with Cialis 5 mg or phosphodiesterase type 5 inhibitor on demand before sexual activity. Alternatively use of alprostadil as either urethral pin or penile injection. Furthermore standard treatments include preoperative instruction in pelvic floor muscle training, regular outpatient visits and possible referral to rehabilitation in accordance with the rules that apply to the Danish Health legislations. In case of prolonged incontinence the patients may on request be referred to a private practicing physiotherapist.

Interventions

  • BehavioralSexual and urological intervention

    Sexual and urological intervention consisting of: i) DVD instruction in pelvic floor muscle training ii) group instructions in pelvic floor muscle training by physiotherapist including three individually follow-up and ii) up to six couple sessions performed by a sexual nurse counselor.

06

What researchers measure

Primary outcomes

  1. Erectile function measured by the International Index of Erectile Function (IIEF-15)

    To investigate the change in erectile function among patients in intervention- and the control group from baseline to 8 and 12 months follow up and the difference in change between intervention - and the control group

    Time frame: Baseline, 8 months and 12 months

Secondary outcomes

  1. Sexual satisfaction measured by IIEF-15

    To investigate the change in sexual satisfaction among patients from baseline to 8 and 12 months follow up and the difference in change between intervention - and the control group

    Time frame: Baseline, 8 and 12 months

  2. Female sexual satisfaction measured by The Female Sexual Function Index (FSFI)

    To investigate the change in sexual satisfaction among female partners from baseline to 8 and 12 months follow up and the difference in change between intervention - and the control group

    Time frame: Baseline, 8 and 12 months

  3. Female Sexual Distress measured by the Female Sexual Distress Scale (FSDS)

    To investigate the change in female sexual distress from baseline to 8 and 12 months follow up and the difference in change between intervention - and the control group

    Time frame: Baseline, 8 and 12 months

  4. Urological function measured by The Expanded Prostate Cancer Composite Index (EPIC-26)

    To investigate the change in urological function among patients from baseline to 8 and 12 months follow up and the difference in change between intervention - and the control group

    Time frame: Baseline, 8 and 12 months

  5. Marital function measured by The Dyadic Adjustment Scale (DAS)

    To investigate the change in marital function among patients and partners from baseline to 8 and 12 months follow up and the difference in change between intervention - and the control group

    Time frame: Baseline, 8 and 12 months

  6. Health related quality of life measured by The Short Form Health Survey (SF-36)

    To investigate the change in health related quality of life among patients and partners from baseline to 8 and 12 months follow up and the difference in change between intervention - and the control group

    Time frame: Baseline, 8 and 12 months

  7. Anxiety measured by The Symptom Check List (SCL-92)

    To investigate the change in anxiety among patients and partners from baseline to 8 and 12 months follow up and the difference in change between intervention - and the control group

    Time frame: Baseline, 8 and 12 months

  8. Depression measured by The Major Depression Inventory (MDI)

    To investigate the change in depressive symptoms among patients and partners partners from baseline to 8 and 12 months follow up and the difference in change between intervention - and the control group

    Time frame: Baseline, 8 and 12 months

07

Study locations

1 site
  • Department of Urology, Rigshospitalet
    Copenhagen, Copenhagen Ø 2100, Denmark
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of May 2014, a primary completion of Jan 2019 and a completion of Feb 2021. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 1, 2014
First posted
Apr 3, 2014
Start
May 2014
Primary completionActual
Jan 2019
CompletionActual
Feb 2021
Last update
Feb 4, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 4, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02103088
Lead sponsor
Danish Cancer Society
Collaborators
The Capital Region Research Foundation for Health Research Denmark, Department of Urology Rigshospitalet Copenhagen Denmark, Clinic for Sexology and Center for Psychiatry Copenhagen Denmark, Department of Ergotherapy and Physiotherapy Rigshospitalet Copenhagen Denmark
Responsible party
Christoffer Johansen (MD, PhD, Dr. Med.Sci, Head of Unit, Danish Cancer Society) — Principal investigator
First posted
Apr 3, 2014
Start date
May 2014
Primary completion
Jan 2019
Completion
Feb 2021
Last update
Feb 4, 2021

Study contacts

Christoffer Johansen, PhD, Dr. Med
principal investigator · Danish Cancer Society
Randi V. Karlsen, RN, MEd
principal investigator · Danish Cancer Society

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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