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RecruitingNCT06839768MILESUpdated Feb 21, 2025

Safety and Efficacy of MILEP Versus Standard EEP

An interventional study of Standard endoscopic enucleation of the prostate (EEP) and MiLEP in Benign Prostate Hypertrophy(BPH) and LUTS(Lower Urinary Tract Symptoms), sponsored by Sechenov University. Recruiting at 1 site in Russian Federation. Open to male participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-02-21.

Sponsored by Sechenov University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2025, 1 year 8 months ago, but the record still lists the study as recruiting.
  • Registered 9 months after the study started (first participant enrolled Mar 2024, registered Jan 2025).
  • Started Mar 2024; still recruiting 2 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
340
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
Male
01

Study summary

Endoscopic enucleation of the prostate (EEP) is a standard treatment for benign prostatic hyperplasia (BPH), with modifications such as MiLEP that utilizes smaller instruments. The reduced resectoscope diameter in MiLEP may help decrease rates of stress urinary incontinence (SUI) and urethral strictures.

Objective: to compare the efficacy and safety of MiLEP and standard EEP with a thulium fiber laser (TFL).

02

Conditions studied

  • Benign Prostate Hypertrophy(BPH)
  • LUTS(Lower Urinary Tract Symptoms)
03

In context

Prostatic Hyperplasia

827 studies on the registry are indexed under Prostatic Hyperplasia; 179 are open to participants now.

This study's planned enrollment of 340 is above the median of 92 across 626 interventional studies indexed under Prostatic Hyperplasia.

Browse Prostatic Hyperplasia studies →

Lead sponsor

Sechenov University is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

LUTS presence, proven by:

  1. IPSS questionnaire (Score >20);
  2. OR uroflowmetry result (Qmax \<10 ml/s);

Exclusion criteria

Exclusion Criteria:

  • Prostate volume > 120 cc
  • Prostate cancer on pathology;
  • Urethral strictures;
  • Bladder calculi;
  • Prior prostate surgery;
  • Neurogenic bladder dysfunction.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
340 participants (estimated)

Study arms

  • Experimental
    MiLEP (22 Ch)

    Procedure: MiLEP

  • Active comparator
    EEP (26 Ch)

    Procedure: Standard endoscopic enucleation of the prostate (EEP)

Interventions

  • ProcedureStandard endoscopic enucleation of the prostate (EEP)

    Stabdard EEP will be nerformed using 26 Ch resectoscope. Enucleation will be performed using an en bloc no-touch technique with early apical release.

  • ProcedureMiLEP

    Minimally-invasive laser EEP will be nerformed using 22 Ch resectoscope. Enucleation will be performed using an en bloc no-touch technique with early apical release.

06

What researchers measure

Primary outcomes

  1. The rate of SUI

    Time frame: 1 month

Secondary outcomes

  1. Rate of urethral strictures

    Time frame: 6-12 months

  2. Rate of intra- and perioperative adverse events

    Assessed using Clavien-Dindo classification system

    Time frame: the day of operation, at 1, 6,12 months post-operative

  3. Operative time

    Time frame: participants will be followed for the duration of the intervention, an expected average of 1 hour

  4. Blood loss (blood levels of haemoglobin and haematocrit)

    Time frame: 1 day before and 1 day after surgery

  5. Catheterization time

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 1,5 days

  6. Hospital stay

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 1,5 days

  7. International Prostate Symptom Score (IPSS)

    Mild LUTS (symptom score less than of equal to 7) Moderate LUTS (symptom score range 8-19) Severe LUTS (symptom score range 20-35)

    Time frame: 1 month

  8. Qmax

    Time frame: 1 month

  9. PVR

    Time frame: 1 month

  10. International Index of Erectile Function (IIEF-5)

    severe ED (5-7), moderate ED (8-11), mild to moderate ED (12-16), mild ED (17-21), and no ED (22-25)

    Time frame: 1 month

07

Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06839768
Lead sponsor
Sechenov University
Collaborators
Hospital Pompeia
Responsible party
Vladislav Petov (Assosiate Professor, urologist, Sechenov University) — Principal investigator
First posted
Feb 21, 2025
Start date
Mar 14, 2024
Primary completion
Mar 2025 (estimated)
Completion
May 2025 (estimated)
Last update
Feb 21, 2025

Study contacts

Vladislav Petov, Associate Professor, urologist
Contact
pettow@mail.ru
+7 925 351 75 49

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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