Lower Urinary Tract Symptoms Clinical Trial
Official title:
Randomized Trial Comparing Holmium Laser Enucleation of the Prostate vs. Greenlight 532nm-laser Vapo-Enucleation of the Prostate vs. Bipolar Transurethral Resection of the Prostate in Management of Moderate/Large Benign Prostate Hyperplasia
Most guidelines are not strict for recommending single treatment approach for Moderate to
large prostate.
In this study the investigators planned to test the Greenlight (532-nm) laser Photoselective
Vapo-Enucleation of the Prostate (PVEP) using (XPS) 180W system compared to bipolar
transurethral resection of the prostate (TURis) and Holmium Laser Enucleation of the Prostate
(HOLEP) in reduction of lower urinary tract symptoms (LUTS) secondary to BPH in a prospective
randomized trial.
With a growing body of knowledge on the promising advancements and recent clinical data of
the third generations of the Greenlight XPS, it seems to be a real contender in the world of
MIS. Contenders of Greenlight laser technology includes bipolar as well as Holmium laser
technology.
In this study the investigators planned to test the Greenlight (532-nm) laser Photoselective
Vapo-Enucleation of the Prostate (PVEP) using (XPS) 180W system compared to bipolar
transurethral resection of the prostate (TURis) and Holmium Laser Enucleation of the Prostate
(HOLEP) in reduction of LUTS secondary to BPH in a prospective randomized trial.
Furthermore, all peri-operative parameters, urinary flow parameters, prostate size changes
and complications associated with the procedures were compared. The prostate size limitations
will be assessed in relation to the outcome measures.
Moderate to large size prostate (80-120 ml TRUS estimated volume) will be randomized to PVEP
vs. Bipolar TURP vs. HoLEP.
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