EPPROSTATECT: Ejaculation Preserving Photoselective Vaporization Versus Plasma Kinetic Vaporization Versus Transurethral Resection Of The Prostate: A RCT
Study Details
Study Description
Brief Summary
To Evaluate and compare the outcome and coast of ejaculation sparing management of BPH using 3 different techniques: PVP, PKVP and TURP. Ejaculation sparing TURP group is considered the standard control group. Evaluation will be carried out through a prospective randomized powered trial
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Photoselective Vaporization
|
Procedure: Ejaculation Preserving Photoselective Vaporization
Ejaculation Preserving Photoselective Vaporization
|
Active Comparator: Plasma Kinetic Vaporization
|
Procedure: Ejaculation Preserving Plasma Kinetic Vaporization
Ejaculation Preserving Plasma Kinetic Vaporization
|
Active Comparator: Transurethral Resection Of The Prostate
|
Procedure: Ejaculation Preserving Transurethral Resection Of The Prostate
Ejaculation Preserving Transurethral Resection Of The Prostate
|
Outcome Measures
Primary Outcome Measures
- estimate and compare the ejaculation preservation effect of the 3 techniques (PKVP, PVP and TURP). [1 years]
assessed by Male Sexual Health Questionnaire (MSHQ)
Secondary Outcome Measures
- change in flow rate [1 years]
measured by uroflowmetery in ml/sec
- postoperative complication [1 year]
measured by Clavien-Dindo Classification scale
- change in patients' symptoms. [1 year]
measured by International Prostate Symptom Score (I-PSS)
Eligibility Criteria
Criteria
Inclusion Criteria:
-
- Age >50 years 2. Prostate volume (measured by TRUS): 30-80 gm 3. International prostate symptom score (IPSS )>15 and quality of life score (QOL)< 3.
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Maximum flow rate of uroflometry <10 ml/second 5. Patients with active sexual life (or interested) and having the ability to ejaculate and desire to preserve ejaculation.
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Failure or intolerance to medical treatment, recurrent urinary infection, urine retention, significant hematuria or deterioration of the upper urinary tract function secondary to BOO.
Exclusion Criteria:
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Bleeding disorders and patients on anticoagulant treatment
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Histologically proved cancer prostate
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Neurogenic voiding dysfunction
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Lower urinary tract malignancy
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Preoperative ejaculation or sexual dysfunction
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Presence of stricture urethra
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Unfit for spinal anathesia -
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Urology & Nephrology Center | Mansourah | Egypt |
Sponsors and Collaborators
- Mansoura University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- MS/18.02.30