Rectus Abdominis Detrusor Myoplasty for Urinary Retention

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study evaluates the outcomes of Rectus Abdominis Detrusor Myoplasty (RADM), a procedure that mobilizes a portion of the abdominal wall muscle and wraps it around the bladder to improve detrusor contraction. Participants have bladder underactivity or failure to contract after conditions such as spinal cord injury or chronic obstruction, and may have failed prior treatments like sacral nerve stimulation. Patients are followed for one year after surgery to assess bladder function and symptom changes. The study is conducted at University Hospitals Cleveland Medical Center and does not include a control group as described in the available materials.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Hypo- or acontractility of the bladder documented on urodynamic testing
* Injury \>1 year ago for spinal cord injury patients, no improvement in contractility with time
* Failed sacral nerve stimulation implant for urinary retention treatment (If previously implanted)
* Irreversible non-neurogenic bladder acontractility/hypocontractility (i.e myogenic failure after chronic obstruction, aging, frailty, idiopathic)
* Undergoing RADM

Exclusion Criteria:

* Documented bladder outlet obstruction
* Spinal cord lesion above T12
* Upper motor neuron lesion (i.e. multiple sclerosis, stroke)
* Rectus diastasis, significant abdominal wall hernia, or other anatomic barrier to rectus flap harvest
* Life expectancy \<10 years
* Pregnant at time of surgery

Where it's running

• University Hospitals Cleveland Medical Center
  Cleveland, Ohio, United States Recruiting

Study contacts

• Principal investigator: Shubham Gupta, MD — University Hospitals Cleveland
• Study coordinator: Seyed Sajjad Tabei
• Email: seyedsajjad.tabei@uhhospitals.org
• Phone: 216-844-8963

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.