About this trial
The goal of this clinical trial is to assess if a new device is safe to use as a potential treatment for erectile dysfunction following radical prostatectomy.
The main questions it aims to answer are:
* Is the device safe? * Does the device works well? Are the participants satisfied with the device?
Participants will be implanted with the device during the ongoing prostatectomy surgery and will be asked to complete the following tasks during 6 months follow-up:
* Come to the hospital for follow-up visits, * Complete questionnaires, * Activate the device every day, * Measure erection hardness.
Researchers will compare an implanted group (participants having the device) with a control group (participants not having the device) to see if the device works well.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men of ages between 30-75 years with indication for nerve-sparing prostatectomy surgery;
Cancer stage T1c and T2a;
Grade Groups 1 and 2 as well as low volume Grade Group 3 (Gleason score 4 + 3 = 7), as determined by biopsy (2 cores or less GG3) or single index MRI lesion of GG3 disease;
IIEF-15 erectile function domain score equal to or greater than 26;
Disqualifiers
Men with neurological disease, including a history of spinal cord injury or trauma;
IIEF-15 erectile function domain score less than 26;
Failure to demonstrate adequate nocturne erectile function prioi prostatectomy (nocturnal RigiScan measure);
Men with PSA > 20 ng/mL;
Trial design
Parallel
Treatments tested in this trial
Activation of pro-erectile nerves within the pelvic plexus
DeviceThe study device is an active implantable device. The device activates the pro-erectile nerves by delivering electrical pulses. The daily delivery of electrical pulses to the pro-erectile nerves may allow participants to recover natural erectile function.
Treatment groups
Trial outcomes
Primary outcomes
Occurrence of adverse events
Adverse events will be systematically reported.
Occurrence of surgical complications
Surgical complications will be ranked according to the Clavien-Dindo classification
Occurrence of device deficiencies
Device deficiencies will be systematically reported and recorded.
Pain assessment
Participants will be asked to rate pain on a visual analog scale (from 0 to 10)
Secondary outcomes
Device Effectiveness
Device effectiveness will be assessed by asking participants to complete validated questionnaires.
Erectile function rehabilitation
Nocturnal penile erections will be assessed with the RigiScan device. Nocturnal erections reflect the extent of rehabilitation of natural erectile function.
Duration of Surgical Implantation Procedure
Time (in minutes) from initial implant placement to final suture of the implant.
Ease of Implantation Steps
Surgeon-reported rating of the ease of each implantation step using a standardized ordinal scale.
Sponsors and contacts
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