Can a smarter needle angle make prostate relief safer and easier?
NCT ID NCT07776158
First seen Aug 20, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This trial tests a modified version of a minimally invasive procedure called prostatic urethral lift (PUL) for men with an enlarged prostate causing bothersome urinary symptoms. The new approach uses a zero-angle firing and needle-guided puncture technique to place implants more precisely at the prostate's apex, where space is tight. Twelve men aged 50–80 with moderate-to-severe symptoms will undergo the procedure and be followed for a year to see if it improves urinary flow, symptoms, and quality of life while preserving sexual function.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Modified prostatic urethral lift procedure using zero-angle firing and needle-guided puncture
- What this could lead to
- If successful, this refined technique could make prostatic urethral lift easier and safer, offering men with BPH a less invasive way to relieve urinary symptoms without harming sexual function.
- What could go wrong
- This is a small, early exploratory study with only 12 participants, so results may not apply broadly. The procedure carries risks like bleeding, urinary urgency, infection, or the need for repeat treatment.
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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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12 people
The number who actually took part.
- Started
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Jun 2023
- Finished
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Nov 2024
- 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 to 80 years
- 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: * Male patients aged 50 to 80 years old; * Clinically diagnosed with benign prostatic hyperplasia accompanied by lower urinary tract symptoms; * Prostate volume measured by transabdominal or transrectal ultrasonography ranges from 30 mL to 80 mL; * International Prostate Symptom Score (IPSS) \> 12 points; * Maximum urinary flow rate (Qmax) ≤ 15 mL/s; * Voided volume ≥ 125 mL during uroflowmetry examination; * Post-void residual urine volume (PVR) measured by ultrasonography \< 350 mL; * Having sexual intercourse within 6 months prior to enrollment; * Sexual Health Inventory for Men (SHIM) score \> 6 points; * Preoperative clinical assessment confirms preservation of antegrade ejaculation; * Judged by the investigator to be eligible for prostatic urethral lift; * Able to understand the study content and voluntarily sign the written informed consent form; * Able to complete all scheduled follow-up visits in accordance with the study protocol. Exclusion Criteria: * Urethral conditions that preclude insertion of a 20F cystoscopic scope; * History of TURP, laser surgery, pelvic surgery, or radiotherapy; * Total prostate-specific antigen (tPSA) \> 10 ng/mL, or history of prostate cancer or bladder cancer; * Neurogenic bladder, urethral stricture, severe coagulopathy, or concurrent use of anticoagulants contraindicated for the procedure; * Intra-prostatic protrusion (IPP) \> 1 cm; * Other medical conditions or comorbidities contraindicating HoLEP or PUL; * Refusal to disclose sexual function status.
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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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Chinese PLA Gerneral Hospital
Beijing, Beijing Municipality, 100000, China
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Other studies related to the condition(s) this trial covers.
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