Prostate Hyperplasia
Conditions
Brief summary
Perioperative bleeding is the most common complication related to transurethral resection of prostate, the aim of the study is to compare the effect of pre-operative use of finasteride versus Cyproterone acetate on blood loss with mono polar TURP
Detailed description
This prospective randomized controlled study to compare the effect of pre-operative use of finasteride versus Cyproterone acetate on blood loss with mono polar TURP
Interventions
two weeks Cyproterone acetate administration before TURP
two weeks finasteride administration before TURP
no treatment received before TURP
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with benign prostatic hyperplasia with prostate size (60-100) grams * Lower urinary tract symptoms (LUTS) not responding to medical treatment * Recurrent prostatic bleeding * Recurrent acute urinary retention * Chronic urinary retention
Exclusion criteria
* Patients with coagulation disorders * Previous prostatic surgery * Previous finasteride administration * Bladder pathology (urinary bladder stones - bladder mass) * Suspected or proved cancer prostate * Hepatic or renal impairment * Patients unfit for operation eg. Decompensated heart failure, poor chest condition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intraoperative blood loss | immediately after surgery | assessment of intraoperative blood loss during TURP |
| post operative Hb | 24 hour post operative | measuring serum haemoglobin level at first post operative |
| post operative Hcv | 24 hour post operative | measuring serum haematocrit value at first post operative |
| operative duration | immediately after surgery | assessment of the duration of the operation |
| microvascular density(MVD) | 2 weeks after drug intake | assesment of MVD of the prostate by histological examination using high power field microscope |
Countries
Egypt