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Intermittent Catheterization Versus Trial Without Catheter

Not Applicable
Conditions
Benign Prostatic Hyperplasia
Interventions
Procedure: intermittent catheterization
Procedure: trial without catheter
Drug: alpha-blockers
Registration Number
NCT05094947
Lead Sponsor
Moscow State University of Medicine and Dentistry
Brief Summary

This is a prospective, comparative, multicenter, randomized controlled trial. The aim of this study is to compare the efficacy, safety and quality of life within patients with acute urinary retention managed by the intermittent catheterization compared or indwelling Foley catheter.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Male
Target Recruitment
200
Inclusion Criteria

Men with acute urinary retention due to prostatic hyperplasia

Exclusion Criteria
  • Patient's with serious conditions and incapacity
  • Previous urethral or prostate surgery.
  • Urethral stricture.
  • Urethrorrhagia.
  • Injuries of urethra and perineum.
  • Attempts of bladder catheterization within 15 days before the acute urinary retention episode.
  • Urinary tract infection.
  • Neurogenic bladder.
  • Chronic urinary retention with a bladder volume of more than 1 liter.
  • Obstructive uropathy due to the acute urinary retention.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
intermittent catheterization (group B)intermittent catheterizationProcedure/Surgery: The acute urinary retention in group B is managed by clean intermittent catheterization along with alpha-blockers during 3 period. After 3 days the ability of spontaneous voiding is assessed and registered as an outcome.
intermittent catheterization (group B)alpha-blockersProcedure/Surgery: The acute urinary retention in group B is managed by clean intermittent catheterization along with alpha-blockers during 3 period. After 3 days the ability of spontaneous voiding is assessed and registered as an outcome.
Catheter Foley (group A)trial without catheterThe acute urinary retention in group A is managed by trial without catheter along with alpha-blockers during 3 period. After 3 days the indwelling Foley catheter is removed and ability of spontaneous voiding is assessed and registered as an outcome.
Catheter Foley (group A)alpha-blockersThe acute urinary retention in group A is managed by trial without catheter along with alpha-blockers during 3 period. After 3 days the indwelling Foley catheter is removed and ability of spontaneous voiding is assessed and registered as an outcome.
Primary Outcome Measures
NameTimeMethod
Assessment of the quality of life2 months

Assessment of the quality of life according to the SF-36 questionnaire on the first, second, or third day after the start of intermittent catheterization

Secondary Outcome Measures
NameTimeMethod
Assessment of the restoration of self-urination.2 months

A positive outcome is considered to be the restoration of independent urination, and the presence of no more than 150 ml of residual urine in a control study 12-24 hours after the restoration of urination.

Trial Locations

Locations (1)

Moscow state university of medicine and dentistry named after A.I. Evdokimov

🇷🇺

Moscow, Russian Federation

Moscow state university of medicine and dentistry named after A.I. Evdokimov
🇷🇺Moscow, Russian Federation
Vigen Malkhasyan
Principal Investigator
Dmitriy Pushkar
Sub Investigator
Alexey Volnukhin
Sub Investigator
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