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CompletedNCT03020238Updated Jan 13, 2017

Impact of Nerve-sparing Radical Hysterectomy on Patients' Urinary Dynamics

An interventional study of BiClamp group and water jet group in Cervical Cancer and Urinary Retention, sponsored by Peking Union Medical College Hospital. Completed. Open to female participants. Per ClinicalTrials.gov, last updated 2017-01-13.

Sponsored by Peking Union Medical College Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Sex
Female
01

Study summary

Background: Radical hysterectomy is an important therapy for early cervical cancer. Disfunction of urinary dynamics is the most common postoperative adverse effects, which had negative impact on patients' quality of life. Nerve sparing radical hysterectomy (NSRH) could reserve inferior hypogastric plexus (IHP) innervating bladder, hence improving postoperative urinary dynamics. Furthermore impact of different energy instruments on urinary dynamic isn't clear.

Objectives: This study is to compare urinary dynamics before and after NSRH, and to analyze the difference between BiClamp forcep (BiClamp® forcep, ERBE Elektromedizin, GmbH, Tuebingen, Germany) and water jet (ERBEJET®2) about the effects of dissecting IHP.

Study population: Cervical cancer of FIGO IB stage, among which 120 cases are enrolled to randomly allocated to BiClamp group or water jet group.

Intervention: Patients accept NSRH which all will be accomplished by Professor Ming Wu.

Methods: All surgical patients are accessed via urinary dynamics before and four months after NSRH. On the 14th day after surgeries, urinary catheter will be removed and residual urine volume (RUV) will be measured. For patients of RUV > 100 ml, urinary catheter will be replaced.

Primary study endpoint: the successful rate of removing urinary catheter on the 14th day after NSRH.

Secondary study endpoint: urinary dynamics four months after NSRH.

02

Conditions studied

  • Cervical Cancer
  • Urinary Retention

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03

In context

Urinary Retention

235 studies on the registry are indexed under Urinary Retention; 39 are open to participants now.

This study's enrollment of 120 is above the median of 95 across 185 interventional studies indexed under Urinary Retention.

Browse Urinary Retention studies →

Lead sponsor

Peking Union Medical College Hospital is the lead sponsor of 1,115 studies on the registry; 463 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • FIGO stage IB
  • ASA score 0-2

Exclusion criteria

Exclusion Criteria:

  • Radiotherapy or chemotherapy before surgeries
  • ASA score > 2
  • With abnormal urinary dynamics before surgeries
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
None (open label)
Enrollment
120 participants (actual)

Study arms

  • Placebo comparator
    BiClamp group

    BiClamp forcep (BiClamp® forcep, ERBE Elektromedizin, GmbH, Tuebingen, Germany) is used to dissect inferior hypogastric plexus

    Procedure: BiClamp group

  • Active comparator
    water jet group

    water jet (ERBEJET®2, ERBE Elektromedizin, GmbH, Tuebingen, Germany) is used to dissect inferior hypogastric plexus

    Procedure: water jet group

Interventions

  • ProcedureBiClamp group

    electric energy

    Also known as: BiClamp® forcep, ERBE Elektromedizin

  • Procedurewater jet group

    water jet energy

    Also known as: ERBEJET®2, ERBE Elektromedizin

06

What researchers measure

Primary outcomes

  1. successful rate of removing urinary catheter

    successful rate (%) of removing urinary catheter assessed by residual urine volume less than 100 ml

    Time frame: 14th day after nerve-sparing radical hysterectomy

Secondary outcomes

  1. urinary dynamics parameters determined by urodynamics apparatus: bladder capacity and sensation

    bladder capacity and sensation in ml

    Time frame: four months after nerve-sparing radical hysterectomy

  2. urinary dynamics parameters determined by urodynamics apparatus: residual urine volume

    residual urine volume in ml

    Time frame: four months after nerve-sparing radical hysterectomy

  3. urinary dynamics parameters determined by urodynamics apparatus: urine flow rate

    urine flow rate in ml/s

    Time frame: four months after nerve-sparing radical hysterectomy

  4. urinary dynamics parameters determined by urodynamics apparatus: bladder pressure

    bladder pressure in cmH2O

    Time frame: four months after nerve-sparing radical hysterectomy

  5. urinary dynamics parameters determined by urodynamics apparatus: detrusor pressure

    detrusor pressure in cmH2O

    Time frame: four months after nerve-sparing radical hysterectomy

  6. urinary dynamics parameters determined by urodynamics apparatus: bladder compliance

    bladder compliance in ml/cmH2O

    Time frame: four months after nerve-sparing radical hysterectomy

  7. survival outcomes: ovarall survival

    overall survival in months

    Time frame: two years after nerve-sparing radical hysterectomy

  8. survival outcomes: progression-free survival

    progression-free survival in months

    Time frame: two years after nerve-sparing radical hysterectomy

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: Yes — IPD will be shared with authorised researchers via online database.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 13, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03020238
Lead sponsor
Peking Union Medical College Hospital
Responsible party
Lei Li (Associate Professor, Peking Union Medical College Hospital) — Principal investigator
First posted
Jan 13, 2017
Start date
Jan 2013
Primary completion
Jan 2016
Completion
Jan 2017
Last update
Jan 13, 2017

Study contacts

Wu Ming, MD
principal investigator · Peking Union Medical College Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.

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