RecruitingNot ApplicableNCT06179654

Preoperative Pelvic Floor Physical Therapy to Minimize Stress Urinary Incontinence After Holmium Laser Enucleation of the Prostate

Sponsor

The Cleveland Clinic

Enrollment

36 participants

Start Date

Nov 29, 2023

Study Type

INTERVENTIONAL

Conditions

Urinary Retention Lower Urinary Tract Symptoms Benign Prostatic Hyperplasia With Outflow Obstruction

Summary

The purpose of this study is to allow us to assess the effectiveness (or success) of starting pelvic floor physical therapy (i.e. exercises for your pelvic muscles) prior to HoLEP (holmium laser enucleation of the prostate) surgery for enlarged prostates in order to manage or prevent urinary incontinence (i.e. leaking) after surgery (i.e. post-operatively). Your pelvic floor refers to the muscles under your bladder along your pelvic bones that prevent you from leaking urine or stool. Traditionally, pelvic floor physical therapy is started after surgery and continued until urinary continence (i.e. no leaking of urine) is regained. We want to assess if beginning pelvic floor physical therapy prior to surgery (and continuing afterwards) reduces the time required to regain urinary continence following HoLEP.

Eligibility

Sex: MALEMin Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study looks at whether doing pelvic floor exercises with a physical therapist before prostate surgery (specifically a procedure called HoLEP — a laser treatment for an enlarged prostate) reduces the chance of leaking urine afterward. Urinary leakage after prostate surgery is common, and this trial tests whether preparing those muscles beforehand helps. **You may be eligible if...** - You are a male patient (assigned male at birth with a prostate) aged 18 or older - You are scheduled to have a HoLEP procedure for an enlarged prostate (benign prostatic hyperplasia) or related complications - You have not had prior pelvic radiation or prostate cancer surgery **You may NOT be eligible if...** - You have already been treated with radiation to the pelvis - You have had prior prostate cancer surgery - You are unable to participate in physical therapy before your procedure - You have a neurological condition affecting bladder control Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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