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Trial registered on ANZCTR
Registration number
ACTRN12610000072011
Ethics application status
Approved
Date submitted
17/01/2010
Date registered
20/01/2010
Date last updated
20/01/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Transurethral Enucleation and Resection of Prostate versus Transvesical Prostatectomy for Prostate greater than 80ml: A Prospective Randomized Study
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Scientific title
Transurethral Enucleation and Resection of Prostate and Transvesical Prostatectomy for benign prostate hyperplasia (BPH) patients with prostate volume greater than 80ml, the primary outcomes include International Prostate Symptom Score (IPSS) and Quality of Life Score (QoLS)
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Secondary ID [1]
1306
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
benign proaste hyperplasia
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Condition category
Condition code
Renal and Urogenital
256738
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0
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
transvesical prostatectomy (TVP) (1.5hours): The prostate is enucleated through abdominal routh, this is an open surgery. Surgeon removes the adenoma bluntly via finger dissection.
and transurethral enucleation and resection of the prostate (TUERP)(1.5hours): this is a transurethral procedure. Steps: to develop the plane of surgical capsule at the level closely proximal to the verumontanum with vaporization, dissecting the adenoma off the capsule plane by unclenching the adenoma bluntly using the beak of the resectoscope sheath from one side to the other, just like finger dissection in TVP procedure. The blood vessels to the adenoma were coagulated at the time of dissection. When the whole adenoma was almost dissected off the capsule, a small proportion of adenoma was allowed to anchor the capsule at the bladder neck which helped the surgeon to harvest the whole adenoma into pieces with resection. The adenoma slices can be evacuated manually.
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Intervention code [1]
255836
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Treatment: Surgery
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Comparator / control treatment
transurethral enucleation and resection of the prostate (1.5hours)
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Control group
Active
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Outcomes
Primary outcome [1]
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International prostate symptom score(IPSS)
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Assessment method [1]
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Timepoint [1]
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at 12 months after surgery
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Primary outcome [2]
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Quality of Life Scale (QOLS)
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Assessment method [2]
257646
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Timepoint [2]
257646
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at 12 months after surgery
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Secondary outcome [1]
262897
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postvoid residual(PVR): PVR is measured by ultrasound or catheterization
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Assessment method [1]
262897
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Timepoint [1]
262897
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at 12 months after surgery
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Eligibility
Key inclusion criteria
benign prostate hyperplasia (BPH) with prostate>80ml: The prostate volume is measured by transrectal ultrasound conform to this equation: the volume equals 0.52 × (L × W × H), where L is the maximum length (craniocaudal dimension), H is the maximum height (anteroposterior dimension), both were obtained from the sagittal plane, W is the maximum width (transverse dimension) obtained from the transverse plane.
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Minimum age
50
Years
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Maximum age
90
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
neurologic problem and Bladder stone
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/12/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
2411
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Funding & Sponsors
Funding source category [1]
256349
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Hospital
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Name [1]
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Guangzhou First Municipal People's Hospital
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Address [1]
256349
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No 1, Panfu Rd, Yuexiu District, Guangzhou
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Country [1]
256349
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China
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Primary sponsor type
Individual
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Name
xie, keji
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Address
No 1, Panfu Rd, Yuexiu District, Guangzhou
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Country
China
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Secondary sponsor category [1]
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Individual
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Name [1]
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Liu, Chunxiao
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Address [1]
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No 253, Gongyue Dadaozhong Rd, Guangzhou
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Country [1]
251662
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China
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
The surgical management of patients with prostate greater than 80ml that cause bladder outflow obstruction secondary to benign prostatic hyperplasia (BPH) is a challenging area.AUA and EAU guidelines suggest that open prostatectomy should be the treatment of choice in patients with a prostate volume of greater than 80ml. Transvesical prostatectomy (TVP) is a popular open prostatectomy, however, the application of it for large prostate has been progressively decreasing over the years following the rapid advent of minimally invasive techniques. Transurethral enucleation and resection of prostate (TUERP) with Gyrus Plasma Kinetic System is an unique surgery which was initiated by a Chinese doctor and popularized around the country and propagated to the world in AUA Meeting (2006). The unique feature of this procedure is that prostate is transurethrally enucleated and resected with bipolar plasmakinetic resectoscope. Previous studies reported the satisfactory efficacy and safety of TUERP in treating BPH, however, prostate volume in these report ranged from small to large size. Our goal is to assess the efficacy and safety of TUERP in treating BPH with prostate greater than 80 ml. If it does work, it will provide a new minimally invasive technique for large prostate.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
30717
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Country
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Phone
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Fax
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Email
30717
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Contact person for public queries
Name
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keji xie
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Address
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no 1, panfu Rd, Yuexiu District, Guangzhou
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Country
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China
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Phone
13964
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011-86-20-81048268
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Fax
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Email
13964
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[email protected]
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Contact person for scientific queries
Name
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rubiao ou
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Address
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no 1, panfu Rd, Yuexiu District, Guangzhou
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Country
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China
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Phone
4892
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011-86-20-81048268
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Fax
4892
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Email
4892
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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