Interstitial CystitisNCT03987594
Comparing the Effect of Fulguration Versus Fulguration and Hydrodistension in Interstitial Cystitis/Bladder Pain Syndrome
A study testing Transurethral fulguration of the Hunner lesion and Combination treatment of bladder hydrodistension and transurethral fulguration of the Hunner lesion in people with Interstitial Cystitis and Bladder Pain Syndrome, run by Yonsei University at 1 site in South Korea.
Trial summary
This study is a randomized controlled trial. Subject population is adult patients with Hunner-type interstitial cystitis. The objective of this study is to compare the therapeutic effect between the two surgical modality; TUF (transurethral fulguration of the Hunner lesion) versus TUF+HD(addition of bladder… Read more about this study
- Who is it for?
- Ages 29 to 83 years
- Conditions the study is for
- Interstitial Cystitis, Bladder Pain Syndrome
- What is being tested?
- Transurethral fulguration of the Hunner lesion and Combination treatment of bladder hydrodistension and transurethral fulguration of the Hunner lesion
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 55 participants
- Where
- 1 siteSouth Korea
- Study dates
- 1 Aug 2015to 31 Oct 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 29 to 83 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 1. cystoscopically proven Hunner lesion, without other demonstrable lower urinary tract diseases
- 2. Adult patient aged more than 19 years
- 3. Duration of IC/BPS symptom of more than 6 months
- 4. VAS pain score more than point 4 (including point 4)
- 5. The total score of O'Leary-Sant Interstitial Cystitis questionnaire (IC-Q) symptom and problem is more than 12 with the score of pain item is more than 2
- 6. The total score of Pelvic pain urgency/frequency patient symptom scale more than point 13
Who cannot join
- 1. Patient with history of bladder hydrodistension or transurethral fulguration within the period of 3 months
- 2. Women patients who are likely to become pregnant
- 3. Patients with average voided volume more than 400ml
- 4. Patients with hematuria suspicious of malignancy
- 5. Patients with microbiologically proven urinary tract infection during the screening period
- 6. Patients with microbiologically proven recurrent urinary tract infection, more than twice during the last 6 months or more than three times of infection during the last year
Show all 15Show fewer
- 7. Patients with previous history of genitourinary tuberculosis
- 8. Patients with previous history of genitourinary malignancy
- 9. Patients with previous history of bladder augmentation
- 10. Patient with following surgery within recent 6 months at screening; hysterectomy, midureteral or suburethral sling operation, transvaginal operation, pelvic organ prolapse surgery, vaginal delivery, Caesarean section, prostate surgery, and any other treatment that might affect bladder sensation and bladder function.
- 11. Patients with neurological diseases which might affect bladder function
- 12. patients who rely on assisted emptying ; like clean intermittent catheterization or indwelling catheterization
- 13. patients who are planning to rehabilitation treatment affect the bladder function, like intravesical electronic stimulation
- 14. patient with alcohol or drug addiction
- 15. any patient who are not fit for the study based on the investigator's decision
Trial locations and contacts
1 site in 1 country.
South Korea1 site
Department of Urology and Urological Science Institute, Yonsei University College of Medicine
Seoul
About this study
Official title: Prospective Randomized Controlled Trial Comparing the Effect of Fulguration Versus Fulguration and Hydrodistension in Interstitial Cystitis/Bladder Pain Syndrome
This study is a randomized controlled trial. Subject population is adult patients with Hunner-type interstitial cystitis. The objective of this study is to compare the therapeutic effect between the two surgical modality; TUF (transurethral fulguration of the Hunner lesion) versus TUF+HD(addition of bladder hydrodistension prior to transurethral fulguration of the Hunner lesion).
