Corkscrew Technique: A Novel Modification in Transurethral Resection of Large Prostate (60-100 g) Optimizing Resection Efficacy and Safety: A Double-blind Randomized Controlled Trial

Status: Completed
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Transurethral resection of the prostate (TURP) is still the gold standard for surgical management of enlarged prostate. However, many techniques and minimally invasive procedures are now in the comparative track with Bipolar resection as Laser enucleation. Multiple drawbacks of Classic TURP problems related to large prostate management as the retreatment after Bipolar resection, another issue that prolonged operative time, Loss of orientation during resection due to rotation of one of the 2 kissing lobe, Bleeding of the 1st lobe resection side make the 2nd lobe resection harder and lengthier, Median lobe resection or bladder neck resection is done at last to avoid sub-trigonal injury. however, due to median lobe obstruction, irrigation is poor during all the resection. length of learning curve, the modification of early median lobe resection carry the risk of sub-trigonal injury. So, this study is a trial to analyze the effect of new technique in resection of large prostate with good orientation and less time of operation.

Eligibility
Participation Requirements
Sex: Male
Healthy Volunteers: f
View:

• BPH causing LUTS with prostate volume between 60 and 100 ml (either by TRUS or CT).

• PSA level below 4 ng/ml.

• IPSS score of 10 and above.

Locations
Other Locations
Egypt
Menoufia Faculty of Medicine
Shebin El-kom
Time Frame
Start Date: 2024-11-01
Completion Date: 2025-04-28
Participants
Target number of participants: 90
Treatments
Sham_comparator: Nesbit technique group
patients of this group undergo the classical Nesbit technique.
Active_comparator: Corkscrew technique
patients of this group undergo the novel modified technique.
Related Therapeutic Areas
Sponsors
Leads: Menoufia University

This content was sourced from clinicaltrials.gov