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Clinical Trials in Turkey / NCT07843602
Starting soon Not applicable

Effect of Cyclic Sighing Breathing Exercise on CRBD, Pain, and Sleep Quality in Patients Undergoing TUR

NCT07843602 · tracked via the Priya Life Science Turkey tracker
Sponsor
Mersin University
Phase
Not applicable
Started
2026-10-01
Last updated
2026-10-05

Condition(s) studied

Transurethral Resection of Bladder TumorTransurethral Resection of the Prostate (TURP)Transurethral Resection of the Bladder

Investigational drug(s) / intervention(s)

Cyclic Sighing Breathing Exercise

Cyclic Sighing Breathing Exercise: The cyclic sighing intervention consists of structured breathing sessions taught preoperatively and supervised postoperatively. The patient assumes a comfortable supine or semi-Fowler position in bed. The exercise involves taking a slow, deep inhalation through the nose, immediately followed by a second short nasal inhalation to achieve maximum lung expansion, and then slowly and fully exhaling through the mouth, ensuring that exhalation lasts longer than inhalation. Patients perform this cycle continuously for 5 minutes at the 1st, 2nd, 6th, 12th, and 24th postoperative hours under researcher supervision. To protect nocturnal sleep patterns, sessions scheduled after 22:00 will be completed by 22:00.

Study summary

Transurethral resection (TUR) is a common minimally invasive surgical procedure for lower urinary tract diseases. However, postoperative urinary catheterization often causes catheter-related bladder discomfort (CRBD) and pain due to bladder spasms, which negatively impact recovery and sleep quality. Pharmacological agents used to alleviate CRBD and pain may cause adverse side effects. This study aims to evaluate the effects of cyclic sighing breathing exercises on CRBD severity, pain intensity, and sleep quality in patients undergoing TUR.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Aged 18 years or older * Undergoing Transurethral Resection of the Prostate (TUR-P) or Transurethral Resection of Bladder Tumor (TUR-M/TUR-BT) * Having an indwelling urethral catheter placed postoperatively * Fully conscious, oriented, and cooperative * Able to speak and understand Turkish * Volunteering to participate and providing written informed consent Exclusion Criteria: * American Society of Anesthesiologists (ASA) physical status score of IV or higher * Presence of any medical condition or physical impairment that prevents performing breathing exercises * Diagnosed history of sleep apnea * Regular use of sedative, hypnotic, or sleep-inducing medications * Neurological or psychiatric disorders severely impeding hearing, vision, or verbal communication * Refusal to participate in the study

Primary outcome measure(s)

  • Catheter-Related Bladder Discomfort (CRBD) Severity Score — Measured at the 1st, 2nd, 6th, 12th, and 24th postoperative hours
    Catheter-related bladder discomfort severity is assessed using the 4-point rating scale developed by Agarwal et al. The scale classifies discomfort as: 0 = none; 1 = mild (reported by the patient only upon direct questioning); 2 = moderate (reported spontaneously by the patient without being asked, but not accompanied by behavioral responses); and 3 = severe (reported spontaneously and accompanied by behavioral manifestations such as vocal complaints, restless limb movements, or attempting to pull out the urinary catheter). Higher scores indicate greater severity of bladder discomfort.

Trial sites (1)

FacilityCityRegionStatus
Hatay Iskenderun State Hospital Hatay Turkey (Türkiye)

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Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07843602 on ClinicalTrials.gov ↗ ← All trials in Turkey