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Clinical and histologic effect of transrectal intraprostatic injections with botulinum toxin A in patients with lower urinary tract symptoms caused by benign prostatic hyperplasia

Completed
Conditions
Benign prostatic hyperplasia
Urological and Genital Diseases
Diseases of male genital organs
Registration Number
ISRCTN42633050
Lead Sponsor
niversity Medical Center Utrecht (UMCU) (The Netherlands)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
20
Inclusion Criteria

1. Age more than 55
2. Signed informed consent
3. Lower Urinary Tract Symptoms (LUTS) with International Prostatic Symptom Score (IPSS) more than seven
4. Insufficient response to oral medication
5. Prostatic volume 30 to 50 ml
6. Urodynamic infravesical obstruction more than grade II according to Schafer
7. Willing and able to fill out questionnaires and voiding diaries
8. Willing and able to attend proposed investigations

Exclusion Criteria

1. Neuropathic bladder dysfunction
2. Prostatic carcinoma
3. Coagulation disorder
4. Urinary tract infection
5. Bladder calculus
6. Post-renal renal insufficiency
7. Myopathic disorder
8. Anatomical defects preventing transrectal approach

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Symptom relief according to the International Prostatic Symptom Score (IPSS).
Secondary Outcome Measures
NameTimeMethod
1. Urodynamic obstruction (according to Schafer) <br>2. Post-void residual <br>3. Decrease in prostate volume <br>4. Histologic change after one month<br>5. Prostate Specific Antigen change <br>6. Other treatment needed
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