Clinical and histologic effect of transrectal intraprostatic injections with botulinum toxin A in patients with lower urinary tract symptoms caused by benign prostatic hyperplasia
- Conditions
- Benign prostatic hyperplasiaUrological and Genital DiseasesDiseases 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
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
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
Name Time Method Symptom relief according to the International Prostatic Symptom Score (IPSS).
- Secondary Outcome Measures
Name Time Method 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