Comparative Efficacy and Safety if Intravesical Botulinum Toxin A Versus Platelet-Rich Plasma in the Management of Refractory Overactive Bladder : A 2 Year Study
NCT07693192 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2026-07-09
Summary
The goal of this clinical trial is to compare the efficacy and safety of intravesical Botulinum Toxin A versus intravesical Platelet-Rich Plasma (PRP) in adults with refractory overactive bladder who have not responded adequately to conventional medical treatment. The main questions it aims to answer are:
* Whether intravesical PRP is as effective as intravesical Botulinum Toxin A in improving overactive bladder symptoms.
* Whether intravesical PRP has a better safety profile and lower incidence of adverse events during the 2-year follow-up period.
Researchers will compare participants receiving intravesical Botulinum Toxin A with those receiving intravesical PRP to determine differences in symptom improvement, quality of life, urodynamic outcomes, and treatment-related adverse events.
Participants will:
* Receive either intravesical Botulinum Toxin A injection or intravesical Platelet-Rich Plasma injection.
* Undergo baseline clinical assessment, symptom evaluation, and urodynamic studies as indicated.
* Attend scheduled follow-up visits over a 2-year period.
* Complete validated questionnaires assessing overactive bladder symptoms and quality of life.
* Be monitored for treatment efficacy and any adverse events throughout the study.
Conditions
Interventions
- PROCEDURE
-
Intravesical Botulinum Toxin A (100U)
Single intravesical injection of 100 units of Botulinum Toxin A (Botox) administered via cystoscopy under local or general anesthesia. The toxin is injected into 20-30 sites across the detrusor muscle, sparing the trigone. Patients are followed for efficacy and safety outcomes over 24 months.
- PROCEDURE
-
Intravesical Platelet-Rich Plasma
Intravesical instillation of autologous platelet-rich plasma (PRP) prepared from patient's own blood, administered weekly for 3 consecutive sessions. Each session involves PRP instillation via urethral catheter, retained for 30 minutes.
Sponsors & Collaborators
-
Mahmoud Mohamed Farag Ali
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-06-01
- Primary Completion
- 2026-12-01
- Completion
- 2026-12-30
Countries
- Egypt
Study Locations
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