Status:

COMPLETED

Submucosal Intravesical Injection of Platelet-rich Plasma in the Treatment of Painful Bladder Syndrome

Lead Sponsor:

Ain Shams University

Conditions:

Painful Bladder Syndrome (PBS)

Interstitial Cystitis

Eligibility:

All Genders

30-50 years

Phase:

PHASE3

Brief Summary

Interstitial cystitis/painful bladder syndrome (IC/PBS) is characterized by a constellation of bladder symptoms, including urinary frequency, urgency, nocturia, and pelvic pain. Current intravesical ...

Detailed Description

A Prospective clinical trial to assess the effectiveness of submucosal intravesical injection of autologous platelet-rich plasma in the treatment of IC/PBS resistant to conventional methods of treatme...

Eligibility Criteria

Inclusion

  • History of symptoms of bladder pain/discomfort related to bladder filling and accompanied by other symptoms such as frequency and urgency.
  • The symptoms are lasting for not less than 6 months.
  • Failed medical treatment in the form of IC/PBS symptoms not relieved by antimicrobials, anticholinergics or antispasmodics after 6 months.

Exclusion

  • Pregnancy or lactation.
  • Prior therapy with intravesical treatment.
  • Incomplete medical therapy (Receiving therapy for \<3 months with antidepressants, anti-histaminics, hormonal agonists or antagonists).
  • Previous bladder or pelvic surgery or procedure having affected the bladder function.
  • Urodynamic study showing detrusor overactivity.
  • Elevated serum Prostatic Specific Antigen (PSA) level in males
  • Other causes of IC/PBS symptoms including :
  • i) Urinary bladder malignancy: bladder masses shown by ultrasonography or malignant cells by urine cytology.
  • ii) Indwelling catheters. iii) Infection: urinary tract infection, sexually transmitted disease and vaginitis.
  • iv) Chronic bacterial prostatitis. v) Chemical, tuberculous or radiation cystitis. vi) Bladder or lower ureteral calculi by non-contrast computed tomography (CT). vii) Pelvic organ prolapse (POP) by POP-Q assessment system. viii) Bladder outlet obstruction (BOO) diagnosed by urodynamic study.

Key Trial Info

Start Date :

April 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2023

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT06209008

Start Date

April 1 2021

End Date

December 1 2023

Last Update

January 17 2024

Active Locations (1)

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1

Demerdash hospital, Faculty of medicine, Ain Shams University

Cairo, Abbassia, Egypt, 1181