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| Name | Class |
|---|---|
| Hospital Pompeia | OTHER |
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Endoscopic enucleation of the prostate (EEP) is a standard treatment for benign prostatic hyperplasia (BPH), with modifications such as MiLEP that utilizes smaller instruments. The reduced resectoscope diameter in MiLEP may help decrease rates of stress urinary incontinence (SUI) and urethral strictures.
Objective: to compare the efficacy and safety of MiLEP and standard EEP with a thulium fiber laser (TFL).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MiLEP (22 Ch) | Experimental |
| |
| EEP (26 Ch) | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard endoscopic enucleation of the prostate (EEP) | Procedure | Stabdard EEP will be nerformed using 26 Ch resectoscope. Enucleation will be performed using an en bloc no-touch technique with early apical release. |
| Measure | Description | Time Frame |
|---|---|---|
| The rate of SUI | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of urethral strictures | 6-12 months | |
| Rate of intra- and perioperative adverse events | Assessed using Clavien-Dindo classification system | the day of operation, at 1, 6,12 months post-operative |
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Inclusion Criteria:
LUTS presence, proven by:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Vladislav Petov, Associate Professor, urologist | Contact | +7 925 351 75 49 | pettow@mail.ru |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute for Urology and Reproductive Health, Sechenov University | Recruiting | Moscow | 119435. | Russia |
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| ID | Term |
|---|---|
| D011470 | Prostatic Hyperplasia |
| D059411 | Lower Urinary Tract Symptoms |
| ID | Term |
|---|---|
| D011469 | Prostatic Diseases |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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| MiLEP | Procedure | Minimally-invasive laser EEP will be nerformed using 22 Ch resectoscope. Enucleation will be performed using an en bloc no-touch technique with early apical release. |
|
| Operative time | participants will be followed for the duration of the intervention, an expected average of 1 hour |
| Blood loss (blood levels of haemoglobin and haematocrit) | 1 day before and 1 day after surgery |
| Catheterization time | participants will be followed for the duration of hospital stay, an expected average of 1,5 days |
| Hospital stay | participants will be followed for the duration of hospital stay, an expected average of 1,5 days |
| International Prostate Symptom Score (IPSS) | Mild LUTS (symptom score less than of equal to 7) Moderate LUTS (symptom score range 8-19) Severe LUTS (symptom score range 20-35) | 1 month |
| Qmax | 1 month |
| PVR | 1 month |
| International Index of Erectile Function (IIEF-5) | severe ED (5-7), moderate ED (8-11), mild to moderate ED (12-16), mild ED (17-21), and no ED (22-25) | 1 month |
| D052801 |
| Male Urogenital Diseases |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |