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NCT Number: NCT05257746

Perioperative and Postoperative Evaluation of Rectal and Urogenital Function in Patients Undergoing Rectal Resection

The aim of this study is the systematic analysis of the development of perioperative rectal and urogenital function in patients undergoing rectal resection with total mesorectal excision and the identification of risk factors for urogenital and sphincter function loss after this procedure. Knowledge of the corresponding risk factors could enable the identification of patient cohorts that could benefit from an intensified or altered postoperative treatment path. The results of this study could thus significantly influence the clinical management of patients with rectal cancer and improve the functional outcome in the long term.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Department of Gastrointestinal-, Thoracic and Vascular Surgery University Hospital Carl Gustav Carus Technische Universität Dresden

Dresden, Saxony, 01307, Germany

Location status: Recruiting

Location contact

Fiona Kolbinger, Dr.

SUB_INVESTIGATOR

Johannes Fritzmann, Dr.

CONTACT

[email protected]

+49 351 458 19477

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients undergoing rectal resection with total mesorectal excision

Exclusion criteria

  • primary or secondary removal of rectal sphincter apparatus
  • patients with enterostomy persisting 12 months after initial rectal resection

Treatment and study plan

Rectal Resection

Procedure

Open or minimally invasive rectal resection with total mesorectal excision

Primary outcomes

  1. Assessment of pelvic function before and after rectal resection

    Time frame: 5 years

    Rectal and urogenital function will be assessed preoperatively and 12-24 months and 5 years postoperatively using the PERIFUNC score questionnaire, resulting in a score between 0 and 120. Higher scores mean a worse outcome (worse pelvic function).

  2. Rectal sphincter function before and after rectal resection

    Time frame: 5 years

    Sphincter function will be assessed by manometry preoperatively and 12 - 24 months and 5 years postoperatively

  3. Assessment of stool continence before and after rectal resection

    Time frame: 5 years

    Stool continence will be assessed preoperatively and 12-24 months and 5 years postoperatively using the LARS score questionnaire, resulting in a score between 0 and 42. Higher scores mean a worse outcome (worse stool continence).

Secondary outcomes

  1. Operating time [min]

    Time frame: during surgery

    Time from skin incision until placement of last skin staple/suture.

  2. Intraoperative blood loss [mL]

    Time frame: during surgery

    Intraoperative blood loss presents the amount of blood lost from skin incision until skin closure. Spilling water and ascites will be subtracted. Swabs will be squeezed and their content will also be sucked and added to the fluid collected in the suction containers

  3. Duration of postoperative hospital stay [days]

    Time frame: At day of discharge, assessed up to 90 days

    Postoperative day 1 until day of discharge

  4. Duration of postoperative intermediate/intensive care unit stay [days]

    Time frame: At day of discharge, assessed up to 90 days

    Postoperative day 1 until day of discharge

  5. Frequency of peri-operative morbidity after resection

    Time frame: 90 days after surgery

    Frequency of peri-operative complications after resection

  6. Kind of peri-operative morbidity after resection

    Time frame: 90 days after surgery

    Kind of peri-operative complications after resection

Study contacts

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

Johannes Fritzmann, Dr.

CONTACT

[email protected]

+49 351 458 19477

Sponsors and collaborators

Lead sponsor

Technische Universität Dresden

Other

Registry information

Acronym: PERIFUNC

Important dates

Study start
2021
Primary completion
2030
Study completion
2030
First posted
Feb 25, 2022
Registry last updated
Jun 13, 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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