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临床试验/NCT07596537
NCT07596537尚未招募不适用

The Effect of Detrusor Underactivity in Determining Outcomes After Transurethral Resection of the Prostate for Treatment of Benign Prostatic Hyperplasia

Ain Shams University0 个研究点目标入组 90 人开始时间: 2026年5月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
尚未招募
入组人数
90
主要终点
Restore spontaneous voiding

研究概览

简要总结

The aim of this clinical trial is to evaluate the effect of detrusor underactivity on the functional and symptomatic outcomes following transurethral resection of the prostate (TURP) in benign prostatic hyperplasia patients presenting with chronic urinary retention.

The main questions it aims to answer are:

Will they restore spontaneous voiding?

They will be divided into 2 comparative groups (each group 45 patients) based on detrusor contractility.

  • Group (A) consists of patients with normal detrusor (bladder contractility index more than 100).
  • Group (B) consists of patients with underactive detrusor (bladder contractility index less than 100).

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
50 Years 至 —(Adult, Older Adult)
性别
Male
接受健康志愿者

入选标准

  • Age: more than 50-year-old
  • Chronic urinary retention secondary to BPH
  • Prostate size Above 30 and less than 100gm

排除标准

  • Prostate size over 100 gm and less than 30 gm
  • Prostatic carcinoma
  • Urinary bladder carcinoma
  • Acute urinary retention
  • Urethral stricture.
  • Previous bladder, urethral or prostate surgery.
  • Acute urinary tract infection.
  • Neurogenic bladder

研究组 & 干预措施

consists of patients with underactive detrusor (bladder contractility index less than 100).

Active Comparator

• Group (B) - Underactive Detrusor

干预措施: transurethral resection of Prostate (Procedure)

consists of patients with normal detrusor (bladder contractility index more than 100).

Active Comparator

• Group (A) - Normal detrusor

干预措施: transurethral resection of Prostate (Procedure)

结局指标

主要结局

Restore spontaneous voiding

时间窗: 3 months

All the included patients in this study are urethral catheter-dependant pre-operatively and have very bad voiding parameters. we will assess how they will benefit after TURP by regaining spontaneous voiding without the need for urethral catheters any more.

次要结局

  • Flow rate improvement(3 months)
  • Post voiding residual urine volume decrease(3 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

samir sherif

Principal Investigator

Ain Shams University

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