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The Safety and Efficacy of Addition of Gentamicin on Irrigation Fluid in Prevention of Post-Transurethral Resection of the Prostate Infectious Complications.

The Safety and Efficacy of Addition of Gentamicin on Irrigation Fluid in Prevention of Post-Transurethral Resection of the Prostate Infectious Complications: A Prospective Randomized Double Blinded Placebo Controlled Pilot Trial.

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06168708
Enrollment
220
Registered
2023-12-13
Start date
2023-12-07
Completion date
2024-07-07
Last updated
2023-12-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Post-TURP Infectious Complications

Brief summary

The aim of this clinical study is to evaluate the safety and efficacy of addition of gentamicin on irrigation fluid during trans-urethral resection of the prostate (TURP) and its role in reduction of post-TURP infectious complications. the participants will be randomly divided into two groups: Group A (gentamicin group) and group B (Placebo).

Detailed description

220 patients scheduled for TURP for the management of urinary retention or LUTS will be included and divided into two groups; Group A includes 110 patients who will undergo TURP with addition of one ampoule of gentamicin 80 mg (2ml) /3L of irrigation solution (the first 9 Liters during resection and the first 6 Liters during post-operative irrigation) and Group B includes 110 patients who will undergo TURP with addition of normal saline (2 ml) as a placebo on the irrigation solution. Determination of Gentamicin in human serum using HPLC/UV after Chemical Derivatization will be done using the method of Barends et al (Barends, Brouwers, & Hulshoff, 1987). Both groups will be compared as regards the demographic data, post-operative pyuria and bacteruria (1 week after removal of urethral catheter), fever, and/or sepsis.

Interventions

TURP with addition of gentamicin on irrigation fluid to reduce infectious complications

DRUGGentamicin

gentamicin 80 mg (2ml) /3L of irrigation solution (the first 9 Liters during resection and the first 6 Liters during post-operative irrigation)

DRUGnormal saline

normal saline (2 ml) on the irrigation solution (placebo)

Sponsors

Tanta University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
MALE
Age
45 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* adult patients with enlarged prostate presenting with LUTS or urine retention

Exclusion criteria

* Unfit patients * Renal impairment * active UTI * urethral strictures

Design outcomes

Primary

MeasureTime frameDescription
infectious complications1 week and 1 month after removal of urethral catheterPost-TURP pyuria and bacteruria

Countries

Egypt

Contacts

Primary ContactAhmed G. Zoeir, Ph D
drahmedzoeir27@gmail.com+201008634198
Backup ContactAhmed A. Eissa, Ph D
ahmed.taha.eissa@gmail.com01110304666

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026