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NCT Number: NCT06239909

Adjustable Artificial Sphincter Victo in the Treatment of Male Incontinence Due to Prostate Surgery

The aim of this prospective academic research study is to evaluate the efficacy and safety of the Victo adjustable artificial sphincter in the treatment of male patients with urinary incontinence due to prostate surgery.

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Key information

Age range

18 year and older

Sex eligibility

Male

Study type

Observational

Primary location

University Hospital Ostrava

Ostrava, Moravian-Silesian Region, 70852, Czechia

Location status: Recruiting

Location contact

Jan Krhut, prof.,MD,PhD

PRINCIPAL_INVESTIGATOR

Jiří Hynčica

CONTACT

[email protected]

0042059737 ext. 2587

Radek Paus Sýkora, MD

SUB_INVESTIGATOR

Tomáš Rychlý, MD

SUB_INVESTIGATOR

About this study

This is a non-interventional prospective study. The study will include male patients who underwent the Victo artificial sphincter placement due to severe incontinence.

Before the procedure, all patients will undergo a standard diagnostic work-up. After the procedure, the patients will be invited for regular visits 3 months after device activation and subsequently every 12 months. In addition to the regular visits, patients will be allowed to contact the study center at any time if their continence worsens enough to require adjustment or if they experience any complications.

The surgical technique of the Victo artificial sphincter implantation has been described in detail elsewhere.

A non-parametric one-way ANOVA Friedman test will be used to compare the changes of categorical variables from baseline to the end of follow-up. Wilcoxon rank-sum test will be used to assess the change of the non-categorical variables. P-value < 0.05 is considered statistically significant and no correction for multiple testing will be applied.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • urinary incontinence due to previous prostate surgery
  • primo-implantation of the artificial urinary sphincter
  • subject willing and able to give informed consent

Exclusion criteria

  • none

Treatment and study plan

24-h pad-weight test

Other

The patients will be asked to perform the 24-h pad-weight test

Patient Global Impression - Improvement Questionnaire

Other

The patient-reported outcome, as measured by PGI-I (Patient Global Impression - Improvement Questionnaire)

Primary outcomes

  1. Severity of incontinence as measured using 24-hour pad-weight test (24PWT)

    Time frame: 72 hours

    The severity of incontinence will be measured using the 24PWT. The patients will be asked to perform the test three times, and the average weight of the three measurements will be recorded. The change in severity of incontinence as measured by 24PWT will be observed from baseline to the end of observation.

Secondary outcomes

  1. Patients-reported outcomes of treatment

    Time frame: 5 years

    The patients-reported outcomes will be measured using the Patient Global Impression of Improvement (PGI-I) index. The Patient Global Impression of Improvement (PGI-I) is a global index that may be used to rate the response of a condition to a therapy. The PGI-I is a transition scale that is a single question asking the patient to rate their urinary tract condition now, as compared with how it was prior to beginning treatment on a scale from 1. (Very much better) to 7. (Very much worse).

  2. Treatment safety assessment

    Time frame: 5 years

    The safety of treatment will be measured by evaluation of the reported treatment-related complications using the Clavien-Dindo classification. The Clavien-Dindo system is widely used throughout surgery for grading adverse events (i.e. complications) which occur as a result of surgical procedures.

Study contacts

Contact information is provided by the study sponsor or research team.

Jiří Hynčica

CONTACT

[email protected]

0042059737 ext. 2587

Sponsors and collaborators

Lead sponsor

University Hospital Ostrava

Other

Registry information

Official study title

Clinical Outcomes of the Adjustable Artificial Sphincter Victo in the Treatment of Male Incontinence Due to Prostate Surgery - Prospective Follow-up Study

Important dates

Study start
2018
Primary completion
2026
Study completion
2026
First posted
Feb 2, 2024
Registry last updated
Feb 2, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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