About this trial
This study aims to evaluate the diagnostic performance of a novel intelligent flexible penile monitoring system for erectile dysfunction (ED). The current gold standard, RigiScan Plus, often causes discomfort and disrupts sleep due to its mechanical rings, leading to potential "first-night effect" biases. This research utilizes a prospective crossover design to compare the accuracy of the new flexible system with RigiScan in measuring peak rigidity and tumescence. A total of 60 participants (30 ED patients and 30 healthy volunteers) will be enrolled. The study expects to confirm that the flexible system provides highly accurate diagnostic data while significantly improving patient comfort and maintaining natural sleep structures.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Males aged 18-70 years with good communication and compliance.
Able to follow clinical Standard Operating Procedures (SOPs) and complete two-stage nocturnal monitoring and clinic-induced tests.
Fully informed about the study and signed the informed consent form.
For ED Group: Clinically diagnosed with erectile dysfunction with an IIEF-5 score < 21.
Disqualifiers
Systemic diseases: Severe cardiovascular disease (e.g., recent myocardial infarction, unstable angina), uncontrolled severe diabetes, or severe obstructive sleep apnea syndrome.
Local anatomical factors: Severe penile malformation, spinal cord injury, or organic structural damage caused by pelvic fracture; or major surgery within the last six months.
Skin and allergy factors: Active infection or eczema in the penile area, or known allergy to flexible materials (medical-grade silicone/adhesives).
Mental and psychological factors: Untreated or unstable severe depression, anxiety, or other mental disorders.
Trial population
The study population consists of adult males (18-70 years old) visiting the Urology Outpatient Clinic of Zhongda Hospital with complaints of erectile dysfunction, as well as healthy male volunteers recruited from the community.
Trial design
Cohort
Prospective
Treatments tested in this trial
Intelligent Flexible Penile Monitoring System
DeviceA novel, ultra-thin (\<0.8mm) flexible sensing system used for prospective monitoring of penile rigidity and tumescence during sleep.
RigiScan Plus
DeviceRigiScan Plus
Treatment groups
Trial outcomes
Primary outcomes
Measurement Accuracy of Peak Rigidity
Mean bias and 95% limits of agreement for peak rigidity (%) between the novel flexible system and RigiScan Plus.
Measurement Accuracy of Maximum Girth Expansion
Mean bias and 95% limits of agreement for maximum girth expansion (cm) between the novel flexible system and RigiScan Plus.
Secondary outcomes
Clinical Diagnosis Agreement Rate
The degree of agreement in diagnostic conclusions (normal, psychogenic, or organic ED) between the two systems, evaluated using Cohen's Kappa coefficient.
Sleep Efficiency
Sleep efficiency, defined as the percentage of total sleep time spent asleep out of the total time spent in bed (%), collected by a medical-grade sleep recorder.
REM Sleep Percentage
Percentage of total sleep time spent in the Rapid Eye Movement (REM) sleep stage (%), measured by a medical-grade sleep recorder.
Unintended Arousal Frequency
Frequency of unintended arousals (number of events per hour) during sleep, measured by a medical-grade sleep recorder.
Sponsors and contacts
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Bin Xu
Lead sponsor
Zhongda Hospital
Sponsor institution
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