Less to Hold

  • Research type

    Research Study

  • Full title

    A comparison of bladder toxicities (side effects) in patients undergoing prostate radiotherapy between patients treated with empty bladder and those on a drinking protocol.

  • IRAS ID

    207207

  • Contact name

    Alison Birtle

  • Contact email

    alison.birtle@lthtr.nhs.uk

  • Sponsor organisation

    Lancashire Teaching Hospitals NHS Foundation Trust

  • Duration of Study in the UK

    0 years, 4 months, 30 days

  • Research summary

    Prostate radiotherapy at Preston is conventionally delivered to patients when they have a full bladder. We know from the literature having an empty bladder has no detriment to treatment outcomes and that some centres are treating with empty bladders. There is however no published data showing that bladder toxicities (side effects) are no worse in empty bladder treatment. We are designing a study to look at the bladder toxicities (side effects) in patients undergoing radiotherapy to the prostate and comparing the severity between patients treated with a full bladder and those treated with an empty bladder. This is a non-inferiority study to see if we can safely change our practice from the current full bladder protocol to an empty bladder one. We will randomise patients to either empty bladder or full bladder for the duration of their radiotherapy and monitor their urinary toxicities (side effects) at baseline and then weekly during treatment. We will be using standardised questionnaires to assess their symptoms and also the impact on their quality of life. We will also check at the radiotherapy planning stage the dose volume histograms (DVHs - radiotherapy dose calculations) for the bladder and bowel, to assess if we are easily meeting the tolerance limits in both groups or if changes to the plans are required. Images will also be checked during treatment as is the case routinely to ensure the area to be treated is being covered adequately in both groups.

  • REC name

    South West - Cornwall & Plymouth Research Ethics Committee

  • REC reference

    16/SW/0234

  • Date of REC Opinion

    25 Aug 2016

  • REC opinion

    Unfavourable Opinion