Read the detailed description
Subject patients are randomly allocated to 1:1 ratio using Permuted block randomization. For TUF group, only fulguration on the Hunner lesion is performed. For TUF+HD group hydrodistension is performed for 8 minutes at pressure of 80cmH2O, and then fulguration on the Hunner lesion is performed. Therapeutic effect is evaluated using Visual Analogue Scale (VAS) pain score, O'Leary-Sant Interstitial Cystitis questionnaire (IC-Q), Pelvic pain urgency/frequency patient symptom scale (PUF), frequency volume chart parameters, EQ-5D Health Questionnaire, Brief Pain Inventory-short form (BPI-sf), Patient Global Assessment (PGA) at the point of 1, 2, 4 and 6 months after operation. During the observational period, subject patients are not provided with any additional medical, physical or surgical treatment for symptom relief. Subject patient who complains of symptom requiring medical, physical or surgical intervention during the study period, is dropped from the study. Comparison of therapeutic efficacy between the two groups is performed using independent two sample t-test.
- Conditions
- Interstitial Cystitis, Bladder Pain Syndrome
- Being tested
- Transurethral fulguration of the Hunner lesion, Combination treatment of bladder hydrodistension and transurethral fulguration of the Hunner lesion
- Keywords
- Interstitial Cystitis, Painful Bladder Syndrome, Hydrodistension, Transurethral Fulguration
- Medical subject headings
- Cystitis, Interstitial
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Transurethral fulguration of the Hunner lesionProcedure or surgery
Hunner lesion of the bladder is fulgurated with electronic surgical device under cystoscopic inspection. For the intervention, general or spinal anesthesia is required.
Combination treatment of bladder hydrodistension and transurethral fulguration of the Hunner lesionProcedure or surgery
Prior to Hunner lesion fulguration, bladder hydrodistension is performed for 8 minutes at pressure of 80cmH2O. And then transurethral fulguration is performed on the Hunner lesion.
| Study group | Role | What they receive |
|---|---|---|
| TUF | Placebo comparator | Subjects allocated into TUF+HD group receive bladder hydrodistension prior to transurethral fulguration of Hunner lesion Receives: Procedure: Transurethral fulguration of the Hunner lesion |
| TUF+HD | Experimental | Subjects allocated into TUF+HD group receive bladder hydrodistension prior to transurethral fulguration of Hunner lesion Receives: Procedure: Combination treatment of bladder hydrodistension and transurethral fulguration of the Hunner lesion |
What is being measured
The primary outcome is the main question the study is designed to answer.
inter-group difference of VAS pain score at postoperative one month
Primary end-point is inter-group difference of VAS pain score at postoperative one month. Analysis is performed based on independent two sample t-test. ; About the VAS pain score -'VAS' is abbreviation of 'Visual Analogue Scale'. For evaluation of pain, we use 'Visual Analogue Scale' which has a range from 0 to 10 points.
The score increases depending on the severity of the pain symptoms.
Measured: at postoperative one month
Secondary outcomes (25)
inter-group differences in drop-out rate at postoperative 6 months
Assessment of Drop-out rate is performed at the point of postoperative 6 months (both using the Intention-To-Treat and Per-Protocol analysis)
Measured: at postoperative 6 months
inter-group differences in O'Leary-Sant Interstitial Cystitis-Questionnaires
O'Leary-Sant questionnaire assesses severity of symptoms on the bladder pain, frequency, urgency, nocturia, composed of symptom index and problem index
Measured: at postoperative 1 month
inter-group differences in O'Leary-Sant Interstitial Cystitis-Questionnaires
O'Leary-Sant questionnaire assesses severity of symptoms on the bladder pain, frequency, urgency, nocturia, composed of symptom index and problem index
Measured: at postoperative 2 months
inter-group differences in O'Leary-Sant Interstitial Cystitis-Questionnaires
O'Leary-Sant questionnaire assesses severity of symptoms on the bladder pain, frequency, urgency, nocturia, composed of symptom index and problem index
Measured: at postoperative 4 months
inter-group differences in O'Leary-Sant Interstitial Cystitis-Questionnaires
O'Leary-Sant questionnaire assesses severity of symptoms on the bladder pain, frequency, urgency, nocturia, composed of symptom index and problem index
Measured: at postoperative 6 months
inter-group differences in PUF(Pelvic pain and Urgency/Frequency patient symptom scale)
PUF (Pelvic pain and Urgency/Frequency patient symptom scale) is questionnaire which evaluates symptoms of pain, urgency, and frequency and how much they bother the patient. PUF (Pelvic pain and Urgency/Frequency patient symptom scale) is composed of two compartment; symptom score (7 items) and bother score (4 items). The symptom scores range from 2~23 points and the symptom scores range from 0~12 points. The higher the score, the worse the symptoms.
