Urodynamic Assessment of the Lower Urinary Tract: Water vs. Air - Synchrony

Lower Urinary Tract Dysfunction Clinical Trial

Official title:

Assessment of the Lower Urinary Tract: Consistency, Features and Artifacts of Invasive Urodynamic Assessments - Synchrony

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04036123
• Other study ID #: UDI-Synchrony 2018-00073
• Status: Completed
• Phase: N/A
• Start date: October 1, 2019
• Est. completion date: March 31, 2023

Study information

• Verified date: April 2023
• Source: University of Zurich
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Comparison of water-perfused (WP) and air-charged (AC) catheters for invasive urodynamic investigation (UDI) regarding consistency, features and artifacts.

Description:

UDI is the gold standard to assess refractory lower urinary tract symptoms (LUTS), i.e. to detect and specify lower urinary tract dysfunction (LUTD). Therefore, UDI findings lead to diagnosis and decision-making for further non-invasive and invasive therapies. For UDI pressure recordings, the use of WP catheters is recommended by the International Continence Society (ICS).

Currently AC catheters have been marked for pressure recording as an alternative to WP catheters. However, the number of comparative studies is very limited. Nevertheless, since release, AC catheters have gained popularity due to their omnidirectional detection of pressure, and claimed reduction in movement artefacts (due to weight-less air column vs weighted water column), lack of external reference level, and ease of set-up/use. Still, there is debate whether AC catheters are an acceptable alternative to fluid-filled lines for measuring intravesical and intra-abdominal pressure in UDI. Based on the available literature, an appropriate conclusion, whether both systems can be used as equivalents and interchangeably, cannot be drawn.

In this study, the investigators compare both systems regarding consistency, features and artifacts.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: March 31, 2023
• Est. primary completion date: March 31, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Male and female patients

• Age =18 years

• Informed consent

• LUTD due to a neurological disorder

• Competent German language skills

Exclusion Criteria:

• Age <18 years

• Pregnancy or breast feeding (see chapter 3.6.)

• Symptomatic UTI

• Individuals especially in need of protection

• No informed consent

• Patients incapable to follow the trial, e.g. because of language problems, psychiatric disorders, dementia and so on.

• Earlier participation in this clinical trial

Related Conditions & MeSH terms

• Lower Urinary Tract Dysfunction

Intervention

Other:
• Urodynamic investigation
Simultaneous UDI (same session repeat filling cystometry and pressure flow study) with an air-charged and water-perfused measurement system.

Locations

Country	Name	City	State
Switzerland	Balgrist University Hospital	Zürich

Sponsors (1)

Lead Sponsor	Collaborator
University of Zurich

Country where clinical trial is conducted

Switzerland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Interchangeability of the measurement method (air-charged vs. water-perfused measurement system) regarding the urodynamic observations, diagnostic result and subsequent treatment		Once during urodynamic investigation
Secondary	Pressure changes during urodynamics using an air-charged vs. water-perfused measurement system	Maximum DO amplitude [cmH2O], detrusor leak-point pressure [cmH2O], maximum detrusor pressure [cmH2O] during storage phase, maximum detrusor pressure [cmH2O] during voiding phase, detrusor pressure at maximum flow rate [cmH2O]	Once during urodynamic investigation
Secondary	Changes in bladder compliance [mL/cmH2O] during urodynamics using an air-charged vs. water-perfused measurement system		Once during urodynamic investigation]
Secondary	Incidence of side effects: number and intensity/severity (mild/moderate/severe) of AEs and SAE for the following categories during and for 7 days after the urodynamic investigation	Infection - Urinary Tract Infection (UTI); severe or sudden increase in pain; severe or sudden increase in spasticity; autonomic dysreflexia; urgent (unexpected) transfer/admittance to an acute care facility	Once during urodynamic investigation and 7 days thereafter