Benign Prostatic Hyperplasia Clinical Trial
Official title:
Prospective Non-randomized Trial Comparing Holmium Laser Enucleation of the Prostate Versus Greenlight Laser Photoselective Vaporization of the Prostate in Treating Benign Prostate Hyperplasia in Patients With Bleeding Tendency
Patients presented for BPH surgery at our out patient clinic will be assessed for abnormal
bleeding profile.
Patients with bleeding tendency will be offered either HoLEP or Greenlight laser PVP based
on prostate size cut off point of 80ml Larger prostates will be treated with HoLEP Smaller
prostates will be treated with greenlight PVP
Elderly patients with bleeding tendency either secondary;
1. Strict antiplatelet intake
2. Strict anticoagulant intake
3. uncorrected natural bleeding tendency e.g; patients with liver cell failure are at
higher risk of perioperative bleeding when subjected to prostate surgery.
Laser prostate surery was introduced to overcome this difficulty. However, till now there is
no head to head comparision of different types of laser procedures in treating this subset
of patients In the current study patients presented for BPH surgery in a tertiarry referral
prostate unit will be assessed for bleeding tendency and will be treated either by Holmium
laser enucleatiuon of the prostate or Greenlight laser vaporization of the prostate Single
surgeon will perform all cases
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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