Spinal Cord Injury Clinical Trial
Official title:
Treatment of Fecal Incontinence and Constipation in Patients With Spinal Cord Injury - a Prospective, Randomized, Controlled, Multicentre Trial of Transanal Irrigation Vs. Conservative Bowel Management
Verified date | February 2006 |
Source | University of Aarhus |
Contact | n/a |
Is FDA regulated | No |
Health authority | Denmark: Ethics Committee |
Study type | Interventional |
The study aims to compare a newly developed system for transanal colonic irrigation
(Peristeen Anal Irrigation) with a bowel management regime that does not include irrigation
in a prospective, randomized trial in spinal cord lesion patients (SCL- patients) with
faecal incontinence and/or constipation.
Population; 80 SCL- patients with faecal incontinence and/or constipation from five
countries.
Focus on:
Bowel symptom score Neurogenic Bowel Dysfunction score Symptom related quality of life
questionnaire Time expenditure for performance of bowel care ans side effects
Status | Completed |
Enrollment | 80 |
Est. completion date | August 2005 |
Est. primary completion date | |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Aged 18 or over - Spinal cord lesion at any level at least 3 months from injury - At least one or more of the following symptoms: - Spending ½ hour or more attempting to defecate each day or every second day - Symptoms of autonomic dysreflexia before or during defecation - Abdominal discomfort before or during defecation - Episodes of faecal incontinence once or more per month - The patient is able to understand the treatment and is willing to comply with the prescribed regimen - The patient is able to perform transanal colonic irrigation seated on a toilet commode with or without assistance - Signed informed consent has been obtained Exclusion Criteria: - Co-existing major unsolved physical problems due to the injury - Perform transanal retrograde irrigation on a regular basis - Evidence of bowel obstruction - Evidence of inflammatory bowel disease - History of cerebral palsy or cerebral apoplexy - Multiple sclerosis - Diabetic polyneuropathy - Previous abdominal or perianal surgery (not including minor surgery as appendectomy or haemorrhoidectomy) - Pregnant or lactating - Evidence of spinal chock - Mentally unstable - Treatment with more than 5 mg prednisolon per day. - PNS implant (sacral nerve stimulation) |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Denmark | Surgical Research Unit, Department of Surgery P, Aarhus University Hospital | Aarhus |
Lead Sponsor | Collaborator |
---|---|
University of Aarhus | Central Jutland Regional Hospital, Coloplast A/S, Karolinska University Hospital, Montecatone Rehabilitation Institute S.p.A., National Spinal Injuries Centre, Stoke Mandeville Hospital, United Kingdom,, Orthopädische Universitätsklinik Heidelberg, Germany, |
Denmark,
Christensen P, Kvitzau B, Krogh K, Buntzen S, Laurberg S. Neurogenic colorectal dysfunction - use of new antegrade and retrograde colonic wash-out methods. Spinal Cord. 2000 Apr;38(4):255-61. — View Citation
Christensen P, Olsen N, Krogh K, Bacher T, Laurberg S. Scintigraphic assessment of retrograde colonic washout in fecal incontinence and constipation. Dis Colon Rectum. 2003 Jan;46(1):68-76. — View Citation
Krogh K, Olsen N, Christensen P, Madsen JL, Laurberg S. Colorectal transport during defecation in patients with lesions of the sacral spinal cord. Neurogastroenterol Motil. 2003 Feb;15(1):25-31. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Cleveland Clinic Constipaton Scoring System | |||
Primary | St. Mark's Fecal Incontinence Grading System | |||
Secondary | Neurogenic Bowel Dysfunction Score | |||
Secondary | American Society of Colorectal Surgeon Fecal Incontinence Score |
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