Comparative evaluation of the surgical outcome Thulium laser enucleation of the prostate

ISRCTN ISRCTN72879639
DOI https://doi.org/10.1186/ISRCTN72879639
Secondary identifying numbers 5921/19-3-2014
Submission date
18/05/2015
Registration date
25/06/2015
Last edited
26/02/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Benign prostatic hyperplasia is a condition affecting older men where the prostate becomes enlarged. This can cause difficulties in urination, a desire to urinate frequently and difficulty in fully emptying the bladder. It is usually treated by surgery which involves cutting away a section of the prostate gland in a procedure called transurethral resection of the prostate TURP). In this study, we are going to compare a new procedure, Thulium Laser Prostatectomy (ThuLEP) with the gold standard treatment, TURP, and a traditional treatment called Open Simple Prostatectomy (OSP).

Who can participate?
Participants that are eligible for surgical treatment of benign prostatic hyperplasia

What does the study involve?
All participants undergo an extensive evaluation before surgery which includes urodynamic study, evaluation of symptoms, quality of life and erectlie function. These are evaluated again in the follow-up period after surgery. Participants are randomised to either undergo ThuLEP or TURP surgery. Information on OSP cases are collected over a period of time.

What are the possible benefits and risks of participating?
The use of the currently most advanced 200W Thulium laser device (Revolix 200, Lisa laser products OHG, Katlenburg-Lindau, Germany) may prove of benefit for the patients.

Where is the study run from?
Department of Urology, University of Patras (Greece)

When is the study starting and how long is it expected to run for?
December 2013 to December 2016

Who is funding the study?
Investigator initiated and funded.

Who is the main contact?
Professor Evangelos Liatsikos

Contact information

Dr Evangelos Liatsikos
Public

University of Hospital of Patras
Department of Urology
Rion
Patras
26504
Greece

Study information

Study designRandomized comparison of surgical treatments for benign prostatic hyperplasia
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleComparative evaluation of the surgical outcome Thulium laser (200W) enucleation of the prostate: Comparative assessment with transurethral resection of the prostate and open simple prostatectomy.
Study hypothesisImprovement of symptoms, maximum flow and complication profile of the Thulium laser enucleation (ThuLEP) in comparison to the transurethral resectionof the prostate (TURP) and the open simple prostatectomy (OSP).
Ethics approval(s)Scientific Board of University Hospital of Patras, Rion, Patras, Greece, 02/12/2013, ref: 5921/19-3-2014
ConditionBenign prostatic hyperplasia, benign bladder outlet obstruction, urology
Intervention1. Randomization arm 1: Thulium laser enucleation (ThuLEP)
2. Randomization arm 2: Transurethral Resection of the Prostate (TURP)
Prospective data collection of consecutive cases: Open Simple Prostatectomy (OSP)
Intervention typeDevice
Pharmaceutical study type(s)
Phase
Drug / device / biological / vaccine name(s)
Primary outcome measure1. Symptoms (International Prostate Symptom Score, I-PSS), measured pre-operatively, at 1 month, at 3 months and at 12 months
2. Maximum flow rate: Urodynamic evaluation, measured pre-operatively and at 3 months
3. Time for catheter removal
4. Erectile function (International Index of Erectile Function Questionnaire, IIEF) at 1 month, 3 months and 12 months
5. Complications during first month after surgery and at 12 months
Secondary outcome measuresTreatment cost
Overall study start date02/12/2013
Overall study end date31/12/2016

Eligibility

Participant type(s)Patient
Age groupAdult
SexMale
Target number of participants90
Participant inclusion criteriaCandidates for surgical treatment of Benign Prostatoc Hyperplasia (BPH):
1. Prostate volume >60ml
2. Qmax <15ml/s
3. Post-void residual (PVR) <150ml
4. Insufficient conservative or pharmacological treatment of BPH
5. Urodynamic confirmation of bladder outlet obstruction
Participant exclusion criteria1. Prostate volume <60ml
2. Qmax >15ml/s
3. Post-void residual (PVR) >150ml
Recruitment start date20/03/2014
Recruitment end date31/12/2016

Locations

Countries of recruitment

  • Greece

Study participating centre

University Hospital of Patras
Rion
Patras
26504
Greece

Sponsor information

University Hospital of Patras
Other

Department of Urology
Rion
Patras
26504
Greece

ROR logo "ROR" https://ror.org/03c3d1v10

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planOur intention is to publish in international journals and as abstracts in congresses the results obtained by the study.
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 23/02/2021 26/02/2021 Yes No

Editorial Notes

26/02/2021: The following changes have been made:
1. Publication reference added.
2. The total final enrolment number has been added from the reference.