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CompletedNCT05247775Updated Feb 21, 2022

Urethral Functional Profile Length Before Radical Prostatectomy as an Early Postoperative Continence Predictor

An interventional study of Profilometry in Urinary Incontinence, sponsored by Clinical Hospital Centre Zagreb. Completed at 1 site in Croatia. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-02-21.

Sponsored by Clinical Hospital Centre Zagreb · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 2 years 6 months after the study started (first participant enrolled Jul 2019, registered Feb 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
43
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
01

Study summary

Urinary incontinence (UI) is one of the most common complications of radical prostatectomy (RP). Impaired urethral sphincter function is generally considered to be the most important contributing factor of UI however, the mechanism of onset and recovery of urinary continence has not been fully elucidated. In this research, the urodynamic method of Urethral Pressure Profile (UPP) was used to evaluate Functional Urethral Length (FUL) and Maximal Urethral Closure Pressure (MUCP) and correlate with the postprostatectomy continence recovery. Objective of this research is to evaluate preoperative FUL and MUCP as an early continence recovery predictors after open retropubic RP (ORRP).

The research was conducted at the Department of Urology of the University Hospital Centre Zagreb on a group of 43 patients in the period from July 15th , 2019 to May 07th , 2021.The severity of UI and bothersome were assessed using fully validated International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI SF) and number of pads used in 24h. Patients were interviewed about the use of urinary pads and asked to fill out the ICIQ-UI SF before and 2, 8, 16 and 24 weeks after RP.

02

Conditions studied

  • Urinary Incontinence

Keywords

  • Urinary Incontinence
  • Radical Prostatectomy
  • Urethral Pressure Profile
  • ICIQ-UI SF
  • Pads
03

In context

Urinary Incontinence

1,363 studies on the registry are indexed under Urinary Incontinence; 228 are open to participants now.

This study's enrollment of 43 is below the median of 66 across 1,011 interventional studies indexed under Urinary Incontinence.

Browse Urinary Incontinence studies →

Lead sponsor

Clinical Hospital Centre Zagreb is the lead sponsor of 31 studies on the registry; 9 are open to participants now.

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

  1. Patients diagnosed with localized prostate cancer
  2. Open Retropubic Radical Prostatectomy (ORRP) is planned as a treatment

Exclusion criteria

Exclusion Criteria:

  1. Incontinent patients prior to ORRP
  2. Previous surgery in the area of the prostatic urethra
  3. Previous procedures that can damage the innervation of the pelvis
  4. Radiotherapy performed in the pelvic area prior to ORRP
  5. Adjuvant radiotherapy in the first postoperative year
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
43 participants (actual)

Study arms

  • Experimental
    Patients with prostate cancer

    We performed urethral pressure profilometry prior to open retropubic radical prostatectomy (ORRP). Patients were interviewed about the urinary incontinence by the usage of pads and International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) prior to ORRP and at 2, 8, 16 and 24 weeks after ORRP.

    Procedure: Profilometry

Interventions

  • ProcedureProfilometry

    Profilometry was performed in 43 patients before open retropubic radical prostatectomy.

    Also known as: Urethral pressure profile measurement

06

What researchers measure

Primary outcomes

  1. Functional Urethral Length as a predictor of Urinary Incontinence

    Functional Urethral Length (FUL) is measured using Urethral Presssure Profilometry and expressed in mm. The severity of urinary incontinence and bothersome were assessed using fully validated International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI SF) and number of pads used in 24h. Patients were interviewed about the use of urinary pads and asked to fill out the ICIQ-UI SF before and 2, 8, 16 and 24 weeks after radical prostatectomy. ICIQ-UI SF score ranges: min 0, max 21 (higher score indicating greater severity of symptoms). Cut-off for positive UI, in this research, was 6. Cut-off for positive UI by number of pads used per day was 2.

    Time frame: 24 weeks

  2. Maximum Urethral Closure Pressure as a predictor of Urinary Incontinence

    Maximum Urethral Closure Pressure (MUCP) is measured using Urethral Presssure Profilometry and expressed cmH2O. The severity of urinary incontinence and bothersome were assessed using fully validated International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI SF) and number of pads used in 24h. Patients were interviewed about the use of urinary pads and asked to fill out the ICIQ-UI SF before and 2, 8, 16 and 24 weeks after radical prostatectomy. ICIQ-UI SF score ranges: min 0, max 21 (higher score indicating greater severity of symptoms). Cut-off for positive UI, in this research, was 6. Cut-off for positive UI by number of pads used per day was 2.

    Time frame: 24 weeks

07

Study locations

1 site
  • UHC Zagreb
    Zagreb, 10000, Croatia
08

References and documents

Publications

  • Bakula M, Hudolin T, Kolar Mitrovic H, Kastelan Z. Urethral pressure profile before radical prostatectomy as a predictor of early postoperative continence. Neurourol Urodyn. 2022 Aug;41(6):1431-1439. doi: 10.1002/nau.24978. Epub 2022 Jun 7. PubMed 35670263 ↗

Individual participant data

Plan to share: No — IPD that underlie results in a publication (Urethral Pressure Profilometry results, ICIQ-UI SF scoring charts and urinary pads usage) will be available upon the request to Principal Investigator

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 21, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05247775
Lead sponsor
Clinical Hospital Centre Zagreb
Responsible party
Mirko Bakula (Urology specialist, Clinical Hospital Centre Zagreb) — Principal investigator
First posted
Feb 21, 2022
Start date
Jul 15, 2019
Primary completion
Nov 1, 2020
Completion
May 7, 2021
Last update
Feb 21, 2022

Study contacts

Mirko Bakula
principal investigator · Clinical Hospital Centre Zagreb

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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