Thulium Fiber Laser Enucleation of the Prostate (ThuFLEP): Short-Term Efficacy and Safety Trial
Trial Snapshot
- Phase
- Not Applicable
- Enrollment
- 500
- Locations
- 2
- Primary Endpoint
- Change from Baseline Qmax at 1,3 and 6 months
Study Overview
Brief Summary
The aim of our study is to estimate the efficacy, safety and postoperative complications of the thulium fiber laser enucleation of the prostate (ThuFLEP) with Urolase system (NTO IRE-POLUS, Russia).
Detailed Description
In all patients, IPSS, Qmax, QoL, prostate volume, and IIEF-5 are measured prior to surgery.
For ThuFLEP, we use the Urolase system (NTO IRE-POLUS, Russia) and a 600 mcm fiber. The thulium fiber laser is set with a mean output power of 60 W and energy of 1.5 J. Tissue morcellation is completed with the Piranha Morcellator (Richard Wolf, Germany).
At the end of the procedure a 22 French three-way Foley catheter is placed. IPSS, Qmax, QoL, prostate volume are recorded at 1, 3 and 6 months after surgery. IIEF-5 are recorded at 3 and 6 months after surgery.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- Male
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Men aged 18 or older
- •Infravesical obstruction due to prostatic hyperplasia (IPSS > 20 or Qmax <10)
Exclusion Criteria
- •Participation in another clinical study
- •Prostate cancer (pathology confirmed)
- •Urinary tract infection
- •Neurogenic bladder
Outcomes
Primary Outcomes
Change from Baseline Qmax at 1,3 and 6 months
Time Frame: baseline and at 1,3 and 6 months
Maximal urinary flow rate
Change from Baseline IPSS at 1,3 and 6 months
Time Frame: baseline and at 1,3 and 6 months
International Prostate Symptom Score
Secondary Outcomes
- Change from Baseline Prostate Volume at 1,3 and 6 months(baseline and at 1,3 and 6 months)
- Change from Baseline QoL at 1,3 and 6 months(baseline and at 1,3 and 6 months)
- Change from Baseline IIEF-5 at 3 and 6 months(baseline and at 3 and 6 months)
Investigators
Dmitry Enikeev, MD, PhD
Deputy Director for Science
I.M. Sechenov First Moscow State Medical University
