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Clinical Trials/NCT05531240
NCT05531240RecruitingNot Applicable

Transurethral Prostate Resection (TURP) vs. Prostate Artery Embolization (PAE): Open Multicentric Randomized Study for Evaluation of Outcomes, Complications, and Health Economics

Uppsala University8 sites in 1 country104 target enrollmentStarted: October 1, 2022Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Recruiting
Sponsor
Enrollment
104
Locations
8
Primary Endpoint
Improvement of lower urinary tract symptoms

Study Overview

Brief Summary

This study focuses on the treatment of benign prostatic hyperplasia which causes lower urinary tract symptoms.

The purpose of the research project is to evaluate PAE in terms of both medical and health economic outcomes. To evaluate whether there are any differences in effect (IPSS), complications, costs and perceived quality of life compared with TUR-P.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
45 Years to — (Adult, Older Adult)
Sex
Male
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Benign prostatic hyperplasia where medical treatment has not helped or for other reasons has not been deemed applicable
  • Prostate volume [40-80] ml measured via transrectal ultrasound
  • Peak flow rate (Qmax) <= 15 ml / s,
  • Verified obstruction by urodynamic studies (cystometry)
  • Surgery not contraindicated

Exclusion Criteria

  • Prostate cancer
  • Severe atherosclerosis
  • Kidney failure
  • Urethral stricture
  • Active cystitis or prostatitis
  • Bladder stone.
  • Neurogenic bladder disorder
  • Contrast product allergy

Outcomes

Primary Outcomes

Improvement of lower urinary tract symptoms

Time Frame: 24 months

Assess the change in the lower urinary tract symptoms using the International Prostate Symptom Score (IPSS) questionnaire before and after prostate artery embolization procedure (PAE) compared to transurethral resection of the prostate (TURP)

Health care costs

Time Frame: 24 months

Assess the health care costs after prostate artery embolization procedure (PAE) compared to transurethral resection of the prostate (TURP)

Secondary Outcomes

  • Quality of life (Short Form Health Survey [EQ-5D-5L ])(24 months)
  • Prostate-Specific Antigen (PSA)(24 months)
  • Erectile function(24 months)
  • Adverse effects,(24 months)

Investigators

Sponsor
Uppsala University
Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (8)

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