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Prostatic Resection Cavity Stone Post Transurethral Resection of the Prostate (TURP). A Rare Case Scenario (prostatic)

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ClinicalTrials.gov Identifier: NCT04781985
Recruitment Status : Completed
First Posted : March 4, 2021
Last Update Posted : March 16, 2021
Sponsor:
Information provided by (Responsible Party):
Diaa Eldin Taha Ramadan Mohamed, Kafrelsheikh University

Brief Summary:
Prostatic resection cavity stone post transurethral resection of the prostate (TURP). A rare case scenario

Condition or disease Intervention/treatment Phase
Prostate Hyperplasia Procedure: cystoscopy Not Applicable

Detailed Description:

Transurethral resection of the prostate (TURP) is the gold standard surgical therapy for lower urinary tract symptoms (LUTS) owing to senile prostatic enlargement. Following TURP, LUTS may persist in a percentage of patients. Persistent LUTS necessitates proper evaluation and management (1).

In a rare case report, delayed occurrence of storage and obstructive voiding symptoms after TURP can be caused by dystrophic calcification of the prostatic resection cavity and might be misinterpreted as post-TURP infection. The mechanism of dystrophic calcification entails minimizing tissue trauma by cautious removal of calcifications rather than performing extensive Re-TURP (2).

In our case, a rare presentation of storage LUTS as result of prostatic cavity stone extending into the bladder with same continuum, elicite the core issue of post TURP storage LUTS.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Intervention Model Description: surgical treatment for bladder stone
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Kafrelsheikh University Hospital
Actual Study Start Date : June 1, 2020
Actual Primary Completion Date : July 1, 2020
Actual Study Completion Date : August 1, 2020

Arm Intervention/treatment
Experimental: suprapubic cystolithotomy
Extraction of the vesical stone via open exploration of the bladder.
Procedure: cystoscopy
extraction of the bladder stone via suprapubic incision
Other Name: open cystolitholapaxy




Primary Outcome Measures :
  1. cystscopic evaluation of the prostate [ Time Frame: one month ]
    evaluation of the prostatic fossa cavity post TURP

  2. extraction of the bladder stone [ Time Frame: one month ]
    surgical removal of the large bladder stone



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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • patient with prostatic fossa stone post TURP

Exclusion Criteria:

  • none

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04781985


Locations
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Egypt
Diaa-Eldin Taha
Mansoura, Dakahlia, Egypt, 02
Sponsors and Collaborators
Kafrelsheikh University
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Responsible Party: Diaa Eldin Taha Ramadan Mohamed, lecturer of urology, Kafrelsheikh University
ClinicalTrials.gov Identifier: NCT04781985    
Other Study ID Numbers: RS/20.12
First Posted: March 4, 2021    Key Record Dates
Last Update Posted: March 16, 2021
Last Verified: March 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Prostatic Hyperplasia
Hyperplasia
Pathologic Processes
Prostatic Diseases