Measured: at postoperative 1 month
inter-group differences in PUF(Pelvic pain and Urgency/Frequency patient symptom scale)
PUF (Pelvic pain and Urgency/Frequency patient symptom scale) is questionnaire which evaluates symptoms of pain, urgency, and frequency and how much they bother the patient. PUF (Pelvic pain and Urgency/Frequency patient symptom scale) is composed of two compartment; symptom score (7 items) and bother score (4 items). The symptom scores range from 2~23 points and the symptom scores range from 0~12 points. The higher the score, the worse the symptoms.
Measured: at postoperative 2 months
inter-group differences in PUF(Pelvic pain and Urgency/Frequency patient symptom scale)
PUF (Pelvic pain and Urgency/Frequency patient symptom scale) is questionnaire which evaluates symptoms of pain, urgency, and frequency and how much they bother the patient. PUF (Pelvic pain and Urgency/Frequency patient symptom scale) is composed of two compartment; symptom score (7 items) and bother score (4 items). The symptom scores range from 2~23 points and the symptom scores range from 0~12 points. The higher the score, the worse the symptoms.
Measured: at postoperative 4 months
inter-group differences in PUF(Pelvic pain and Urgency/Frequency patient symptom scale)
PUF (Pelvic pain and Urgency/Frequency patient symptom scale) is questionnaire which evaluates symptoms of pain, urgency, and frequency and how much they bother the patient. PUF (Pelvic pain and Urgency/Frequency patient symptom scale) is composed of two compartment; symptom score (7 items) and bother score (4 items). The symptom scores range from 2~23 points and the symptom scores range from 0~12 points. The higher the score, the worse the symptoms.
Measured: at postoperative 6 months
inter-group differences in EQ-5D Health Questionnaire
The EQ-5D questionnaire is a tool for brief evaluation of subject's health status. The EQ-5D questionnaire has five dimensions; mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each item has three-level; having no problems, having some or moderate problems, being unable to do/having extreme problems. Rated level can be coded as a number 1, 2, or 3, which indicates having no problems for 1, having some problems for 2, and having extreme problems for 3. As a result, a person's health status can be defined by a 5-digit number. The 5-digit number is finally converted to a single summary index by a specific formula.
Measured: at postoperative 1 month
inter-group differences in EQ-5D Health Questionnaire
The EQ-5D questionnaire is a tool for brief evaluation of subject's health status. The EQ-5D questionnaire has five dimensions; mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each item has three-level; having no problems, having some or moderate problems, being unable to do/having extreme problems. Rated level can be coded as a number 1, 2, or 3, which indicates having no problems for 1, having some problems for 2, and having extreme problems for 3. As a result, a person's health status can be defined by a 5-digit number. The 5-digit number is finally converted to a single summary index by a specific formula.
Measured: at postoperative 2 months
inter-group differences in EQ-5D Health Questionnaire
The EQ-5D questionnaire is a tool for brief evaluation of subject's health status. The EQ-5D questionnaire has five dimensions; mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each item has three-level; having no problems, having some or moderate problems, being unable to do/having extreme problems. Rated level can be coded as a number 1, 2, or 3, which indicates having no problems for 1, having some problems for 2, and having extreme problems for 3. As a result, a person's health status can be defined by a 5-digit number. The 5-digit number is finally converted to a single summary index by a specific formula.
Measured: at postoperative 4 months
inter-group differences in EQ-5D Health Questionnaire
The EQ-5D questionnaire is a tool for brief evaluation of subject's health status. The EQ-5D questionnaire has five dimensions; mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each item has three-level; having no problems, having some or moderate problems, being unable to do/having extreme problems. Rated level can be coded as a number 1, 2, or 3, which indicates having no problems for 1, having some problems for 2, and having extreme problems for 3. As a result, a person's health status can be defined by a 5-digit number. The 5-digit number is finally converted to a single summary index by a specific formula.
