Holmium Laser Enucleation Of the Prostate Versus Water Vapor Therapy Of The Prostate on Sexual Function and Ejaculation
NCT07566689 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 110
Last updated 2026-05-05
Summary
This study aims to compare the effect of holmium laser enucleation of the prostate (HoLEP) versus water vapor therapy (Rezum) on sexual function and ejaculation in patients with benign prostatic hyperplasia (BPH).
Benign prostatic hyperplasia is a common condition affecting aging men and may lead to lower urinary tract symptoms requiring surgical intervention. While both HoLEP and Rezum are effective minimally invasive treatments, their impact on sexual function, particularly ejaculation, remains an important concern.
Participants will be assigned to undergo either HoLEP or Rezum therapy. Sexual function and ejaculatory outcomes will be evaluated using validated questionnaires before and after treatment. The study aims to determine which modality provides better preservation of sexual function while maintaining clinical efficacy.
Conditions
- Benign Prostate Hypertrophy(BPH)
Interventions
- PROCEDURE
-
Holmium Laser Enucleation of the Prostate (HoLEP)
Holmium laser enucleation of the prostate is an endoscopic surgical procedure used for the treatment of benign prostatic hyperplasia. It involves complete enucleation of the prostatic adenoma using a holmium laser, followed by tissue morcellation.
- PROCEDURE
-
Water Vapor Thermal Therapy
Water vapor thermal therapy (Rezum) is a minimally invasive procedure that uses convective radiofrequency-generated water vapor to ablate hyperplastic prostatic tissue, aiming to relieve lower urinary tract symptoms while preserving sexual function.
Sponsors & Collaborators
-
Beni-Suef University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 50 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-04-03
- Primary Completion
- 2025-12-03
- Completion
- 2026-01-03
Countries
- Egypt
Study Locations
More Related Trials
-
Aquablation vs. Holmium Laser Enucleation of the Prostate in the Treatment of Benign Prostatic Hyperplasia in Medium to Large Size Prostates
NCT04560907 ·Status: RECRUITING ·Phase: NA
-
HoLEP Vs BPEP for Large Prostatic Adenoma
NCT04275076 ·Status: COMPLETED ·Phase: PHASE3
-
HoLEP-ThuLEP - Comparing Lasers for BPH Surgery
NCT07565961 ·Status: RECRUITING ·Phase: NA
-
HoLEP vs BipolEP in Management of BPH Patients With Large Prostates
NCT06759194 ·Status: RECRUITING ·Phase: NA
-
HoLEP vs BPRP of a Large Volume BPH: a Randomised Controlled Trial
NCT04143399 ·Status: COMPLETED ·Phase: NA
-
Concomitant Trans-Perineal Prostate Biopsy and Ablation (Bioblation) for Prostate Cancer
NCT07526675 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Thulium Laser Versus Bipolar Enucleation of the Prostate
NCT05200065 ·Status: UNKNOWN ·Phase: NA
-
Holmium Laser vs Bipolar Enucleation of a Large Volume BPH: a Randomised Controlled Study
NCT03998150 ·Status: COMPLETED ·Phase: NA
-
Comparative Outcomes of Rezūm Versus EchoLaser for Treatment of Benign Prostatic Hyperplasia With Enlarged Median Lobe.
NCT07578428 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
HoLEP vs. Greenlight 532nm-laser PVEP vs. Bipolar TURP in Management of Moderate/ Large BPH
NCT02332538 ·Status: COMPLETED ·Phase: NA
-
HoLEP vs BPRP in the Management of a Large Volume (> 80 gm) Symptomatic BPH
NCT04935151 ·Status: COMPLETED ·Phase: NA
-
Top-Down Holmium Laser Enucleation of the Prostate (HoLEP) vs the Traditional HoLEP for Treatment of Benign Prostatic Hyperplasia (BPH)
NCT04391114 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Long Term Follow up of Water Vapor Thermal Therapy (Rezum) for Benign Prostatic Hyperplasia (BPH)
NCT05982444 ·Status: COMPLETED ·Phase: NA
-
HoLEP in Management of BPH Patients With Predominant Voiding vs Storage LUTS: A Comparative Retrospective Study
NCT04178811 ·Status: COMPLETED
-
En-bloc With Early Apical Release Versus Lobe-by-lobe LASER Enucleation of the Prostate
NCT07014969 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Evaluating the Clinical Efficacy of Thulio vs. Holmium Laser Enucleation of the Prostate
NCT07187180 ·Status: RECRUITING ·Phase: NA
-
Trial of HoLEP vs. PVP in Treating BPH in Patients With Bleeding Tendency
NCT02293759 ·Status: UNKNOWN ·Phase: PHASE4
-
Management of Dysuria and Irritative Symptoms After HoLEP: a Prospective Study Evaluating the Efficacy of Alpha-Blocker Therapy
NCT06865430 ·Status: RECRUITING ·Phase: NA
-
HoLEP (50W) vs. HoLEP (100W) for Treatment of BPH
NCT02737241 ·Status: COMPLETED ·Phase: NA
-
Comparative Study Between Safety and Effectiveness of High Versus Low Power HOLEP
NCT05678452 ·Status: RECRUITING ·Phase: NA
-
Thulium Laser Enucleation With Bladder Neck Incision for Small-Volume Benign Prostatic Hyperplasia
NCT07569874 ·Status: RECRUITING ·Phase: NA
-
Comparison Between Water Vapor Thermal Therapy and Prostatic Artery Embolization in Treatment of Benign Prostatic Hyperplasia
NCT07416227 ·Status: RECRUITING ·Phase: NA
-
Ejaculatory Sparing vs. Non-ejaculatory Sparing GreenLight Laser Photoselective Vaporization of the Prostate
NCT02749604 ·Status: UNKNOWN ·Phase: PHASE4
-
REZŪM vs. Dual Drug Therapy for Symptomatic Benign Prostatic Hyperplasia in Sexually Active Men
NCT04838769 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Holmium Laser Ablation of the Prostate (HoLAP) Versus KTP Laser Vaporization of the Prostate
NCT00169767 ·Status: TERMINATED