Laser surgery showdown: does an extra incision improve outcomes for small prostates?

NCT ID NCT07688447

First seen Jul 07, 2026 · Last updated Jul 08, 2026 · Updated 1 time

Summary

This trial compares two surgical approaches for men with small-volume benign prostatic hyperplasia (prostate size 30 mL or less). One group receives standard laser enucleation (ThuLEP), while the other gets ThuLEP plus a bladder neck incision. The goal is to see if the combined procedure improves urinary flow and reduces the risk of bladder neck contracture, a common complication in this patient group. The study involves 120 men aged 50–85 who need surgery for their symptoms.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Transurethral Thulium Laser Enucleation of the Prostate (ThuLEP) with or without bladder neck incision
What this could lead to
If successful, this could establish a better surgical approach for men with small prostates, potentially reducing complications like bladder neck contracture and improving urinary flow.
What could go wrong
This is a relatively small trial (120 participants) comparing two established procedures, so any advantage may be modest. The added incision could also increase risks like bleeding or scarring.

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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

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Shanghai General Hospital

    Shanghai, Shanghai Municipality, 200086, China

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

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