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A prospective, randomized, double-blinded study to compare bipolar Trans Urethral Resection of the Prostate (bipolar TURP) versus monopolar Trans Urethral Resection of the Prostate (monopolar TURP) in terms of safety and efficacy.

Recruiting
Conditions
Benign Prostate Obstruction/Hyperplasia who are eligible for an TURP
Registration Number
NL-OMON19882
Lead Sponsor
Academic Medical Center, Department of Urology
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
94
Inclusion Criteria

1. Candidates foor TURP;
2. Qmax < 16 ml/sec;
3. IPSS score >14;
4. Voided volume > 125;
5. Patients in retention with an indwelling catheter or intermittent catheterisation;
6. Given informed consent.

Exclusion Criteria

1. Suspected from prostate cancer;
2. Prior prostate surgery, including minimal invasive therapies;
3. Active urinary tract infection;
4. Known or suspected neurogenic decompensated bladder (PVR>400ml/sec) or compensated detrusor function;
5. Immunosuppression; using prednisone;
6. Known or suspected malignant disease affecting the bladder or lower urinary tract;
7. 5-alpha-reductase inhibitor within the last 3 months before baseline;
8. Alpha-blockers within the last 6 weeks before baseline;
9. Specific severe heart disease in whom anti-coagulant therapy might jeopardize treatment outcome.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Safety bipolar TURP compared with monoploar TURP by means of TUR syndrome, blood loss, number and severity of adverse events.
Secondary Outcome Measures
NameTimeMethod
Efficacy bipolar TURP compared with monopolar TURP by means of IPSS/QoL-scores, IIEF-score, Qmax, cutting rate, length of catherisation, lenght of hospital stay, length of operation, impact on PSA level, number of strictures.
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