Measured: at postoperative 6 months
Brief Pain Inventory-short form (BPI-sf)
Brief Pain Inventory-short form (BPI-sf) is composed of two domains measured by the "pain severity" and the "pain interference", Pain severity compartment is composed of 4 items, and pain interference compartment is composed of 7 items (of 24-hour recall period). Each item has 0-10 scales. Brief pain severity score is calculated by adding the scores of 4 questions and then dividing by 4. Brief pain interference score is calculated by adding the scores for 7 questions and then dividing by 7.
Measured: at postoperative 1 month
Brief Pain Inventory-short form (BPI-sf)
Brief Pain Inventory-short form (BPI-sf) is composed of two domains measured by the "pain severity" and the "pain interference", Pain severity compartment is composed of 4 items, and pain interference compartment is composed of 7 items (of 24-hour recall period). Each item has 0-10 scales. Brief pain severity score is calculated by adding the scores of 4 questions and then dividing by 4. Brief pain interference score is calculated by adding the scores for 7 questions and then dividing by 7.
Measured: at postoperative 2 months
Brief Pain Inventory-short form (BPI-sf)
Brief Pain Inventory-short form (BPI-sf) is composed of two domains measured by the "pain severity" and the "pain interference", Pain severity compartment is composed of 4 items, and pain interference compartment is composed of 7 items (of 24-hour recall period). Each item has 0-10 scales. Brief pain severity score is calculated by adding the scores of 4 questions and then dividing by 4. Brief pain interference score is calculated by adding the scores for 7 questions and then dividing by 7.
Measured: at postoperative 4 months
Brief Pain Inventory-short form (BPI-sf)
Brief Pain Inventory-short form (BPI-sf) is composed of two domains measured by the "pain severity" and the "pain interference", Pain severity compartment is composed of 4 items, and pain interference compartment is composed of 7 items (of 24-hour recall period). Each item has 0-10 scales. Brief pain severity score is calculated by adding the scores of 4 questions and then dividing by 4. Brief pain interference score is calculated by adding the scores for 7 questions and then dividing by 7.
Measured: at postoperative 6 months
Patient Global Assessment (PGA)
Patient Global Assessment (PGA) is composed of a single questionnaire assessing the subjective patients-reported outcome. The question is "How is your bladder condition today?". The patients choose one of the following five answers; very-good, god, moderate, bad, very bad.
Measured: at postoperative 1 month
Patient Global Assessment (PGA)
Patient Global Assessment (PGA) is composed of a single questionnaire assessing the subjective patients-reported outcome. The question is "How is your bladder condition today?". The patients choose one of the following five answers; very-good, god, moderate, bad, very bad.
Measured: at postoperative 2 months
Patient Global Assessment (PGA)
Patient Global Assessment (PGA) is composed of a single questionnaire assessing the subjective patients-reported outcome. The question is "How is your bladder condition today?". The patients choose one of the following five answers; very-good, god, moderate, bad, very bad.
Measured: at postoperative 4 months
Patient Global Assessment (PGA)
Patient Global Assessment (PGA) is composed of a single questionnaire assessing the subjective patients-reported outcome. The question is "How is your bladder condition today?". The patients choose one of the following five answers; very-good, god, moderate, bad, very bad.
Measured: at postoperative 6 months
frequency volume chart parameters
frequency volume chart is a tool for assessment of micturition time, volume of urination and urgency episode. 24-hr frequency of micturition, maximum voided volume, episode of urgency, and nocturia is evaluated.
Measured: at postoperative 1 month
frequency volume chart parameters
frequency volume chart is a tool for assessment of micturition time, volume of urination and urgency episode. 24-hr frequency of micturition, maximum voided volume, episode of urgency, and nocturia is evaluated.
Measured: at postoperative 2 months
frequency volume chart parameters
frequency volume chart is a tool for assessment of micturition time, volume of urination and urgency episode. 24-hr frequency of micturition, maximum voided volume, episode of urgency, and nocturia is evaluated.
Measured: at postoperative 4 months
frequency volume chart parameters
frequency volume chart is a tool for assessment of micturition time, volume of urination and urgency episode. 24-hr frequency of micturition, maximum voided volume, episode of urgency, and nocturia is evaluated.
