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Surgical ComplicationNCT05249192

Immediate Versus Early (24-hours) Urinary Catheter Removal After Elective Minimally Invasive Colonic Resection

A study testing Immediate urinary catheter removal and Early urinary catheter removal in people with Surgical Complication and Colonic Disease, run by Azienda Ospedaliera Universitaria Integrata Verona at 1 site in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary aim of this study is to compare the rate of acute urinary retention (AUR) after immediate compared to early (24-hours) removal of urinary catheter (UC) in patients undergoing minimally invasive colorectal resection. Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Immediate urinary catheter removal and Early urinary catheter removal
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
216 participants
Where
1 siteItaly
Study dates
15 Feb 2022to 26 Nov 2024
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 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age between 18 years and 80 years old
  • Patients scheduled to undergo minimally invasive resection of the colon under general anesthesia
  • Willingness to participate
  • Compliance to study purpose
  • Written informed consent

Who cannot join

  • Need for an anastomosis below the anterior peritoneal reflection
  • Need for a major resection other than colorectal
  • Need for post-operative intensive care monitoring or intensive care unit (ICU) stay
  • Anesthesia time longer than 300 minutes
  • Presence of chronic indwelling UC
  • Presence of an entero-vesical fistula
  • Need for ureteral stent placement, bladder resection or repair
  • A previous and unsolved history of AUR or overt voiding dysfunction

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Division of General and Hepatobiliary Surgery

    Verona, Italy, 37134

Other trials in Italy

About this study

Official title: Immediate Versus Early (24-hours) Urinary Catheter Removal After Elective Minimally Invasive Colonic Resection: Study Protocol for a Randomized, Multicenter, Non-inferiority Trial

The primary aim of this study is to compare the rate of acute urinary retention (AUR) after immediate compared to early (24-hours) removal of urinary catheter (UC) in patients undergoing minimally invasive colorectal resection. The study hypothesis is that immediate UC removal is non-inferior to 24-hours UC removal in terms of AUR rate.

The secondary outcomes focus on goals that could be positively impacted by the immediate removal of the UC at the end of the surgery. In particular, the rate of urinary tract infections, perception of pain, time-to-return of bowel and physical functions, postoperative complications and postoperative length of stay will all be measured.

Being tested
Immediate urinary catheter removal, Early urinary catheter removal
Medical subject headings
Colonic Diseases, Postoperative Complications, Urinary Tract Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Immediate urinary catheter removalDevice

    Urinary catheter removal immediately after the end of the surgical procedure before exiting the operating room.

  • Early urinary catheter removalDevice

    urinary catheter removal on the first postoperative day (6 a.m)

Study groups in NCT05249192
Study groupRoleWhat they receive
Immediate UC removalExperimentalUrinary catheter removal immediately after the end of the surgical procedure before exiting the operating room.
Receives: Device: Immediate urinary catheter removal
Early UC removalActive comparatorUrinary catheter removal on first postoperative day (6 a.m.) as per standard protocol
Receives: Device: Early urinary catheter removal

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Acute urinary retention rate

    Occurrence of urinary retention after removal of urinary catheter

    Measured: 3 days postoperatively

Secondary outcomes (7)
  1. Urinary tract infections

    Occurrence of urinary tract infections

    Measured: 30 days postoperatively

  2. UC reinsertion

    need for urinary catheter reinsertion after first removal

    Measured: 30 days postoperatively

  3. Pain scores

    Numeric Rating Scores (NRS) for abdominal pain (0-10)

    Measured: 6,12,24,48 and 72 hours after surgery

  4. Bowel function

    Time for return of bowel function as for flatus and stools postoperatively

    Measured: 10 days postoperatively

  5. Mobilization

    Return to passive and active mobilization postoperatively

    Measured: 10 days postoperatively

  6. Morbility

    Postoperative morbility according to the Clavien-Dindo classification

    Measured: first 30 days after surgery

  7. Length of hospital stay

    postoperative stay

    Measured: 30 days postoperatively

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Feb 2022
  2. Study start15 Feb 2022
  3. Primary completion1 Jul 2024
  4. Study completion26 Nov 2024

Resources

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
prospective, randomized, controlled, two-arm, multi-center trial
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
216 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05249192
Sponsor's protocol ID
EURiCaRe
Status last verified
Nov 2024
First submitted
9 Feb 2022
Last updated
29 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Pedrazzani C, Montroni I, Conti C, Turri G, Foppa C, Carvello M, Taffurelli G, Ugolini G, Spinelli A. Immediate versus early (24-hours) urinary catheter removal after elective minimally invasive colonic resection: study protocol for a randomized, multicenter, non-inferiority trial. Trials. 2022 Nov 22;23(1):956. doi: 10.1186/s13063-022-06894-6.

    PubMed 36414969

Questions about this trial

What is this clinical trial studying?

A study testing Immediate urinary catheter removal and Early urinary catheter removal in people with Surgical Complication and Colonic Disease, run by Azienda Ospedaliera Universitaria Integrata Verona at 1 site in Italy.

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 5 inclusion and 8 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 29 Nov 2024. 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 Italy. 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. 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?

Acute urinary retention rate (time frame: 3 days postoperatively). 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 NCT05249192, which also lists 1 linked publication.

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 29 Nov 2024.

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