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Nerve monitoring during robotic radical prostatectomy

Nerve monitoring during robotic radical prostatectomy: a prospective single-arm non-randomized feasibility study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN09760775
Enrollment
30
Registered
2013-01-18
Start date
2013-01-18
Completion date
Unknown
Last updated
2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Erectile Dysfunction Mental and Behavioural Disorders Male erectile disorder

Interventions

The nerves surrounding the prostate will be monitored during the prostatectomy procedure (intraoperatively). Simultaneously, a functional response will be measured with a tissue oxygenation monitor. T

Sponsors

Medtronic, Inc (USA)
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: 1. Patient is a male between 18 years and 75 years of age 2. Patient was diagnosed with prostate cancer, undergoing nerve-sparing robotic radical prostatectomy 3. Patient has been informed of the nature of the study, agrees to its provisions and has provided written consent as approved by the Institutional Review Board (IRB) of the respective investigational site 4. Patient is able and willing to comply with all study requirements, including the follow-up evaluations and will return to the investigational site(s) for all required office visits 5. Patient has completed the International Index of Erectile Function (IIEF-5) questionnaire with a score of 17 or higher

Exclusion criteria

Exclusion criteria: 1. Patient has a history of erectile dysfunction associated with neurologic abnormalities 2. Patient has untreated hypertension (systolic blood pressure > 160mm Hg and/or diastolic blood pressure > 100mm Hg) 3. Patient has any penile anatomical abnormalities (e.g. penile fibrosis or Peyronie?s disease) 4. Patient has a penile or urinary sphincter implant 5. Patient has a history of prior radiation therapy to the pelvic region 6. Patient is participating in another investigational device, biologic, or drug study and has not completed the primary endpoint(s) or if there is a potential for clinical interference beyond the primary endpoint 7. Patient with prior pelvic surgery with a potential for clinical interference with the primary study endpoint

Design outcomes

Primary

MeasureTime frame
Feasibility of nerve monitoring, defined as ability to record compound nerve action potentials from the cavernous nerve during surgery.

Secondary

MeasureTime frame
1. Feasibility of functional monitoring, defined as ability to evoke an increase in tissue oxygenation as a result of cavernous nerve stimulation during surgery. 2. Change in preoperative to postoperative erectile function, based on a patient-completed questionnaire (IIEF-5) at three months and six months.

Countries

United States of America

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026