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Despite technological advances, incontinence and impotence remain significant side effects of radical prostatectomy (RP). Strategies have been developed to reduce the injury to the erection nerves (i.e. neurovascular bundle - NVB)during surgery to further improve functional outcomes after RP. Adipose tissue is known for its stabilizing and even healing potential. These features include reducing the inflammatory process and improving blood supply to an injured nerve. We hypothesized that covering the NVB with periprostatic fat during surgery may potentially improve neural recovery and enhance functional recovery after RP. We sought to examine our hypothesis in a randomized controlled trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adipose Flap | Experimental | Covering neurovascular bundle with fat |
|
| Control | No Intervention | No adipose flap |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Technical modification during radical prostatectomy | Procedure | Covering the NVB with fat |
|
| Measure | Description | Time Frame |
|---|---|---|
| Erectile function | IIEF erectile function score | Change from Baseline IIEF score at 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Continence status | King's Health Questionnaire score | Change from Baseline King's score at 12 months |
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Inclusion Criteria:
Exclusion Criteria:
Patients who did not undergo NVB preservation or technical inability to create flap
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shay Golan, MD | Contact | +972507447573 | Shaygo1@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rabin Medical Center | Recruiting | Petah Tikva | Israel |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| D007172 | Erectile Dysfunction |
| D014549 | Urinary Incontinence |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |
| D012735 | Sexual Dysfunction, Physiological |
| D020018 | Sexual Dysfunctions, Psychological |
| D001523 | Mental Disorders |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |