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Trial registered on ANZCTR
Registration number
ACTRN12615000040561
Ethics application status
Approved
Date submitted
30/11/2014
Date registered
20/01/2015
Date last updated
20/01/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparison of ambulatory versus conventional urodynamics in assessing the function of neobladder in patients underwent radical cystectomy and orthotopic urine substitution.
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Scientific title
Comparison of ambulatory versus conventional urodynamics of modified orthotopic Hautmann neobladder in patients with bladder cancer who underwent radical cystectomy and orthotopic urine substitution.
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Secondary ID [1]
285756
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bladder Cancer
293643
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Condition category
Condition code
Cancer
293939
293939
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0
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Bladder
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Conventional and ambulatory urodynamic assessment (pressure - flow studies) in patients who underwent radical cystectomy for bladder cancer and orthotopic Hautmann W - neobladder with Abol Enein - Ghoneim uretero-intestinal anastomosis.
At the beginning of the study, patients are undergone conventional UDS using the Solar Silver (registered trademark) urodynamic device (MMS). The filling rate generally follow the formula weight in kg divided by four in ml/min but this is adjusted accordingly. All patients are in sitting position during the conventional UDS and the duration of conventional UDS is approximately 60 minutes.
Ambulatory UDS is performed subsequently at a date different from that of conventional UDS. On average the duration is approximately 18 hours. This orthograde filling cystometry is performed using the Luna (Wireless- Bluetooth) device with microtip catheters (MMS). Proper placement of the intravesical catheter is checked with the use of ultrasonography.
Each participant undertakes both assessments at baseline only.
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Intervention code [1]
290719
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Not applicable
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Comparator / control treatment
Conventional urodynamic assessment is the comparator
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
293715
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To compare intravesical pressure of the neobladder between the conventional and ambulatory urodynamics.
Intravesical pressure is automatically assessed by the machines with microtip catheters placed into patients' bladder.
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Assessment method [1]
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Timepoint [1]
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The estimation of conventional UDS is going to be done at least one year after the procedure. Ambulatory UDS will be performed subsequently at a date different from that of conventional (10-15 days after conventional UDS).
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Primary outcome [2]
293716
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To compare pressure of the neobladder wall ("detrusor pressure")between the conventional and ambulatory urodynamics
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Assessment method [2]
293716
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Timepoint [2]
293716
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The estimation of conventional UDS is going to be done at least one year after the procedure. Ambulatory UDS will be performed subsequently at a date different from that of conventional (10-15 days after conventional UDS).
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Secondary outcome [1]
311650
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To estimate and compare the mean voided volume recorded on ambulatory and conventional UDS on the voiding phase of the study
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Assessment method [1]
311650
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Timepoint [1]
311650
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The estimation of conventional UDS is going to be done at least one year after the procedure. Ambulatory UDS will be performed subsequently at a date different from that of conventional (10-15 days after conventional UDS).
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Secondary outcome [2]
311651
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To estimate and compare the post void residual urine volume recorded on ambulatory and conventional UDS
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Assessment method [2]
311651
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Timepoint [2]
311651
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The estimation of conventional UDS is going to be done at least one year after the procedure. Ambulatory UDS will be performed subsequently at a date different from that of conventional (10-15 days after conventional UDS).
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Eligibility
Key inclusion criteria
1. Patients with bladder urolthelial cell carcinoma (UCC) who underwent radical cystectomy and orthotopic Hautmann W - neobladder with Abol Enein - Ghoneim uretero-intestinal anastomosis for
2. at least one year before the initiation of the study
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Active Radiotherapy
Active Chemotherapy
Urethral stricture
Postoperative hernia
Chronic renal failure (estimated GFR < 60 mL/min/1.73 m2
Active urinary tract infection (UTI)
Hospitalized for other reasons
Continuous urinary incontinence
Deny to participate
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
2/06/2014
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Actual
2/06/2014
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Date of last participant enrolment
Anticipated
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Actual
19/12/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
6500
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Greece
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State/province [1]
6500
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Funding & Sponsors
Funding source category [1]
290325
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Self funded/Unfunded
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Name [1]
290325
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Address [1]
290325
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Country [1]
290325
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Primary sponsor type
Hospital
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Name
Gennimatas General Hospital of Thessaloniki
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Address
41 Ethnikis Aminis, Thessaloniki, 54643
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Country
Greece
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Secondary sponsor category [1]
289044
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None
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Name [1]
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Address [1]
289044
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Country [1]
289044
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
During the last decades, orthotopic reconstruction, following radical cystectomy for bladder cancer, is increasingly used. To date, different segments of intestine and different techniques have been used, aiming to succeed a sufficient functional reservoir capacity and to reduce intravesical pressure for the protection of upper urinary tract. In order to record this neobladder function, conventional urodynamic studies (UDS) has been used. However, this method is being accused that it is not able to mimic the patients’ symptoms, as they are in real life. In contrast, ambulatory UDS, that uses natural bladder filling, is thought to elicit more representative results. According to our knowledge, there is no information in the literature for the comparison of these two methods in patients with orthotopic neobladder substitution after radical cystectomy. For this reason, a record and a comparison of orthograde and retrograde filling cystometry findings was conducted in patients who had undergone modified orthotopic Hautmann neobladder following bladder removal.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Malioris Apostolis
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Address
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Malioris Apostolis
A’ Urologic department of Aristotle University of Thessaloniki, Greece
41 Ethnikis Aminis, Thessaloniki, 54643
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Country
53142
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Greece
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Phone
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+30 6974350579
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Fax
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Email
53142
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[email protected]
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Contact person for public queries
Name
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Kampantais Spyridon
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Address
53143
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Kampantais Spyridon
A’ Urologic department of Aristotle University of Thessaloniki, Greece
41 Ethnikis Aminis, Thessaloniki, 54643
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Country
53143
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Greece
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Phone
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+30 6945375525
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Fax
53143
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Email
53143
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[email protected]
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Contact person for scientific queries
Name
53144
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Kampantais Spyridon
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Address
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Kampantais Spyridon
A’ Urologic department of Aristotle University of Thessaloniki, Greece
41 Ethnikis Aminis, Thessaloniki, 54643
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Country
53144
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Greece
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Phone
53144
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+30 6945375525
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Fax
53144
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Email
53144
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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