Benign Prostatic Hyperplasia With Outflow Obstruction
Conditions
Brief summary
Randomized Controlled Study Comparing Safety, Efficacy and Short Term Outcomes Of Bipolar Prostate Resection (BPR) Versus Diode Laser Ablation Versus Holmium Laser Enucleation Of Prostate Above 80 Grams With Minimum One Year Follow Up Duration.
Detailed description
comparing three different techniques for treatment of prostatomegaly (BPH) bipolar resection of the prostate versus diode laser ablation of the prostate versus holmium laser enucleation monitoring preoperative data . intraoperative data , postoperative outcomes and long term outcomes within 1 year of the operation aiming to decide which technique has the superior hand over other regarding large size prostate above 80 grams
Interventions
bipolar resection of the prostate
holimum laser enucleation of the prostate
diode laser ablation of the prostate
Sponsors
Study design
Eligibility
Inclusion criteria
* Refractory LUTS secondary to benign prostatic hyperplasia (BPH) * Acute retention secondary to BPH who failed medical treatment * Prostate size above 80 gm in Pelvi-Abdominal ultrasound or Trans-Rectal ultrasound
Exclusion criteria
* Suspected Neurogenic bladder. * Suspected Prostatic adenocarcinoma (either by digital rectal examination or high PSA level) * Urinary bladder carcinoma * urethral stricture. previous bladder, urethral or prostate surgery. * Bleeding tendency. * Uncontrolled bleeding disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| time to catheter removal | within the first 1 week post-operatively | number of days to catheter removal post-operatively |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| removed prostatic tisuue | within the first month postoperatively | assessment of prostate size by Pelviabdominal ultrasound and wight of the removed prostatic tissues in grams |