Telemedicine-guided prehabilitation to reduce urinary incontinence after prostatectomy

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 interventional study compares a telemedicine-based prehabilitation and postoperative rehabilitation program with standard paper-based guidance in men undergoing radical prostatectomy for localized prostate cancer. The intervention uses wearable devices and a tablet to monitor activity, provide tailored exercise plans, educational videos, and remote physiotherapy support before and after surgery. Primary outcome is 24-hour pad test results at multiple timepoints up to six months post-surgery to measure urinary continence; secondary outcomes include physical fitness, quality of life, respiratory and postural function, and adherence to rehabilitation. The control arm receives printed preoperative instructions and digital activity monitoring without reminders or online consultations. Structured postoperative physiotherapy follow-ups are planned for all participants.

Why it matters

Who can join: the full rules

Inclusion criteria:

* Biopsy-confirmed localized prostate cancer (ICD code C.61).
* Indicated for radical prostatectomy, with or without pelvic lymphadenectomy (ePLND).
* Not previously treated for prostate cancer, including radiation therapy to the pelvis, major pelvic surgery, or placement of a penile implant or artificial urinary sphincter.
* No known urethral stricture or colostomy or chronic urinary catheterization.
* No medical or current psychiatric disorders that precludes their participation in the study.
* Status of the musculoskeletal system allowing physical exercise.
* Urinary continent at baseline.
* Has reliable internet and the skills/knowledge to use technologies use for the study.

Exclusion criteria:

* Other malignant tumors, except for benign skin carcinoma.
* Active treatment for other oncological diagnoses.
* Presence of preoperative urinary incontinence.
* Diagnosed mental or cognitive disorders.
* Prior pelvic radiotherapy or hormone therapy for prostate cancer recurrence.
* Severe musculoskeletal disorders preventing active exercise
* Inability to use required technologies

Where it's running

• Urology clinic, University hospital Olomouc
  Olomouc, Czechia Recruiting

Study contacts

• Study coordinator: Petra Bastlová, Ph.D.
• Email: Petra.Bastlova@fnol.cz
• Phone: +420 588 442 628

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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.