Status:

COMPLETED

Holmium Laser Enucleation of Prostate(HOLEP) vs Greenlight(XPS) Laser Photoselective Vapo-Enucleation of Prostate(PVEP)

Lead Sponsor:

Royal Victoria Hospital, Canada

Collaborating Sponsors:

McGill University

Conditions:

Benign Prostate Hyperplasia

Eligibility:

MALE

Phase:

PHASE4

Brief Summary

The investigators are now proposing to compare two laser techniques for treating Benign prostate hyperplasia (BPH); Holmium Laser Enucleation of the Prostate (HOLEP) versus (greenlight) XPS which is a...

Detailed Description

Patients with lower urinary tract symptoms (LUTS) secondary to bladder outlet obstruction from BPH seen through the outpatient clinic in the urology department will be assessed to see if the patient s...

Eligibility Criteria

Inclusion

  • Ability to give informed consent.
  • Lower urinary symptoms (LUTS) secondary to bladder outlet obstruction from BPH.
  • Failed medical treatment of BPH.
  • International prostate symptom scores (IPSS) \> 15.
  • Peak urinary flow rate (Qmax) \< 15 ml/sec.
  • Preoperative TRUS (transrectal ultrasound) size of the gland (from 40 to 150 cc).
  • Patients in retention secondary to BPH (with cystometrogram (CMG) confirming adequate detrusor pressure if the bladder capacity at time of catheterization is in excess of 1000 ml).

Exclusion

  • Inability to give informed consent.
  • Patient who have a neurological disorder which might affect bladder function as cerebrovascular stroke, Parkinson disease.
  • Active urinary tract infection.
  • Presence of active bladder cancer (within the last 2 years).
  • Known cancer prostate patients will be excluded preoperatively on the basis of digital rectal examination, prostate specific antigen level, and TRUS imaging followed by prostate biopsies if necessary.

Key Trial Info

Start Date :

January 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2014

Estimated Enrollment :

108 Patients enrolled

Trial Details

Trial ID

NCT01494337

Start Date

January 1 2012

End Date

April 1 2014

Last Update

August 26 2014

Active Locations (1)

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1

Royal victoria hospital

Montreal, Quebec, Canada, H3A 1A1