Measured: at postoperative 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jun 2019
- Study start1 Aug 2015
- Primary completion31 Oct 2018
- Study completion31 Oct 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Interstitial CystitisStudies of the same condition, open and under way.
- More trials run by Yonsei UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 1:1 allocation with Permuted block randomization
- Masking
- None (open label)
- Enrolment
- 55 participants (actual)
Sponsor and investigators
- Lead sponsor
- Yonsei University
- Sponsor type
- University, hospital or other
- Collaborators
- Ewha Womans University Mokdong Hospital
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03987594
- Sponsor's protocol ID
- 4-2015-0492
- Other IDs
- 2016-12-007-001
- Status last verified
- Aug 2019
- First submitted
- 13 Jun 2019
- Last updated
- 3 Sep 2019
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Currently, we do not plan to share patient data with third parties.
Publications
Malde S, Palmisani S, Al-Kaisy A, Sahai A. Guideline of guidelines: bladder pain syndrome. BJU Int. 2018 Nov;122(5):729-743. doi: 10.1111/bju.14399. Epub 2018 Jun 13.
PubMed 29777618Kirk PS, Santiago-Lastra Y, Qin Y, Stoffel JT, Clemens JQ, Cameron AP. The effects of cystoscopy and hydrodistention on symptoms and bladder capacity in interstitial cystitis/bladder pain syndrome. Neurourol Urodyn. 2018 Aug;37(6):2002-2007. doi: 10.1002/nau.23555. Epub 2018 Mar 22.
PubMed 29566264Bosch PC. A Randomized, Double-blind, Placebo-controlled Trial of Certolizumab Pegol in Women with Refractory Interstitial Cystitis/Bladder Pain Syndrome. Eur Urol. 2018 Nov;74(5):623-630. doi: 10.1016/j.eururo.2018.07.026. Epub 2018 Jul 30.
PubMed 30072210Akiyama Y, Niimi A, Nomiya A, Yamada Y, Nakagawa T, Fujimura T, Fukuhara H, Kume H, Igawa Y, Homma Y. Extent of Hunner lesions: The relationships with symptom severity and clinical parameters in Hunner type interstitial cystitis patients. Neurourol Urodyn. 2018 Apr;37(4):1441-1447. doi: 10.1002/nau.23467. Epub 2018 Jan 9.
PubMed 29315774Son HS, Yoon H, Lee HS, Kim JH. Prospective randomized controlled trial comparing fulguration versus fulguration and hydrodistension for Hunner-type interstitial cystitis/bladder pain syndrome. World J Urol. 2022 Aug;40(8):2071-2076. doi: 10.1007/s00345-022-04062-8. Epub 2022 Jun 15.
PubMed 35704106
Study at a glance
From the registry record, last updated by the sponsor on 3 Sep 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Randomized Controlled Trial Comparing the Effect of Fulguration Versus Fulguration and Hydrodistension in Interstitial Cystitis/Bladder Pain Syndrome
- ClinicalTrials.gov ID
- NCT03987594
- Acronym / sponsor ID
- 4-2015-0492
- Conditions
- Interstitial Cystitis, Bladder Pain Syndrome
- Keywords
- Interstitial Cystitis, Painful Bladder Syndrome, Hydrodistension, Transurethral Fulguration
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 55 participants (actual)
- Lead sponsor
- Yonsei UniversityUniversity, hospital or other
- Collaborators
- Ewha Womans University Mokdong Hospital
- Study start
- 1 Aug 2015 (actual)
- Primary completion
- 31 Oct 2018 (actual)
- Study completion
- 31 Oct 2018 (actual)
- First posted
- 17 Jun 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a randomized controlled trial. Subject population is adult patients with Hunner-type interstitial cystitis. The objective of this study is to compare the therapeutic effect between the two surgical modality; TUF (transurethral fulguration of the Hunner lesion) versus TUF+HD(addition of bladder hydrodistension prior to transurethral fulguration of the Hunner lesion).
