Benign Prostatic Hyperplasia
Conditions
Keywords
benign prostatic hyperplasia, Transurethral vaporization of prostate
Brief summary
The purpose of this observational study is to evaluate the outcomes of using the PlasmaButton electrode in the treatment on Benign Prostatic Hyperplasia (BPH) while on anticoagulation medication.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Men with obstructive symptoms due to benign prostatic hyperplasia who are also on anticoagulant regimen. * Anticoagulant regiments include: Aspirin 81mg, Aspirin 325mg, Adenosine diphosphate (ADP) receptor inhibitors, Cilostazol, Dabigatran, Dipyridamole, or Warfarin. The patient will be stable on their dosage regimen for at least 3 months. * Maximum flow rate \<15ml/s by uroflowmetry. * International Prostate Symptom Score (IPSS)≥10.
Exclusion criteria
* Patients with coagulopathy, INR exceeding 3. * Anti-coagulation dose changes within 3 months of surgery. * Patients not medically cleared to undergo surgery for medical reasons. * Patients with neurogenic bladder (bladder affected due to a neurologic cause). * Urethral stricture, obstruction due to stricture. * Suspected bladder or prostate cancer. * Prostate size greater than 80 cc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complication rates when the PlasmaButton Electrode is used to perform TUVP (Transurethral Vaporization of the Prostate) on patients on anticoagulants | Introperative |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of subjective patient improvement on the International Prostate Symptom Score questionnaire | Before surgery and 1, 3, 6 month follow up visits |
| Assessment of subjective patient improvement on the Sexual Health Inventory for Men (SHIM) score | Before surgery and 1, 3, 6 month follow-up |
| Measurement of maximum urine flow rate as measured by urine flowmetry | Before surgery and 1, 3, 6 month follow-up |
Countries
United States