Perioperative Post-Prostatectomy Incontinence Home Telehealth Program

Completed · Not applicable

Conditions studied: Urinary Incontinence, Prostate Cancer

In brief

Many men develop urine leakage after prostate cancer surgery. Usually it is temporary, but pelvic floor muscle training and exercise (including urine control strategies) have been shown to reduce the time to regaining urine control. This study tests an evidence-based, pelvic floor muscle training program that has been adapted to telehealth format and pilot tested in a VA-funded pilot/developmental trial. Training is begun 1-4 weeks before surgery and continued 6 months after surgery. Content is accessed on a secure website in daily 10-minute sessions which transition to weekly sessions for post-operative months 3-6. In the investigators' pilot study, Veterans reported that they appreciated receiving the training in the privacy of their homes, enjoyed the interactive style of the learning experience, and felt better prepared to deal with urine leakage and empowered with new knowledge and skills to help themselves. Content for both control and treatment groups includes general information about prostate cancer; perioperative care; wetness, odor and skin care management. The treatment group will ALSO receive pelvic floor muscle training and bladder control strategies. Outcomes are measured with brief validated questions administered by the telehealth platform, and again at 9 and 12 months by mailed questionnaire or the telehealth platform.

Key facts

Study ID

NCT01960998

Run by

VA Office of Research and Development

People needed

245

Starts

2014-08-11

Expected to finish

2019-09-30

Last updated by the study team

2021-08-09

Who can join

Age: any. Sex: male. Healthy volunteers: accepted.

You may qualify if…

• Scheduled to undergo a radical prostatectomy for treatment of prostate cancer and enrolled at the Birmingham, Philadelphia, or Atlanta VA Medical Centers or the affiliated University Medical Centers
• Ability to read English.
• Internet access

You may not qualify if…

• Urinary Incontinence in the 6 months prior to prostate cancer surgery (other than post-void dribbling)
• Less than 1 week before surgery

Where it is running

• Birmingham VA Medical Center — Birmingham, Alabama, United States
• Atlanta VA Medical and Rehab Center, Decatur, GA — Decatur, Georgia, United States
• Philadelphia VA Medical Center, Philadelphia, PA — Philadelphia, Pennsylvania, United States

Full record on ClinicalTrials.gov

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