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Impact of Concomitant TURP on Bladder Stone Surgery Outcomes

RecruitingNAAges 40 Years - anyMaleBeni-Suef University
NCT07831486 on ClinicalTrials.gov โ†—
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In plain words

What the trial is, and whether it could suit you

The management of bladder stones secondary to benign prostatic hyperplasia (BPH) remains controversial regarding whether transurethral resection of the prostate (TURP) should be performed concomitantly or selectively. The primary objective of this prospective randomized comparative study is to compare the postoperative outcomes of cystolitholapaxy alone versus cystolitholapaxy with concomitant TURP in adult male patients presenting with bladder calculi secondary to BPH. Additionally, the study aims to identify clinical and urodynamic predictors for requiring subsequent (delayed) TURP among patients initially treated with stone surgery alone.

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Adult men aged 40 years or older. * Lower urinary tract symptoms (LUTS) attributed to benign prostatic hyperplasia (BPH). * International Prostate Symptom Score (IPSS) \>= 8. * Prostate size \>= 30 grams (measured by ultrasonography). * Maximum urinary flow rate (Qmax) \<= 15 mL/s. * Presence of urinary bladder calculus/calculi confirmed by diagnostic imaging. * Written informed consent provided prior to study enrollment. Exclusion Criteria: * Evidence or history of urethral stricture. * Known or suspected prostate cancer. * Known or suspected bladder cancer / urothelial malignancy. * Neurogenic bladder dysfunction. * Chronic urinary retention with overflow incontinence. * Previous prostate or bladder neck surgery (e.g., prior TURP, TUIP, open prostatectomy). * Active urinary tract infection (UTI) at the time of surgery (patients treated for infection preoperatively may be reassessed for eligibility).
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What it tests

  • Transurethral Cystolitholapaxy Alone
  • Transurethral Resection of the Prostate (TURP)
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Where

1 site
Faculty of Medicine, Beni-Suef University
Banฤซ Suwayf, Egypt
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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