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Is Ejaculation Preservation TURis the Natural Evolution of the "Gold Standard".

A

Ain Shams University

Status

Completed

Conditions

Benign Prostatic Hyperplasia

Treatments

Procedure: transurethral resection of prostate

Study type

Interventional

Funder types

Other

Identifiers

NCT06263049
ejaculation post TURP

Details and patient eligibility

About

evaluation of the impact of apical urethral mucosa sparring with the urethra around the verumontanum on the ejaculatory function and early postoperative urinary incontinence

Full description

Benign Prostatic Hyperplasia (BPH) is a common disease in elderly men and transurethral resection of the prostate (TURP) is still the gold standard for the treatment of BPH However, postoperative urinary incontinence (UI) and retrograde ejaculation are of the common complications and its incidence is nearly 2% of UI UI brings great suffering to patients and its unpredictability and uncertainty in the recovery period cause significant pressure to surgeons. External urethral sphincter damage is the main reason for UI after prostatectomy. The treatment of postoperative UI and post operative retrograde ejaculation has also become an important issue for many years. Along with the progress of technology, there have been various methods of transurethral resection of the prostate but no method has been found to adequately avoid the occurrence of UI and retrograde ejaculation

Enrollment

106 patients

Sex

Male

Ages

40+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion and exclusion criteria

Our inclusion criteria were preidentified to those who complained of voiding lower urinary tract symptoms (LUTS) and scheduled for TURP with prostate size less than 100 gm. This included patients with refractory retention, recurrent gross hematuria of prostatic origin, non-compliance to medical treatment, recurrent infection, and patients with bladder calculi secondary to obstruction. Exclusion criteria were: patients with neurogenic bladder, detrusor hypo-contractility, Diabetes more than 10 years, urethral stricture, or previous prostatic surgeries.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

106 participants in 2 patient groups

group A
Active Comparator group
Description:
(TURP group underwent traditional TURP)
Treatment:
Procedure: transurethral resection of prostate
group B
Active Comparator group
Description:
TURP with preserved urethral mucosa at the prostatic apex
Treatment:
Procedure: transurethral resection of prostate

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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