Bipolar Versus Laser Enaculation of Prostate for >80gram Prostate .
NCT ID: NCT05784181
Last Updated: 2024-01-03
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
40 participants
INTERVENTIONAL
2021-10-01
2024-12-01
Brief Summary
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Holmium laser prostatectomy was introduced since 1994 . different types of uses by laser were introduced either resection or enaculation with good outcomes and less complications .
One of the most important issues related to large prostate management is the retreatment after Bipolar resection , another issue that prolonged catheter time post resection .
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Detailed Description
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Holmium laser prostatectomy was introduced since 1994 . different types of uses by laser were introduced either resection or enaculation with good outcomes and less complications .
One of the most important issues related to large prostate management is the retreatment after Bipolar resection , another issue that prolonged catheter time post resection , so , we try to analyze the effect of Laser enaculation of the prostate in comparison to Bipolar resection in prostate more than 80 gm .
Aim of the work:
Aim of the work is to compare the efficacy of Bipolar versus Laser enaculation of prostate for \>80gram.
Patients and Methods:
A randomized comparative study will be conducted at Menoufia university hospital , urology department. patients will be selected after informed consent.
Inclusion criteria: similar for all patients prostatic volume more than 80 gm , peak urinary flow rate measurement (Qmax) \<15 ml/s, International Prostate Symptom Score (IPSS) of \>8 , postvoid residual (PVR) \<400 ml.
Exclusion criteria: Patients with prostate size less than 80gm , urethral stricture, acute urinary tract infection, repeated treatment .
Preoperatively, all the patients will undergo thorough process of history taking , clinical examination, and investigations in the form of abdominopelvic and trans rectal ultrasonography , PSA ,urine analysis, urine culture if needed and routine pre-operative lab investigations as (CBC , PT, LFTs, serum creatinine and RBS).
The treatment modality chosen for an individual will be randomized . All patients with positive urine culture will be treated by proper antibiotics before the procedures.
Peri-operatively , all patients will receive a single shot of pre-operative antibiotic.
For the first group patients transurethral resection of prostate For the second group patients Laser enaculation by holmium: YAG laser Postoperatively, patients will undergo IPSS score , flowmetry post operative after 3months .
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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patients prostatic volume more than 80 gm turp by bipolar resection
pt with 80gm prostate size underwent bipolar resection
bipolar transurethral resection and Laser enaculation by holmium: YAG laser
Laser enaculation by holmium: YAG laser
patients prostatic volume more than 80 gm turp by Laser enaculation by holmium: YAG laser
pt with 80gm prostate size underwent Laser enaculation by holmium: YAG laser
bipolar transurethral resection and Laser enaculation by holmium: YAG laser
Laser enaculation by holmium: YAG laser
Interventions
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bipolar transurethral resection and Laser enaculation by holmium: YAG laser
Laser enaculation by holmium: YAG laser
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
40 Years
MALE
Yes
Sponsors
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Menoufia University
OTHER
Responsible Party
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Hossam Kandeel
Yassin Abdel Ghaffar St- from Gamal Abdel Anasar St - Faculty of Medicine.
Locations
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Faculty of Medicine
Shibīn al Kawm, Menoufia -, Egypt
Countries
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Central Contacts
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Other Identifiers
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2-2022
Identifier Type: -
Identifier Source: org_study_id
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