UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041625
Receipt number R000047498
Scientific Title A Prospective Observational Study of Effective Epidural Insertion Site for Catheter-related Bladder Discomfort after Transurethral Resection of Prostate
Date of disclosure of the study information 2020/09/01
Last modified on 2021/08/31 11:11:41

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Basic information

Public title

A Prospective Observational Study of Effective Epidural Insertion Site for Catheter-related Bladder Discomfort after Transurethral Resection of Prostate

Acronym

A Prospective Observational Study of Effective Epidural Insertion Site for CRBD after TURP

Scientific Title

A Prospective Observational Study of Effective Epidural Insertion Site for Catheter-related Bladder Discomfort after Transurethral Resection of Prostate

Scientific Title:Acronym

A Prospective Observational Study of Effective Epidural Insertion Site for CRBD after TURP

Region

Japan


Condition

Condition

benign prostatic hyperplasia

Classification by specialty

Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Benign prostatic hyperplasia causes frequent urination and straining to void in the elderly and reducing the quality of life (QOL). Transurethral resection of the prostate (TURP) is the common treatment for benign prostatic hyperplasia. The indwelling urinary catheter is placed for bleeding monitoring and preventing urinary retention after TURP. However, the catheter-related bladder discomfort (CRBD) is develops at a high rate postoperatively, and it contributes to lower postoperative satisfaction. To prevent CRBD, we use patient-controlled analgesia (PCA) with epidural catheter at the time of TURP. However, the most effective epidural puncture site for CRBD after TURP has not yet been investigated. In the present study, we seek to investigate the effective epidural insertion site (Th12/L1 versus sacral fissure) for catheter-related bladder discomfort after TURP at our institution.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

severity of postoperative CRBD

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

50 years-old <=

Age-upper limit

90 years-old >

Gender

Male

Key inclusion criteria

Patients who meet all of the following
1, Patients undergoing TURP under general anesthesia from September 1, 2020 to August 31, 2022
2, ASA physical status class 1-3
3, Patients using patient controlled epidural analgesia in postoperative period
4, Patients between the ages of 50 and less than 90
5, Patients who can obtain written consent to participate in this study

Key exclusion criteria

Patients who have any of the following
1, Patients with heart failure of NYHA 3 or greater
2, Patients with respiratory failure of Hugh-Jones 3 or greate
3, Patients with mental illness
4, Patients with chronic pain

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Tadahiko
Middle name
Last name Ishiyama

Organization

University of Yamanashi Hospital

Division name

Surgical center

Zip code

409-3898

Address

1110 Shimokato, Chuo-shi, Yamanashi

TEL

055-273-9690

Email

ishiyama@yamanashi.ac.jp


Public contact

Name of contact person

1st name Takuya
Middle name
Last name Akiyama

Organization

Faculty of Medicine, University of Yamanashi

Division name

Department of Anesthesiology

Zip code

409-3898

Address

1110 Shimokato, Chuo-shi, Yamanashi

TEL

055-273-9690

Homepage URL


Email

akiyamata@yamanashi.ac.jp


Sponsor or person

Institute

University of Yamanashi

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee of Faculty of Medicine, University of Yamanashi

Address

1110 Shimokato, Chuo-shi, Yamanashi

Tel

055-273-9065

Email

rec-med@yamanashi.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2020 Year 08 Month 26 Day

Date of IRB

2020 Year 08 Month 26 Day

Anticipated trial start date

2020 Year 09 Month 01 Day

Last follow-up date

2022 Year 08 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The severity of CRBD will be classified into four levels: 0 (none), 1 (mild), 2 (moderate), and 3 (severe) at 6, 12, and 24 hours after surgery in the two groups where epidural catheterization was performed at Th12/L1 and at the sacral fissure.


Management information

Registered date

2020 Year 08 Month 31 Day

Last modified on

2021 Year 08 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047498


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name