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Trial registered on ANZCTR
Registration number
ACTRN12613000012774
Ethics application status
Approved
Date submitted
6/12/2012
Date registered
7/01/2013
Date last updated
7/01/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Relationship between percent of resected tissue and symptom improvement after surgical treatment of benign prostatic hyperplasia.
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Scientific title
Impact of the percent of resected tissue on the symptom improvement at surgical treatment of benign prostatic hyperplasia. A prospective analysis.
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Secondary ID [1]
281559
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Nil
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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:
Surgical treatment of benign prostate hyperplasia
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Condition category
Condition code
Renal and Urogenital
288185
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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
Surgical resection of prostate by one of the following surgical techniques (three different interventions)
1. TURP (transurethral resection of prostate, one hour duration)
2. Freyer's prostatectomy (open transvesical prostatectomy, one and a half hour duration)
3. Millin prostatectomy (open retropubic transcapsular resection of prostate, one and a half hour duration)
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Intervention code [1]
286075
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Treatment: Surgery
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Comparator / control treatment
Trnasurethral Resection of Prostate (TURP)
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Control group
Active
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Outcomes
Primary outcome [1]
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Estimate the percent of resected tissue and collerate this with the improvement on urinary symptoms
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Assessment method [1]
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Timepoint [1]
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The percent of resected tissue is going to be calculated as the resected tissue weight divided by the preoperative prostate weight x 100. The preoperative prostate weight is going to be estimated as the preoperative prostate volume x specific gravity of prostate. The prostate tissue collected at resection is going to be weighed and multiplied by 1.2 to compensate for 'shrinkage' (resected tissue weight).
The improvement on symptoms is going to be assessed with the questionnaire of International Prostate Symptom Score (IPSS), the extra question for quality of life (QoL), the post-void residual (PVR) urine volume and the Qmax in uroflowmetry. All these are going to be estimated preoperatively and three (3) months after the procedure.
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Secondary outcome [1]
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If the increased amount of removed tissue influence the spontaneous detection of prostate cancer during surgical treatment of BPH(Benign Prostate Hyperplasia).
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Assessment method [1]
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Timepoint [1]
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Postoperatively with the histopathologic examination. As it is known, prostate cancer more frequently is developed in the peripheral zone of prostate. So by increasing the amount of tissue resected, theoritically get closed to the peripheral zone of the prostate.
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Eligibility
Key inclusion criteria
1. Patients with moderate or severe LUTS (lower urinary tracts symptoms) due to BPH (benign prostatic hyperplasia) that are refractory to medical treatment
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patients with prostatic carcinoma
2. Patients with neurogenic bladder
3. Patients with Foley catheter that are going to be treated due to urinary retention
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/02/2013
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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]
4734
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Greece
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State/province [1]
4734
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
286380
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Primary sponsor type
Hospital
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Name
Gennimatas General Hospital of Thessaloniki
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Address
41 Ethnikis Aminis, Thessaloniki, 54643
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Country
Greece
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
285168
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Changes in prostate volume before and after surgical treatment for BPH have been reported, but only few studies have assessed the correlation between the percent of resected tissue and the clinical outcome. To evaluate this colleration in men treated either with TURP or open prostatectomy.
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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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Dr Kampantais Spyridon
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Address
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12 Gennimata street, Thessaloniki, 55132
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Country
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Greece
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Phone
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+302314011161
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Kampantais Spyridon
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Address
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12 Gennimata street, Thessaloniki, 55132
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Country
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Greece
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Phone
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+302314011161
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Kampantais Spyridon
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Address
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12 Gennimata street, Thessaloniki, 55132
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Country
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Greece
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Phone
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+302314011161
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Fax
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Email
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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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