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SuspendedNCT04981834Updated Jun 1, 2026

Robot-Assisted Radical Prostatectomy With or Without Vesicopexy in Patients With Prostate Cancer

An interventional study of Quality-of-Life Assessment and Questionnaire Administration in Stage I Prostate Cancer AJCC v8, Stage II Prostate Cancer AJCC v8 and Stage IIA Prostate Cancer AJCC v8, sponsored by University of Southern California. Suspended at 1 site in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-01.

Sponsored by University of Southern California · Not applicable, Interventional, and Treatment

Why this study was suspended
Accrual goal reached and suspended for analysis purposes.
Phase
Not applicable
Study type
Interventional
Enrollment
196
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

This phase III trial compares the effects of robot-assisted radical prostatectomy (RARP) with or without vesicopexy on urinary continence (a person's ability to control their bladder) and quality of life in patients with cancer of the prostate. RARP is the most adopted surgical approach for treatment of prostate cancer that has not spread to other places in the body (non-metastatic). Urinary incontinence (inability to control the bladder) is one of the most common complications of RARP, impacting patients' quality of life and psychological well-being. Different techniques have been proposed to improve urinary continence following RARP. Vesicopexy is one technique that restores the bladder to its normal position in the body after RARP. This study aims to evaluate whether RARP with vesicopexy may improve urinary continence and quality of life after surgery in prostate cancer patients.

Read the detailed description

PRIMARY OBJECTIVE:

I. To determine the 3-month (+/- 3 weeks) urinary continence following RARP with or without vesicopexy.

SECONDARY OBJECTIVES:

I. To evaluate the 3-month (+/- 3 weeks) quality of life following RARP with or without vesicopexy.

II. To evaluate the 72-hour post-operative (postop) urinary continence following RARP with or without vesicopexy.

III. To evaluate the 1-month (+/- 1 week) postop urinary continence following RARP with or without vesicopexy.

IV. To evaluate sexual function at 3-month (+/- 3 weeks) following RARP with or without vesicopexy.

V. To evaluate the operative time in patients undergoing RARP with or without vesicopexy.

VI. To evaluate intraoperative complications in patients undergoing RARP with or without vesicopexy.

VII. To evaluate 90-day post-operative complications in patients undergoing RARP with or without vesicopexy.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM I: Patients undergo standard RARP with anterior approach plus vesicopexy. Urethral catheters are removed 7-14 days following surgery at provider discretion.

ARM II: Patients undergo standard RARP with anterior approach without vesicopexy. Urethral catheters are removed 7-14 days following surgery at provider discretion.

After study completion, patients will be followed-up with at 24 hours, 1-month, and 3-months.

02

Conditions studied

  • Stage I Prostate Cancer AJCC v8
  • Stage II Prostate Cancer AJCC v8
  • Stage IIA Prostate Cancer AJCC v8
  • Stage IIB Prostate Cancer AJCC v8
  • Stage IIC Prostate Cancer AJCC v8
  • Stage III Prostate Cancer AJCC v8
  • Stage IIIA Prostate Cancer AJCC v8
  • Stage IIIB Prostate Cancer AJCC v8
  • Stage IIIC Prostate Cancer AJCC v8

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03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's planned enrollment of 196 is above the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

University of Southern California is the lead sponsor of 773 studies on the registry; 135 are open to participants now.

Of its 68 completed or terminated interventional studies of FDA-regulated products, 32 (47%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Men with age > 18 years
  • Prostate cancer patients undergoing RARP with anterior approach at University of Southern California (USC) urology
  • Ability to understand and the willingness to sign a written informed consent
  • Clinical stage \< 4 and (M0) prostate cancer
  • Eastern Cooperative Oncology Group (ECOG) performance score 0-1
  • Pre-operative (op) urinary continence
  • Negative history of pelvic radiation and/or previous local therapy for prostate cancer (i.e., radiation or focal therapy)

Exclusion criteria

Exclusion Criteria:

  • Any history of psychiatric, neurologic or cognitive disease
  • Any history of neuropathic bladder
  • Any drug or alcohol addiction
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
196 participants (estimated)

Study arms

  • Experimental
    Arm I (radical prostatectomy, vesicopexy)

    Patients undergo standard RARP with anterior approach plus vesicopexy. Urethral catheters are removed 7-14 days following surgery at provider discretion.

    Other: Quality-of-Life Assessment · Other: Questionnaire Administration · Procedure: Radical Prostatectomy · Procedure: Vesicopexy

  • Active comparator
    Arm II (radical prostatectomy)

    Patients undergo standard RARP with anterior approach without vesicopexy. Urethral catheters are removed 7-14 days following surgery at provider discretion.

    Other: Quality-of-Life Assessment · Other: Questionnaire Administration · Procedure: Radical Prostatectomy

Interventions

  • OtherQuality-of-Life Assessment

    Ancillary studies

    Also known as: Quality of Life Assessment

  • OtherQuestionnaire Administration

    Ancillary studies

  • ProcedureRadical Prostatectomy

    Undergo RARP

    Also known as: Prostatovesiculectomy

  • ProcedureVesicopexy

    Undergo vesicopexy

    Also known as: Cystopexy, Vesicofixation

06

What researchers measure

Primary outcomes

  1. 3-month (+/- 3 weeks) urinary continence rate following RARP with or without vesicopexy

    Defined continence as 0-1 safety pad usage. Use the "pictorial pad usage questionnaire."

    Time frame: 3 months post-operative

Secondary outcomes

  1. 3-month (+/- 3 weeks) quality of life following surgery

    Use the European Organization for Research and Treatment of Cancer Quality-of-life Questionnaire (EORTC QLQ-PR25).

    Time frame: 3 months post-operative

  2. 72-hour postop urinary continence following surgery

    Defined continence as 0-1 safety pad usage. Assessed with the "pictorial pad usage questionnaire."

    Time frame: 72 hours post-operative

  3. 1-month (+/- 1 week) post-operative urinary continence following surgery

    Defined continence as 0-1 safety pad usage. Assessed with the "pictorial pad usage questionnaire."

    Time frame: 1 month post-operative

  4. Sexual function at 3-month (+/- 3 weeks) following surgery

    Sexual Health Inventory for Men (SHIM) questionnaire is used for the evaluation of sexual function.

    Time frame: 3 months post-operative

  5. Operative time

    Time frame: Duration of operation

  6. Intra-operative complications

    Time frame: Duration of operation

  7. 90-day post-operative complications

    Time frame: 90 days post-operative

07

Study locations

1 site
  • USC / Norris Comprehensive Cancer Center
    Los Angeles, California 90033, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04981834
Lead sponsor
University of Southern California
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jul 29, 2021
Start date
Oct 27, 2021
Primary completion
Mar 31, 2027 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Jun 1, 2026

Study contacts

Hooman Djaladat, MD
principal investigator · University of Southern California

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is suspended, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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