Status:

WITHDRAWN

The Combined Effect of Intravesical Botox Injections and HoLEP Surgery in Treating Benign Prostatic Hyperplasia and Overactive Bladder

Lead Sponsor:

University Hospitals Cleveland Medical Center

Conditions:

Benign Prostatic Hyperplasia

Overactive Bladder

Eligibility:

MALE

40+ years

Phase:

PHASE4

Brief Summary

Benign prostatic hyperplasia (BPH) is the most common benign neoplasm in men. Almost 90% of men in their 70s report lower urinary tract symptoms related to BPH. These symptoms carry a significant nega...

Eligibility Criteria

Inclusion

  • Males age \> 40
  • Patients diagnosed with Benign Prostatic Hyperplasia (BPH) and referred for HoLEP surgery
  • Lower urinary tract symptoms (LUTS) of Overactive Bladder Syndrome (OABS) frequency - urgency - urge incontinence episodes - dysuria - nocturia and eligible for bladder botox injections
  • International Prostate Symptom Score (IPSS) ≥ 17
  • Overactive Bladder Symptom Score (OABSS) ≥ 7
  • Participants have failed, are intolerant, or bad candidates for anticholinergic medication treatment for OAB

Exclusion

  • History of bladder/prostate cancer
  • History of pelvic radiotherapy
  • History of neurological diseases
  • Presence of active Urinary Tract Infection (UTI)
  • Previous Bladder Outlet Procedure (Transurethral resection of prostate (TURP) Transurethral Incision of Prostate (TUIP) - UroLift, etc..)
  • History of adverse reaction to Botox injections
  • Post-void residual (PVR) greater than 300 ml
  • History of clean intermittent catheterization
  • Patients unable to stop anticoagulation of antiplatelet inhibitors 3 days prior to procedure

Key Trial Info

Start Date :

June 1 2026

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2027

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT05393921

Start Date

June 1 2026

End Date

July 1 2027

Last Update

September 5 2025

Active Locations (3)

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Page 1 of 1 (3 locations)

1

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States, 44106

2

UH Brainard Medical Bldg

Lyndhurst, Ohio, United States, 44124

3

UH Regional Hospitals - Richmond Campus

Richmond Heights, Ohio, United States, 44143