Actively Recruiting

Phase Not Applicable
Age: 18Years +
MALE
ID06697106

Can COX-2 Inhibitor Decrease Stricture Recurrence After Direct Vision Internal Urethrotomy?

Led by New Valley University · Updated on 2024-11-21

82

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the use of nonsteroidal anti-inflammatory drugs (NSAIDs), specifically a COX-2 inhibitor, to prevent the recurrence of urethral strictures after direct visual internal urethrotomy (DVIU). Urethral strictures often result from idiopathic causes or medical procedures and have higher recurrence rates in certain conditions, such as multiple or long strictures and infections. This study aims to assess the safety and effectiveness of NSAIDs in reducing stricture recurrence following surgery. Participants will be randomly assigned to one of two groups. One group will receive DVIU followed by NSAIDs for three weeks, while the other group will receive DVIU followed by a placebo for the same duration. The study uses a single-blind design where participants do not know which treatment they receive. The treatments are given postoperatively to compare their effect on preventing stricture recurrence. During the study, participants will be monitored for urethral stricture recurrence 90 days after surgery. Additional assessments include symptom scores using the International Prostate Symptom Score (IPSS), quality of life evaluations, maximum urine flow rate, and any complications occurring within 90 days postoperatively. This follow-up period allows researchers to evaluate treatment impact and safety over three months.

CONDITIONS

Brief Title

Can COX-2 Inhibitor Decrease Stricture Recurrence After Direct Vision Internal Urethrotomy?

Who Can Participate

Age: 18Years +
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Male sex
  • American Society of Anesthesiologists (ASA) score of 3 or less
  • Urethral stricture length of 1.5 cm or less
Not Eligible

You will not qualify if you...

  • Two or more previous urethral stricture recurrences
  • Presence of pelvic fracture urethral distraction defect (PFUDD)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Up to 1 day

Participants undergo direct vision internal urethrotomy (DVIU) surgery followed by immediate post-operative care.

1 visit (in-person) for surgery

Treatment

Duration - 3 weeks

Participants receive either nonsteroidal anti-inflammatory drugs (NSAID) or placebo for 3 weeks after surgery.

Weekly visits for up to 3 weeks

Follow-up

Duration - Up to 90 days postoperative

Participants are monitored for urethral stricture recurrence and other outcomes after treatment ends.

Approximately 1 to 2 visits within 90 days post surgery

Trial Site Locations

Total: 1 location

1

New Valley University

New Valley, New Valley Governorate, Egypt, 72511

Actively Recruiting

Loading map...

Research Team

W

Waheed F Abdelrasol, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

Frequently Asked Questions

Have more questions? Get in touch with our team for quick support

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here