Transurethral Vapor Enucleation Resection of the Prostate (TVERP), Bipolar TURis and HoLEP
Safety and Efficacy of TVERP in BPH Patients With Prostate Size ˃30 and ≤80 ml: a Comparison Study Between TVERP With the Plasma Vaporisation Button, Bipolar TURis and HoLEP Treatments.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Hubei
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Wuhan, Hubei, China, 430060
- Renmin Hospital,Wuhan University
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-
Sichuan
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Chengdu, Sichuan, China, 310003
- West China Hospital, Sichuan University
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Zhejiang
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Hangzhou, Zhejiang, China, 310003
- The First Affiliated Hospital, College of Medicine, Zhejiang University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male, age older than 22 and younger than 75 years of age
- The patient should be a candidate for surgical treatment of bladder outlet obstruction.
- Patients with BPH and surgical indication (refractory to medical treatment, refractory or recurrent urinary retention, recurrent haematuria, bladder stones, recurrent infections, hydronephrosis)
- Prostate volume ˃30 and ≤80 ml
- PSA <4 ng/ml in patients above 55 years old and a prostate cancer risk less than 35%. (Prostate cancer risk calculator).
- IPSS ≥8 (moderate to severe)
- Indications for TURIS
- maximum urinary flow (Qmax) <10ml/second
- A written informed consent signed by the patient (including patient's agreement to randomization and treatment).
Exclusion Criteria:
- Patients under anti-inflammatory or steroid therapy
- Patients under anti-coagulation at a level that could be exposed to a very high risk of complications based on a comprehensive pre-operatory evaluation.
- Renal insufficiency Serum creatinine (Scr) >1.5 x upper limit of normal (ULN); AST and ALT>2.5 x ULN;Total bilirubin >1.5 x ULN
- Previous neurogenic lower urinary tract dysfunction.
- Patients with urethral strictures
- Severe pulmonary disease and cardio-vascular disorder 、Coagulopathy,and contraindications to anesthesia and surgery.
- Concurrent participation in any other clinical study
- Any of the following within the 12 months prior to study: myocardial infarction, uncontrolled angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident or transient ischemic attack and 6 months for deep vein thrombosis or pulmonary embolism.
- Previous bladder outlet surgery.
- A clinically significant acute illness.
- Intake of medication in which the principle investigator considers to preclude enrollment into the trial.
- Known disease of the central or peripheral nervous system.
- Any clinical evidence of carcinoma of the prostate.
- HIV positive or any other immunosuppressive disorder.
- Psychological/psychiatric disease /Known cognitive disorder.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: TVERP
|
Transurethral Vapor Enucleation Resection of the prostate
|
|
Active Comparator: TURis
|
Transurethral Vapor Enucleation Resection of the prostate
|
|
Active Comparator: HoLEP
|
Transurethral Vapor Enucleation Resection of the prostate
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
change of blood level
Time Frame: Measurement of pre-operative and immediate post-operative period (6 hours and 24 hours) hemoglobin and hematocrit levels will be performed.
|
Measurement of pre-operative and immediate post-operative period (6 hours and 24 hours) hemoglobin and hematocrit levels will be performed.
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- TVERP01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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