Actively Recruiting
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
Eligibility Criteria
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
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
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
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
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
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
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
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