Evaluation for Clinical Efficacy of Anatomical Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia with Underactive bladder
- Conditions
- Benign Prostatic Hyperplasia with Underactive bladder
- Registration Number
- ITMCTR1900002519
- Lead Sponsor
- Guangdong Provincial Hospital of Chinese Medicine
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Male
- Target Recruitment
- Not specified
1. Aged 60-80 years, men;
2. Diagnosis of benign prostatic obstruction; Urodynamics suggest weak or no contraction of the detrusor(BCI<100 or Pdet@Qmax<40cmH2O)
3. With any of the following conditions:
(1) The International Prostate Symptom Score (IPSS>=12), and the quality of life score (QOL)>=4 points;
(2) The maximum urinary flow rate (Qmax) is less than 15ml/s (>=150ml);
(3) The effect of drug treatment is not good;
(4) The recurrent urinary retention (more than once);
4. Subject is classified ASA I, II, or III;
5. The patient agreed to participate in this trial, and signed informed consent.
1. There is operation contraindications of transurethral prostatic hyperplasia resection;
2. Subject has a life expectancy <2 yr;
3. Subject is currently enrolled in or plans to enrol in any other study;
4. Subject has a Normal detrusor contractility;
5. Subject has diagnosis of stress urinary incontinence that requires treatment or daily pad or device use;
6. Subject has history urethral stricture or bladder neck contracture within the last 6 months;
7. Subject has history of lower urinary tract surgery;
8. Subject has diagnosis of prostate cancer;
9. Combined with advanced malignant tumor or chronic wasting disease;
10. Combined with serious heart,lung disease or severe mental disorder;
11. Has an active infection;
12. Subject has a disorder of the coagulation cascade or disorders that affect platelet count or function;
13. Can not finished the follow-up for poor compliance.
Study & Design
- Study Type
- Observational study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method catheterization time of bladder fistula;catheterization time of Urinary tube;IPSS;Qmax;QOL;Void efficiency;Residual urine, PVR;
- Secondary Outcome Measures
Name Time Method Incontinence;Serum creatinine;PSA;complications;Prostate volume;HGB;