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Factors Predicting The Success of Ejaculation Sparing Transurethral Resection of Prostate in Benign Prostatic Hyperplasia Patients

Factors Predicting The Success of Ejaculation Sparing Transurethral Resection of Prostate in Benign Prostatic Hyperplasia Patients

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07513896
Enrollment
108
Registered
2026-04-07
Start date
2025-04-12
Completion date
2026-01-25
Last updated
2026-04-07

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

Conditions

Benign Prostatic Hyperplasia, Ejaculation

Brief summary

evaluate the factors predicting the success of ejaculation-sparing TURP in patients with BPH after surgery, in terms of voiding improvement and preserved ejaculation post-operatively.

Interventions

PROCEDUREejaculatory preserving TURP

In our study, we performed an EP-TURP technique, which is adopted in our institute and involves the preservation of 1 cm of urethral mucosa all around the verumontanum, including the prostatic apical urethral mucosa, with adequate resection of the prostatic adenoma, including the apical prostatic tissue, which was resected lateral to the spared urethral mucosa to ensure adequate management of the outflow obstruction. (8). Bi-polar TURP was performed using a 26 Fr. Resectoscope (Karl Storz, Tuttlingen, Germany) and Karl Storz- AUTOCON® IV. Intraoperative cystoscopic evaluation and documentation of the prostatic anatomy were done. SML was measured cystoscopically using a 22 Fr sheath with centimeter markings. Operative time, perioperative complications, catheterization duration, and hospital stay were recorded. Urethral catheter removal was planned after 24-48 hours unless prolonged catheterization was clinically indicated.

Sponsors

Ain Shams University
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
MALE
Healthy volunteers
No

Inclusion criteria

* sexually active male patient with normal ejaculatory function * upper urinary tract affection and renal insufficiency. * Chronic Urinary Retention * Patients with failed medical therapy. * Patients not compliant to medical treatment * Patients with recurrent hematuria or recurrent lower urinary tract infections

Exclusion criteria

* Patients with an anterior urethral stricture * Patients with history of urethral operations * Patients with previous prostatic surgery * Patients with neurological disorders * Non sexually active patients

Design outcomes

Primary

MeasureTime frameDescription
Preservation of antegrade ejaculation at 3 months3 monthsThe primary outcome was to assess the post operative ejaculation at 3 months using Male Sexual Health Questionnaire for ejaculatory dysfunction short form (MSHQ-Ej.D-SF).

Secondary

MeasureTime frameDescription
post-operative post-voiding residual volume3 monthsMeasurement of post-operative post-voiding residual volume by Pelvi-abdominal Ultrasound

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 8, 2026