BPH (Benign Prostatic Hyperplasia), Prostate
Conditions
Keywords
laser enucleation, bipolar enucleation, BPH, prostate
Brief summary
A prospective feasibility study would be a practical first step, focusing on real-time assessment and ensuring the new working element's integration is safe and effective before broader clinical trials.
Interventions
Device: A single working element compatible with both bipolar and laser modalities. The bipolar energy will be used for cutting and coagulation during enucleation.
Device: A single working element compatible with both bipolar and laser modalities. Thulium or Holmium laser will be employed for tissue dissection and hemostasis.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed with benign prostatic hyperplasia (BPH) requiring surgical intervention. * Prostate volume ≥40 cc (as assessed by transrectal ultrasound). * No prior history of prostate cancer.
Exclusion criteria
* Patients with ongoing urinary tract infections. * Prior prostate surgeries. * Coagulation disorders or patients on long-term anticoagulation therapy. * Known urethral strictures or other anatomical abnormalities complicating endoscopic procedures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility | the operative time | Successful completion of enucleation using the single working element. Time taken to switch between bipolar and laser modalities. |
| Safety | 1 month | intraoperative complications (bleeding, urethral damage). Postoperative complications (infections, catheterization time, hospital stay). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy | 1 month | Operative time. Enucleation efficiency (grams of tissue removed per minute). Postoperative symptom improvement measured using International Prostate Symptom Score (IPSS). |
| Cost Analysis | the operative time | Cost of using a single working element vs. standard separate tools for bipolar and laser. |
Countries
Egypt