Laser vs bipolar: which surgery best tames an oversized prostate?
NCT ID NCT07627178
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares three different surgical techniques for men with very large prostates (over 100 mL) who have severe urinary symptoms. Ninety men will be randomly assigned to receive either thulium fiber laser, holmium laser, or bipolar electrosurgery. Researchers will measure improvements in urinary flow, symptom scores, and quality of life over six months, as well as track complications and recovery time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Thulium fiber laser, holmium laser, and bipolar electrosurgery
- What this could lead to
- If successful, this study could identify which surgical method works best for men with very enlarged prostates, leading to faster recovery and fewer complications.
- What could go wrong
- This is a small, early-stage comparison study with only 90 participants. Results may not apply to all patients, and all surgeries carry risks like bleeding or infection.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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About 90 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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May 2027
An estimate. End dates often move.
- 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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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Male participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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 diagnosed with BPH * Clinical diagnosis of BPH with lower urinary tract symptoms. * IPSS ≥ 20 (severe symptoms) * Maximum urinary flow rate (Qmax) ≤ 10 mL/s * Prostate volume \>100 mL (measured by transrectal ultrasound) * Failed medical therapy and fit for operation Exclusion Criteria: * Prostate cancer (current or history). * Previous prostate surgery * Previous urethral surgery. * Neurogenic bladder dysfunction. * Active urinary tract infection. * Severe cardiovascular disease (ASA Class IV). * Previous pelvic radiation. * Urethral stricture * Urinary bladder stones.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Tanta University Hospital
RECRUITINGTanta, Gharbia Governorate, 31111, Egypt
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Other studies related to the condition(s) this trial covers.
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- New prostate surgery technique aims to shorten operation time
- Banana flower extract tested to ward off prostate trouble
- New laser technique aims to prevent post-surgery bladder scarring in men with enlarged prostates