Detailed description
Subject patients are randomly allocated to 1:1 ratio using Permuted block randomization. For TUF group, only fulguration on the Hunner lesion is performed. For TUF+HD group hydrodistension is performed for 8 minutes at pressure of 80cmH2O, and then fulguration on the Hunner lesion is performed. Therapeutic effect is evaluated using Visual Analogue Scale (VAS) pain score, O'Leary-Sant Interstitial Cystitis questionnaire (IC-Q), Pelvic pain urgency/frequency patient symptom scale (PUF), frequency volume chart parameters, EQ-5D Health Questionnaire, Brief Pain Inventory-short form (BPI-sf), Patient Global Assessment (PGA) at the point of 1, 2, 4 and 6 months after operation. During the observational period, subject patients are not provided with any additional medical, physical or surgical treatment for symptom relief. Subject patient who complains of symptom requiring medical, physical or surgical intervention during the study period, is dropped from the study. Comparison of therapeutic efficacy between the two groups is performed using independent two sample t-test.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- 1:1 allocation with Permuted block randomization
| Arm | Type | Receives |
|---|---|---|
| TUF | Placebo comparator | Procedure: Transurethral fulguration of the Hunner lesionSubjects allocated into TUF+HD group receive bladder hydrodistension prior to transurethral fulguration of Hunner lesion |
| TUF+HD | Experimental | Procedure: Combination treatment of bladder hydrodistension and transurethral fulguration of the Hunner lesionSubjects allocated into TUF+HD group receive bladder hydrodistension prior to transurethral fulguration of Hunner lesion |
Who may qualify
- Ages
- 29 to 83 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 1. cystoscopically proven Hunner lesion, without other demonstrable lower urinary tract diseases
- 2. Adult patient aged more than 19 years
- 3. Duration of IC/BPS symptom of more than 6 months
- 4. VAS pain score more than point 4 (including point 4)
- 5. The total score of O'Leary-Sant Interstitial Cystitis questionnaire (IC-Q) symptom and problem is more than 12 with the score of pain item is more than 2
Key exclusion criteria (15 listed)
- 1. Patient with history of bladder hydrodistension or transurethral fulguration within the period of 3 months
- 2. Women patients who are likely to become pregnant
- 3. Patients with average voided volume more than 400ml
- 4. Patients with hematuria suspicious of malignancy
- 5. Patients with microbiologically proven urinary tract infection during the screening period
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Transurethral fulguration of the Hunner lesionHunner lesion of the bladder is fulgurated with electronic surgical device under cystoscopic inspection. For the intervention, general or spinal anesthesia is required. | Procedure or surgery | TUF |
| Combination treatment of bladder hydrodistension and transurethral fulguration of the Hunner lesionPrior to Hunner lesion fulguration, bladder hydrodistension is performed for 8 minutes at pressure of 80cmH2O. And then transurethral fulguration is performed on the Hunner lesion. | Procedure or surgery | TUF+HD |
Primary outcome
inter-group difference of VAS pain score at postoperative one month
Time frame: at postoperative one month
Primary end-point is inter-group difference of VAS pain score at postoperative one month. Analysis is performed based on independent two sample t-test. ; About the VAS pain score -'VAS' is abbreviation of 'Visual Analogue Scale'. For evaluation of pain, we use 'Visual Analogue Scale' which has a range from 0 to 10 points. The score increases depending on the severity of the pain symptoms.
