BPH With Urinary Obstruction, Ejaculation Abnormal, Prostate Disease, Prostate Obstruction, Prostatic Hyperplasia
Conditions
Brief summary
To Evaluate and compare the outcome and coast of ejaculation sparing management of BPH using 3 different techniques: PVP, PKVP and TURP. Ejaculation sparing TURP group is considered the standard control group. Evaluation will be carried out through a prospective randomized powered trial
Interventions
Ejaculation Preserving Photoselective Vaporization
Ejaculation Preserving Plasma Kinetic Vaporization
Ejaculation Preserving Transurethral Resection Of The Prostate
Sponsors
Study design
Eligibility
Inclusion criteria
* 1\. Age \>50 years 2. Prostate volume (measured by TRUS): 30-80 gm 3. International prostate symptom score (IPSS )\>15 and quality of life score (QOL)\< 3. 4\. Maximum flow rate of uroflometry \<10 ml/second 5. Patients with active sexual life (or interested) and having the ability to ejaculate and desire to preserve ejaculation. 6\. Failure or intolerance to medical treatment, recurrent urinary infection, urine retention, significant hematuria or deterioration of the upper urinary tract function secondary to BOO.
Exclusion criteria
1. Bleeding disorders and patients on anticoagulant treatment 2. Histologically proved cancer prostate 3. Neurogenic voiding dysfunction 4. Lower urinary tract malignancy 5. Preoperative ejaculation or sexual dysfunction 6. Presence of stricture urethra 7. Unfit for spinal anathesia -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| estimate and compare the ejaculation preservation effect of the 3 techniques (PKVP, PVP and TURP). | 1 years | assessed by Male Sexual Health Questionnaire (MSHQ) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in flow rate | 1 years | measured by uroflowmetery in ml/sec |
| postoperative complication | 1 year | measured by Clavien-Dindo Classification scale |
| change in patients' symptoms. | 1 year | measured by International Prostate Symptom Score (I-PSS) |
Countries
Egypt