Ejaculatory Sparing vs. Non-ejaculatory Sparing GreenLight Laser Photoselective Vaporization of the Prostate
1 other identifier
interventional
40
1 country
1
Brief Summary
GreenLight laser PVP currently gains wide acceptance as a minimally invasive treatment for benign prostate enlargment and the emergence of ejaculatory sparing techniques made it feasible to get both benefits: relief of lower urinary tract symptoms and preservation of ejaculation. However evaluation of actual infravesical de-obstruction following such techniques remains a grey zone in the literature without an objective assessment of the degree of de-obstruction. Furthermore, the impact of maintaining ejaculation on different domains of the sexual function using comprehensive assessment tools was not compared in ejaculatory sparring vs. non-ejaculatory sparring approaches.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Mar 2016
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2016
CompletedFirst Submitted
Initial submission to the registry
April 20, 2016
CompletedFirst Posted
Study publicly available on registry
April 25, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2018
CompletedApril 25, 2016
April 1, 2016
1.5 years
April 20, 2016
April 20, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
ejaculatory function
the ability to maintain ejaculatory function as depicted by Ej-MSHQ score
4 months
Secondary Outcomes (2)
Bladder outlet obstruction index
4 months
International index of erectile function-15
4 months
Study Arms (2)
Non-ejaculatory sparring PVP
ACTIVE COMPARATORGreenlight laser photoslective vaporization of the prostate
Ejaculatory sparring PVP
EXPERIMENTALGreenlight laser photoslective vaporization of the prostate with preservation of the ejaculatory hood
Interventions
Greenlight laser photoslective vaporization of the prostate
Greenlight laser photoslective vaporization of the prostate with preservation of the ejaculatory hood
Eligibility Criteria
You may qualify if:
- To be eligible in the study, patient must fulfill the following criteria:
- Age ≥ 50 years
- ASA (American society of anesthesiologists) score ≤3.
- TRUS estimated prostate weight 30-80 grams.
- Sexually interested and having continuous relationship with the same partner (interested).
- BOOI (bladder outlet obstructing index) ≥ 20 as per pressure flow study
You may not qualify if:
- Patients with any of the following are to be excluded:
- Preoperative sexual or ejaculatory disturbances or pelvic pain syndrome
- Documented or suspected prostate cancer (significantly elevated PSA, positive biopsy for prostate cancer guided by TRUS)
- Neurological disorders that can affect potency and ejaculation e.g. long standing uncontrolled DM (\> 10 years) cerebral stroke, Parkinsonism
- Active urinary tract infection
- Urodynamic changes consistent with urethropathy or detrusor hypocontractility
- Previous pelvic surgeries
- History of pelvic radiotherapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Urology and nephrology center
Al Mansurah, DK, 35516, Egypt
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ahmed Elshal
Mansoura University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr
Study Record Dates
First Submitted
April 20, 2016
First Posted
April 25, 2016
Study Start
March 1, 2016
Primary Completion
September 1, 2017
Study Completion
March 1, 2018
Last Updated
April 25, 2016
Record last verified: 2016-04