A Study to compare the Efficacy and complications of endoscopic cut in the Prostate(TUIP) versus endoscopic Removal Of small pieces of Prostate(TURP) in the management of less than 25cc Benign Prostatic Enlargement

Not Applicable

Conditions: Health Condition 1: N398- Other specified disorders of urinary system

Registration Number: CTRI/2020/08/027056

Lead Sponsor: Department of Urology KMC manipal

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: ot Yet Recruiting

Sex: Not specified

Target Recruitment: 0

Inclusion Criteria

Patients having bothersome LUTS with IPSS > 15 after medical treatment or patients who are not willing for medical management.

Qmax on uroflowmetry less than or equal to 8ml/sec.

PSA < 4 ng/ml

Prostatic urethra length < 2.5cms

Size of prostate gland on transabdominal USG less than 25cc

DRE findings of Benign Gland

Exclusion Criteria

Presence of Median lobe on cystoscopy

Age less than 50 years or older than 80 years

Patients with a PVR > 300 ml

Patients who cannot void > 150 ml

Patients with a suspicion of neurologic bladder dysfunction ( like Parkinson disease, history of spinal cord injury, multiple sclerosis , uncontrolled DM , history of cerebrovascular events , etc )

Previous history of urethral or prostatic surgery

Previous history of radical pelvic surgery

Patient not willing

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
-To comparing the efficacy of Transurethral Incision Of Prostate versus Transurethral Resection <br/ ><br> of Prostate in the management of less than 25cc Benign Prostatic Enlargement. <br/ ><br>- To compare the improvement in IPSS score and flow rates in both groups <br/ ><br>- To compare the rate of complications in both groups <br/ ><br>- To assess the need of readmission or re-surgery in patients undergoing TUIP and TURP <br/ ><br>Timepoint: 3 months <br/ ><br>

Secondary Outcome Measures

Name	Time	Method
To compare the improvement in IPSS score and flow rates in patients undergoing TUIP and <br/ ><br> TURP <br/ ><br>- To compare the rate of complications in Transurethral Incision of Prostate versus Transurethral <br/ ><br> Resection of Prostate in the management of less than 25cc Benign Prostatic Enlargement. <br/ ><br>- To assess the need of readmission or re-surgery in patients undergoing TUIP and TURP <br/ ><br>- Assessment of the effect of procedure on the sexual function <br/ ><br>Timepoint: 3 months