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To Evaluate and compare the outcome and coast of ejaculation sparing management of BPH using 3 different techniques: PVP, PKVP and TURP. Ejaculation sparing TURP group is considered the standard control group. Evaluation will be carried out through a prospective randomized powered trial
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Photoselective Vaporization | Active Comparator |
| |
| Plasma Kinetic Vaporization | Active Comparator |
| |
| Transurethral Resection Of The Prostate | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ejaculation Preserving Photoselective Vaporization | Procedure | Ejaculation Preserving Photoselective Vaporization |
|
| Measure | Description | Time Frame |
|---|---|---|
| estimate and compare the ejaculation preservation effect of the 3 techniques (PKVP, PVP and TURP). | assessed by Male Sexual Health Questionnaire (MSHQ) | 1 years |
| Measure | Description | Time Frame |
|---|---|---|
| change in flow rate | measured by uroflowmetery in ml/sec | 1 years |
| postoperative complication | measured by Clavien-Dindo Classification scale |
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Inclusion Criteria:
1. Age >50 years 2. Prostate volume (measured by TRUS): 30-80 gm 3. International prostate symptom score (IPSS )>15 and quality of life score (QOL)< 3.
4. Maximum flow rate of uroflometry <10 ml/second 5. Patients with active sexual life (or interested) and having the ability to ejaculate and desire to preserve ejaculation.
6. Failure or intolerance to medical treatment, recurrent urinary infection, urine retention, significant hematuria or deterioration of the upper urinary tract function secondary to BOO.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Urology & Nephrology Center | Al Mansurah | Egypt |
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| Ejaculation Preserving Plasma Kinetic Vaporization | Procedure | Ejaculation Preserving Plasma Kinetic Vaporization |
|
| Ejaculation Preserving Transurethral Resection Of The Prostate | Procedure | Ejaculation Preserving Transurethral Resection Of The Prostate |
|
| 1 year |
| change in patients' symptoms. | measured by International Prostate Symptom Score (I-PSS) | 1 year |
| ID | Term |
|---|---|
| D011470 | Prostatic Hyperplasia |
| D011469 | Prostatic Diseases |
| ID | Term |
|---|---|
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
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