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In this study, Investigators planned to compare ejaculatory sparing and non-ejaculatory sparing (conventional) TUIP using both subjective and objective assessment tools for the degree of deobstruction.
Furthermore, the impact of both techniques on ejaculation and its secondary effect on orgasm perception and different domains of sexual function will be thoroughly assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ejaculatory sparing TUIP | Active Comparator | Ejaculatory sparing TUIP |
|
| Conventional TUIP | Placebo Comparator | regular non ejaculatory sparing TUIP |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ejaculatory sparing TUIP | Procedure | The bladder neck will be incised and vaporized at the 5 or 7-o'clock position. The incision will start near the ureteral orifice and carry downward to about 0.5-1.0 cm proximal to the verumontanum |
| Measure | Description | Time Frame |
|---|---|---|
| impact on ejaculatory function and subsequently the impact of reported ejaculatory changes on orgasm perception | Ejaculatory domain of Male sexual health questionnaire (Ej-MSHQ) | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Erectile function domains (erectile function, orgasm, desire, intercourse satisfaction and overall satisfaction) | International index of erectile function-15 (IIEF-15) questionnaire | 1 year |
| Patient reported functional urinary outcomes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Abdelwahab R. Hashem, Msc | Contact | 01069678979 | 002 | abdelwahab_hashem@yahoo.com |
| Ahmed Alhussein, MBBCH | Contact | 00201009074121 | ahmedalhussein20@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Ahmed M Shoma, MD | Urology and Nephrology center | Study Chair |
| Nasr Eltabey, MD | Urology and Nephrology center | Study Director |
| Ahmed N Elshal, MD |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Urology and Nephrology Center | Recruiting | Al Mansurah | Aldakahlia | 35516 | Egypt |
Yes meta-analyses by contact the Dr Ahmed Elshal, MD (Study Chair)
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| ID | Term |
|---|---|
| D011470 | Prostatic Hyperplasia |
| D000097910 | Ejaculatory Dysfunction |
| ID | Term |
|---|---|
| D011469 | Prostatic Diseases |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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|
| Conventional TUIP | Procedure | the bladder neck will be incised by Collins knife at the 5 or 7-o'clock position till the verumontanum. |
|
|
International prostate symptom score (IPSS) questionnaire
| 1 year |
| maximum flow rate (Q.max) | milliliters per second. | 1 year |
| Urology and Nephrology center |
| Study Director |
| Mahmoud Laimon, Msc | Urology and Nephrology center | Principal Investigator |
| Ahmed Elkashef | Mansoura University | Principal Investigator |
| D052801 |
| Male Urogenital Diseases |
| D012735 | Sexual Dysfunction, Physiological |