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NCT Number: NCT07607990

Effects of Rectal Indomethacin Suppository on Postoperative CRBD in Patients Undergoing LRP

The postoperative incidence of catheter-related bladder discomfort (CRBD) ranges from 47% to 95%. It increases postoperative pain and agitation, thus requiring early intervention. Although a variety of drugs are used for the prevention or treatment of CRBD, the adverse reactions of most of these drugs have limited their clinical application. In long-term clinical practice, we found that indomethacin suppository has a good therapeutic effect on the discomfort of pelvic-related organs caused by nociceptive stimulation. However, its preventive effect on CRBD has not been reported yet. We hypothesized that indomethacin suppository has a preventive effect on postoperative CRBD. To verify this hypothesis, patients undergoing laparoscopic radical prostatectomy were enrolled in the study. Patients in the intervention group received 50 mg of indomethacin suppository via the rectal route immediately after surgery, while those in the control group received no treatment. The severity of CRBD, pain scores, consumption of analgesics, other perioperative adverse reactions, and patient satisfaction were observed and recorded at 0, 1, 2, and 6 hours after surgery.

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Key information

Age range

18 year–80 year

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310000, China

Location status: Recruiting

Location contact

Diansan SU, Cheif of Anesthesiology Department, PhD

CONTACT

[email protected]

+8618616514088

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Aged 18 to 80 years old (inclusive);
  • American Society of Anesthesiologists (ASA) physical status classification Class I-III;
  • Undergoing elective laparoscopic radical prostatectomy under general anesthesia;
  • Having a clear understanding of the study, voluntarily participating, and providing informed consent signed by themselves or their family members.

Exclusion criteria

  • Pre-existing bladder diseases, such as overactive bladder (frequency of micturition > 3 times per night or > 8 times within 24 hours), neurogenic bladder, and bladder outlet obstruction;
  • Postoperative status of pelvic organs or spine that affects bladder function;
  • Postoperative status of total proctocolectomy;
  • Severe cardiac insufficiency (activity tolerance < 4 METs) or clearly diagnosed coronary heart disease;
  • Clearly diagnosed chronic obstructive pulmonary disease (COPD) or a history of asthma;
  • Hepatic insufficiency with Child-Pugh Class C;
  • Chronic kidney disease requiring dialysis;
  • Active peptic ulcer/hemorrhagic disease;
  • Body mass index (BMI) ≤ 18 kg/m² or ≥ 28 kg/m²;
  • Chronic analgesic abuse;
  • Use of other nonsteroidal anti-inflammatory drugs (NSAIDs) within one week;
  • Hypersensitivity to nonsteroidal anti-inflammatory drugs (NSAIDs);
  • Mental or neurological disorders that prevent the completion of rating scales; or cognitive impairment resulting in the loss of capacity for civil conduct.

Treatment and study plan

Indomethacin suppository

Other

All patients received preoperative education on distinguishing catheter-related bladder discomfort (CRBD) from surgical somatic pain. Anesthesia was induced with sufentanil 3μg/kg, propofol 2mg/kg and rocuronium 0.6mg/kg. Anesthesia was maintained with combined propofol, remifentanil and sevoflurane. Fifteen minutes before surgery completion, intravenous ondansetron 4 mg was given for postoperative nausea and vomiting prophylaxis, and sufentanil 1 μg/kg was administered for postoperative analgesia. Drugs potentially interfering with study outcomes including dexmedetomidine, dezocine, tramadol and other non-steroidal anti-inflammatory drugs were prohibited. At the end of surgery when removing sterile drapes, interventions were performed as follows: Rectal administration of 50 mg indomethacin suppository.

Primary outcomes

  1. The incidence of moderate to severe CRBD within 0-1 hour after surgery

    Time frame: The postoperative time was calculated from the moment the patient was extubated, and the patient's catheter-related bladder discomfort (CRBD) was assessed immediately after extubation. Patients will be followed during the first hour postoperatively.

    Catheter-related bladder discomfort will be assessed immediately after extubation.

    The severity of catheter-related bladder discomfort was graded as follows:

    0 score: no discomfort;

    • score (mild): discomfort reported only on questioning;
    • score (moderate): discomfort reported spontaneously without behavioral response;
    • score (severe): discomfort reported spontaneously with behavioral responses (e.g., flailing limbs, vocalization, or attempting to remove the catheter).

    The incidence of moderate and severe CRBD within 0-1 hour postoperatively will be recorded.

Secondary outcomes

  1. The incidence of moderate to severe CRBD at 1, 2, and 6 hours postoperatively

    Time frame: The postoperative time was calculated from the moment the patient was extubated, and the patient's catheter-related bladder discomfort (CRBD) was assessed immediately after extubation. Patients will be followed at 1, 2, and 6 hours postoperatively.

    Catheter-related bladder discomfort will be assessed.

    The severity of catheter-related bladder discomfort was graded as follows:

    0 score: no discomfort;

    • score (mild): discomfort reported only on questioning;
    • score (moderate): discomfort reported spontaneously without behavioral response;
    • score (severe): discomfort reported spontaneously with behavioral responses (e.g., flailing limbs, vocalization, or attempting to remove the catheter).

    The incidence of moderate and severe CRBD at 1, 2, and 6 hours postoperatively will be recorded.

  2. CRBD severity score at 0, 1, 2, and 6 hours postoperatively

    Time frame: The postoperative time was calculated from the moment the patient was extubated, and the patient's catheter-related bladder discomfort (CRBD) was assessed immediately after extubation. Patients will be followed at 0,1, 2, and 6 hours postoperatively.

    Catheter-related bladder discomfort will be assessed.

    The severity of catheter-related bladder discomfort was graded as follows:

    0 score: no discomfort;

    • score (mild): discomfort reported only on questioning;
    • score (moderate): discomfort reported spontaneously without behavioral response;
    • score (severe): discomfort reported spontaneously with behavioral responses (e.g., flailing limbs, vocalization, or attempting to remove the catheter).

    CRBD severity at 0, 1, 2, and 6 hours postoperatively will be recorded.

Study contacts

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

Diansan SU, Cheif of Anesthesiology Department, PhD

CONTACT

[email protected]

+8618616514088

Shuying Fu

CONTACT

[email protected]

+8613616619870

Sponsors and collaborators

Lead sponsor

Zhejiang University

Other

Registry information

Official study title

Effects of Rectal Indomethacin Suppository on Postoperative Catheter-Related Bladder Discomfort in Patients Undergoing Laparoscopic Radical Prostatectomy: A Randomized Controlled Trial

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
May 27, 2026
Registry last updated
May 27, 2026

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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