Readmission Following Prostatic Surgery

Recruiting

• Conditions: BPH With Urinary Obstruction
• Interventions: Procedure: TUIP; Procedure: TURP; Procedure: AEEP; Procedure: Prostate Vaporization

• Registration Number: NCT06101576
• Lead Sponsor: Mansoura University

Brief Summary

This study will be conducted to estimate readmission rate and reasons for readmission after all modalities of endoscopic transurethral surgeries for treatment of BOO secondary to BPH in the last 20 years.

Detailed Description

Computerized patient information system (PIS) of Urology and Nephrology Center (UNC) and database of prostate unit of UNC will be reviewed for all preoperative, intraoperative and post discharge data. All follow up visits will be traced for outcome measurement. Patients with no hospital follow up visit will be contacted by phone and interrogated about their LUTS control state, ongoing medication and history of secondary procedures.

Study Timeline

• Study Start: 2005-01-01
• Status Verified: 2023-10
• Study First Submitted: 2023-10-20
• Study First Submitted QC: 2023-10-20
• Last Update Submitted: 2023-10-20
• Study First Posted: 2023-10-26
• Last Update Posted: 2023-10-26
• Primary Completion: 2024-12-31
• Study Completion: 2025-02-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Male
• Target Recruitment: 4000

Inclusion Criteria

Men who underwent transurethral prostatic surgery for BPH causing BOO at Urology and Nephrology Center, Mansoura University, Egypt from Jun. 2005 to Dec. 2024.

Exclusion Criteria

1. Patients who underwent TUR tunnelling for prostatic adenocarcinoma.
2. LUTS secondary to neuropathic bladder.
3. Incidentally diagnosed prostate cancer after surgery

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Transurethral incision of the prostate (TUIP)	TUIP	Patients who underwent TUIP using electrocautery or Laser.
Transurethral resection of the prostate (TURP)	TURP	Patients who underwent TURP using monopolar or bipolar electrocautery.
Anatomical endoscopic enucleation of the prostate (AEEP)	AEEP	Patient who underwent anatomical endoscopic enucleation of the prostate (AEEP) using Holmium, Thulium or GreenLight laser or bipolar current.
Prostate Vaporization	Prostate Vaporization	Patient who underwent vaporization of the prostate using plasma or laser energy (GreenLight PVP and Thulium vaporization of the prostate).

Primary Outcome Measures

Name	Time	Method
The need for post discharge hospital readmission.	90 days	The need for post discharge hospital readmission after surgery.

Secondary Outcome Measures

Name	Time	Method
Differences of readmission rates	90 days	Difference of readmission rates for different modalities of transuretheral prostatic surgery.
Change in the causes of readmission over time.	20 years	Change in the causes of readmission over time.
Causes and predictors of readmission.	90 days	Causes and predictors of readmission.

Trial Locations

Locations (1)

Urology and Nephrology Center; 🇪🇬 Mansoura, Egypt