GreenLight Laser Photoselective Vaporization of the Prostate vs Bipolar Transurethral Vaporization of the Prostate; RCT

Study Overview
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Brief Summary
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With a growing body of knowledge on the promising advancements and recent clinical data of the third generations of the Greenlight PVP/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 PVP using (XPS) 180W system compared to bipolar electro-vaporization, in reduction of LUTS secondary to small to moderate sized BPH in a prospective randomized trial.

Detailed Description
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Patients with LUTS due to BPH seen through the outpatient prostate clinic in the Mansoura UNC were assessed to evaluate if the patient is eligible to the study inclusion criteria. Patients who are meeting these criteria were asked to participate in this randomized comparative study and were provided with an informed consent form. Study participants were enrolled and randomized, and the appropriate scheduled procedures were performed. Preoperatively, all patients were thoroughly evaluated by medical history and physical exam, digital rectal exam (DRE), prostate specific antigen (PSA), urinalysis and urine culture, international index of prostate symptom score (IPSS), Quality of Life (QOL), transrectal ultrasound (TRUS) measurement of prostatic volume and biopsy whenever indicated, measurement of post-void residual assessment (PVR), and maximum urinary flow rate (Qmax). Preoperative flexible urethrocystoscopy was done when hematuria was the presenting symptom.

Official Title
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Green Light Laser (XPS) Photoselective Vaporization of the Prostate (PVP) Versus Bipolar Transurethral Vaporization (B.TUVP) of the Prostate for Treatment of Small to Moderate Sized Benign Prostate Hyperplasia: A Randomized Study

Conditions
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Benign Prostatic Hyperplasia

Intervention / Treatment
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* Procedure: Greenlight laser PVP
* Procedure: Bipolar TUVP


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients' age ≥50 years LUTS secondary to BOO due to BPH who failed medical treatment International prostate symptom scores (IPSS) >15 and bother score (QOL) ≥ 3 (according to IPSS question 8) Peak urinary flow rate (Qmax) <15 ml/sec with at least 125 ml voided volume or Patients with acute urine retention secondary to BPH who failed trial of voiding on medical treatment. ASA (American society of anaesthesiologists) score ≤3. TRUS prostate size (from 30 to 80ml) Exclusion Criteria: Patient with neurological disorder which might affect bladder function as cerebrovascular stroke, Parkinson disease Active urinary tract infection, Presence of active bladder cancer (within the last 2 years) Known prostate cancer patients will be excluded preoperatively on the basis of digital rectal examination, prostate specific antigen level, and TRUS imaging followed by prostate biopsies if necessary.

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Greenlight laser PVP<br>Greenlight (532-nm) laser Photoselective vaporization of the prostate using (XPS) 180W system | Procedure: Greenlight laser PVP<br>* Vaporization of the prostate adenoma using 532nm laser with 180W XPS system using Moxy fiber<br>* Other names: Greenlight (532-nm) laser PVP using (XPS) 180W system;|
| Active Comparator: Bipolar TUVP<br>Bipolar transurethral vaporization of the prostate using bipolar system | Procedure: Bipolar TUVP<br>* Bipolar energy is used for generation of plasma that ends up by vaporization of the prostate adenoma<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| IPSS change | change in the symptoms score over two years post procedure | two years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reoperation rate | need for reintervention post procedure | 4 years | 
| Q.max | maximal urine flow rate | 2 years | 
| biopsy | clinicopathological outcome | one month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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LASER, PROSTATE, BIPOLAR, HYPERPLASIA, VAPORIZATION