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Evaluation for Clinical Efficacy of Anatomical Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia with Underactive bladder

Not Applicable
Recruiting
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
Inclusion Criteria

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.

Exclusion Criteria

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
NameTimeMethod
catheterization time of bladder fistula;catheterization time of Urinary tube;IPSS;Qmax;QOL;Void efficiency;Residual urine, PVR;
Secondary Outcome Measures
NameTimeMethod
Incontinence;Serum creatinine;PSA;complications;Prostate volume;HGB;
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