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. 2021 Jul 15;2021(7):CD013656. doi: 10.1002/14651858.CD013656.pub2

NCT02566551.

Study name Prospective controlled randomized study of PAE vs TURP for BPH treatment
Methods Study design: single (outcome assessor) blinded parallel randomized controlled trial
Setting/Country: single center / Spain
Participants Inclusion criteria:
Patients evaluated in the Urology Service because of BPH, candidate to TURP.
  • Signed informed consent

  • LUTS secondary to BPH for at least 6 months prior to study and/or baseline IPSS score > 13 and/or acute urinary retention with impossibility to remove urinary catheter and/or BPH symptoms refractory to medical treatment or for whom medication is contraindicated, not tolerated or refused prostate size of at least 50 grams measured by MRI

  • Patient must meet one of the following criteria: baseline PSA < 4 ng/mL (no prostate biopsy required), baseline PSA > 4 ng/mL and ≤ 10 ng/mL and free PSA > 15% of total PSA (no prostate biopsy required), baseline PSA > 4 ng/mL and ≤ 10 ng/mL and free PSA < 15% of total PSA and a negative prostate biopsy result (minimum 12 core biopsy), baseline PSA > 10 ng/mL and a negative prostate biopsy (minimum 12 core biopsy)

Interventions Group A: PAE
Group B: TURP
Outcomes Primary outcome
  • Improvement of symptoms assessed by IPSS score


Secondary outcomes
  • Improvement in QoL

  • Duration of hospitalization post procedure

  • Preservation of erectile function using the IIEF


Other outcomes
  • Change from baseline in Qmax

  • Change from baseline in PVR

  • Change from baseline in detrusor pressure

  • Change from baseline in mean prostate volume, as determined by transrectal ultrasound

  • Structural and morphological changes in MRI

  • Change from baseline in PSA

  • Overall adverse events

  • Procedure related adverse events

Starting date October 2015
Contact information mgregori@unizar.es
Notes This study is currently recruiting participants.
Sponsor:
Group of Research in Minimally Invasive Techniques
Hospital Clínico Universitario Lozano Blesa
Universidad de Zaragoza