Total en Bloc Urethra Preservation at Robot-assisted Prostatectomy IDEAL Stage 2a
NCT07678489 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2026-07-01
Summary
Prospective single-arm IDEAL stage 2a feasibility study of urethra-preserving RARP in localized prostate cancer.
Conditions
- Prostate Cancer (Localized), Urinary Incontinence (C61)
Interventions
- PROCEDURE
-
ToP-RAP
\*\*ToP-RAP\*\* is a urethra-preserving modification of robot-assisted radical prostatectomy (RARP) for localized prostate cancer. Its distinguishing feature is preservation of the \*\*entire intraprostatic urethra with complete omission of urethral transection and the vesicourethral anastomosis\*\*. This separates it mechanistically from standard RARP, Retzius-sparing RARP, and the hood and sleeve techniques - all of which transect the urethra and reconstruct a vesicourethral anastomosis - and from urethra-sparing \*simple\* prostatectomy, which is a benign (BPH) enucleation rather than whole-gland cancer surgery. The whole prostatic gland is removed while only the intraprostatic urethra is retained, with anterolateral neurovascular-bundle preservation.
Sponsors & Collaborators
-
Clinic Bel Etage Dusseldorf, NRW, Germany
collaborator UNKNOWN -
Sami-Ramzi Leyh-Bannurah
lead OTHER
Principal Investigators
-
Sami-Ramzi Leyh-Bannurah, Associate Professor · Martini Klinik am UKE GmbH, Hamburg-Eppendorf, Hamburg, Germany
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-30
- Primary Completion
- 2030-12-31
- Completion
- 2030-12-31
Countries
- Germany
Study Locations
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