About this trial
A prospective feasibility study would be a practical first step, focusing on real-time assessment and ensuring the new working element's integration is safe and effective before broader clinical trials.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed with benign prostatic hyperplasia (BPH) requiring surgical intervention.
Prostate volume ≥40 cc (as assessed by transrectal ultrasound).
No prior history of prostate cancer.
Disqualifiers
Patients with ongoing urinary tract infections.
Prior prostate surgeries.
Coagulation disorders or patients on long-term anticoagulation therapy.
Known urethral strictures or other anatomical abnormalities complicating endoscopic procedures.
Trial population
the study will include male patients aged ≥50 years who are diagnosed with benign prostatic hyperplasia (BPH) , prostate volume ≥40 cc without 4prior history of prostate cancer while patients with ongoing urinary tract infections, prior prostate surgeries, coagulopathy or urethral strictures were excluded.
Trial design
Cohort
Prospective
Treatments tested in this trial
A single working element for bipolar enucleation
DeviceDevice: A single working element compatible with both bipolar and laser modalities. The bipolar energy will be used for cutting and coagulation during enucleation.
A single working element for laser enucleation
DeviceDevice: A single working element compatible with both bipolar and laser modalities. Thulium or Holmium laser will be employed for tissue dissection and hemostasis.
Treatment groups
Trial outcomes
Primary outcomes
Feasibility
Successful completion of enucleation using the single working element. Time taken to switch between bipolar and laser modalities.
Safety
intraoperative complications (bleeding, urethral damage). Postoperative complications (infections, catheterization time, hospital stay).
Secondary outcomes
Efficacy
Operative time. Enucleation efficiency (grams of tissue removed per minute). Postoperative symptom improvement measured using International Prostate Symptom Score (IPSS).
Cost Analysis
Cost of using a single working element vs. standard separate tools for bipolar and laser.
Sponsors and contacts
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