Ejaculatory Dysfunction, Prostate Hyperplasia, Transurethral Incision Of The Prostate
Conditions
Keywords
Transurethral Incision Of The Prostate, Prostate, Ejaculatory Sparing
Brief summary
In this study, Investigators planned to compare ejaculatory sparing and non-ejaculatory sparing (conventional) TUIP using both subjective and objective assessment tools for the degree of deobstruction. Furthermore, the impact of both techniques on ejaculation and its secondary effect on orgasm perception and different domains of sexual function will be thoroughly assessed.
Interventions
PROCEDUREEjaculatory sparing TUIP
The bladder neck will be incised and vaporized at the 5 or 7-o'clock position. The incision will start near the ureteral orifice and carry downward to about 0.5-1.0 cm proximal to the verumontanum
PROCEDUREConventional TUIP
the bladder neck will be incised by Collins knife at the 5 or 7-o'clock position till the verumontanum.
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
MALE
Age
40 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* American society of anesthesiologists (ASA) score ≤3. * TRUS estimated prostate weight ≤ 35 grams. * Sexually interested and having continuous relationship with the same partner (interested). * Bladder outlet obstruction index (BOOI ) ≥ 20 as per pressure flow study
Exclusion criteria
* Preoperative sexual or ejaculatory disturbances or pelvic pain syndrome * Neurological disorders that can affect potency and ejaculation e.g. long standing uncontrolled diabetes mellitus (DM) type 2 (\> 10 years), DM type 1, cerebral stroke, Parkinsonism * Urodynamic changes consistent with urethropathy or detrusor hypocontractility * Previous pelvic surgeries or radiotherapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| impact on ejaculatory function and subsequently the impact of reported ejaculatory changes on orgasm perception | 1 year | Ejaculatory domain of Male sexual health questionnaire (Ej-MSHQ) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Erectile function domains (erectile function, orgasm, desire, intercourse satisfaction and overall satisfaction) | 1 year | International index of erectile function-15 (IIEF-15) questionnaire |
| Patient reported functional urinary outcomes | 1 year | International prostate symptom score (IPSS) questionnaire |
| maximum flow rate (Q.max) | 1 year | milliliters per second. |
Countries
Egypt
Contacts
Primary ContactAbdelwahab R. Hashem, Msc
Backup ContactAhmed Alhussein, MBBCH
Outcome results
None listed