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Holmium laser enucleation (HOLEP) has became a standard of treatment of large prostates that indicates surgery. HOLEP is widely used nowadays. Many settings are used but no optimal setting was world wide adopted. The aim of this trial is to assess the Low-power Holmium laser enucleation of the prostate (LP-HoLEP)and compare to high-power (HP-HoLEP) for enucleation efficiency pertaining to the advantages of lower cost and minimal postoperative dysuria, storage symptoms, and negative sexual impact.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LP-HoLEP | Active Comparator | 2J/25Hz setting |
|
| HP-HoLEP. | Active Comparator | 2J/50Hz setting |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HOLEP for treating BPH | Procedure | HoLEP will be performed using 100W Versapulse, Luminis Inc., with 2J/25Hz for LP-HoLEP and 2J/50Hz for HP-HoLEP. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Enucleation Efficiency | Enucleated weight/min will be evaluated. | 3 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Dysuria will be assessed by dysuria visual analog scale | burning micturation after the procedure. Dysuria will be assessed by dysuria visual analog scale | 2 weeks |
| The complications of both techniques |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamed F Salman, MD | Contact | +201111788996 | prof_mohamed_fawzy@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Urology department - AlAzhar university | Recruiting | Cairo | Egypt |
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| ID | Term |
|---|---|
| D011470 | Prostatic Hyperplasia |
| ID | Term |
|---|---|
| D011469 | Prostatic Diseases |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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HoLEP will be performed using 100W Versapulse, Luminis Inc., with 2J/25Hz for LP-HoLEP and 2J/50Hz for HP-HoLEP.
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double blind
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The complications will be classified according to the modified Clavien classification system.
| 3 months |
| D052801 |
| Male Urogenital Diseases |