Virtual basket laser mode put to the test for faster prostate surgery
NCT ID NCT07816484
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Researchers at Mansoura University are comparing two settings of holmium laser enucleation of the prostate (HoLEP) in men with symptomatic benign prostatic hyperplasia (BPH) and prostates of at least 80 cc. One group receives the standard laser setting, while the other receives a virtual basket mode that adjusts the laser pulses. The trial measures how efficiently the prostate tissue is removed, calculated as resected volume divided by enucleation time, and also tracks urinary symptoms and sexual function. The goal is to see whether the virtual basket setting improves surgical efficiency without compromising safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Holmium:YAG laser enucleation of the prostate, tested with standard settings versus a virtual basket mode
- What this could lead to
- If the virtual basket mode works better, surgeons could remove enlarged prostate tissue faster and with less operating time, which may mean shorter anesthesia and quicker recovery for patients.
- What could go wrong
- This is a single-center study of 133 men with very large prostates, so results may not apply to smaller glands or other hospitals. Laser prostate surgery carries known risks of bleeding, infection, and temporary urinary problems.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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133 people
The number who actually took part.
- Started
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Jul 2025
- Finished
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Sep 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Male participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: LUTS secondary to BOO due to BPH with indication for surgical intervention: 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 150 ml voided volume or catheterized patients due to acute urine retention secondary to BPH who failed trial of voiding on medical treatment. ASA (American society of anesthesiologists) score ≤3. Prostate size as measured by TRUS ≥80 cc. Exclusion Criteria: Patient with neurological disorder which might affect bladder function as cerebrovascular stroke, Parkinson disease Active urinary tract infection (till treated by culture-based antibiotics) Presence of active bladder cancer. Known prostate cancer patients will be excluded preoperatively based on digital rectal examination, prostate specific antigen level, and TRUS imaging followed by prostate biopsies if necessary. Patient has had an acute myocardial infarction or open-heart surgery \<180 days prior to the date of informed consent. \-
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Urology and Nephrology Center, Mnasoura University
Al Mansurah, Dakahlia Governorate, 35561, Egypt
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Other studies related to the condition(s) this trial covers.
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