25 secondary outcomes
inter-group differences in drop-out rate at postoperative 6 months
Time frame: at postoperative 6 months
inter-group differences in O'Leary-Sant Interstitial Cystitis-Questionnaires
Time frame: at postoperative 1 month
inter-group differences in O'Leary-Sant Interstitial Cystitis-Questionnaires
Time frame: at postoperative 2 months
inter-group differences in O'Leary-Sant Interstitial Cystitis-Questionnaires
Time frame: at postoperative 4 months
inter-group differences in O'Leary-Sant Interstitial Cystitis-Questionnaires
Time frame: at postoperative 6 months
inter-group differences in PUF(Pelvic pain and Urgency/Frequency patient symptom scale)
Time frame: at postoperative 1 month
inter-group differences in PUF(Pelvic pain and Urgency/Frequency patient symptom scale)
Time frame: at postoperative 2 months
inter-group differences in PUF(Pelvic pain and Urgency/Frequency patient symptom scale)
Time frame: at postoperative 4 months
inter-group differences in PUF(Pelvic pain and Urgency/Frequency patient symptom scale)
Time frame: at postoperative 6 months
inter-group differences in EQ-5D Health Questionnaire
Time frame: at postoperative 1 month
inter-group differences in EQ-5D Health Questionnaire
Time frame: at postoperative 2 months
inter-group differences in EQ-5D Health Questionnaire
Time frame: at postoperative 4 months
inter-group differences in EQ-5D Health Questionnaire
Time frame: at postoperative 6 months
Brief Pain Inventory-short form (BPI-sf)
Time frame: at postoperative 1 month
Brief Pain Inventory-short form (BPI-sf)
Time frame: at postoperative 2 months
Brief Pain Inventory-short form (BPI-sf)
Time frame: at postoperative 4 months
Brief Pain Inventory-short form (BPI-sf)
Time frame: at postoperative 6 months
Patient Global Assessment (PGA)
Time frame: at postoperative 1 month
Patient Global Assessment (PGA)
Time frame: at postoperative 2 months
Patient Global Assessment (PGA)
Time frame: at postoperative 4 months
Patient Global Assessment (PGA)
Time frame: at postoperative 6 months
frequency volume chart parameters
Time frame: at postoperative 1 month
frequency volume chart parameters
Time frame: at postoperative 2 months
frequency volume chart parameters
Time frame: at postoperative 4 months
frequency volume chart parameters
Time frame: at postoperative 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Sep 2019.
- Background: PubMed 29777618Malde S, Palmisani S, Al-Kaisy A, Sahai A. Guideline of guidelines: bladder pain syndrome. BJU Int. 2018 Nov;122(5):729-743. doi: 10.1111/bju.14399. Epub 2018 Jun 13.
- Background: PubMed 29566264Kirk PS, Santiago-Lastra Y, Qin Y, Stoffel JT, Clemens JQ, Cameron AP. The effects of cystoscopy and hydrodistention on symptoms and bladder capacity in interstitial cystitis/bladder pain syndrome. Neurourol Urodyn. 2018 Aug;37(6):2002-2007. doi: 10.1002/nau.23555. Epub 2018 Mar 22.
- Background: PubMed 30072210Bosch PC. A Randomized, Double-blind, Placebo-controlled Trial of Certolizumab Pegol in Women with Refractory Interstitial Cystitis/Bladder Pain Syndrome. Eur Urol. 2018 Nov;74(5):623-630. doi: 10.1016/j.eururo.2018.07.026. Epub 2018 Jul 30.
- Background: PubMed 29315774Akiyama Y, Niimi A, Nomiya A, Yamada Y, Nakagawa T, Fujimura T, Fukuhara H, Kume H, Igawa Y, Homma Y. Extent of Hunner lesions: The relationships with symptom severity and clinical parameters in Hunner type interstitial cystitis patients. Neurourol Urodyn. 2018 Apr;37(4):1441-1447. doi: 10.1002/nau.23467. Epub 2018 Jan 9.
- Derived from this study: PubMed 35704106Son HS, Yoon H, Lee HS, Kim JH. Prospective randomized controlled trial comparing fulguration versus fulguration and hydrodistension for Hunner-type interstitial cystitis/bladder pain syndrome. World J Urol. 2022 Aug;40(8):2071-2076. doi: 10.1007/s00345-022-04062-8. Epub 2022 Jun 15.
- Individual participant dataSharing planned: No. Currently, we do not plan to share patient data with third parties.
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Urologic Chronic Pelvic Pain Syndrome (UCPPS), Interstitial Cystitis
Recruiting
Investigation of PEMF Therapy for Female Patients With IC/BPS
Interstitial Cystitis, Chronic Interstitial Cystitis
Recruiting
Aerobic Exercise and Connective Tissue Massage in Painful Bladder Syndrome
Bladder Pain Syndrome, Painful Bladder Syndrome
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Transurethral fulguration of the Hunner lesion and Combination treatment of bladder hydrodistension and transurethral fulguration of the Hunner lesion in people with Interstitial Cystitis and Bladder Pain Syndrome, run by Yonsei University at 1 site in South Korea.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
inter-group difference of VAS pain score at postoperative one month (time frame: at postoperative one month). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03987594, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Sep 2019.