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Not yet recruitingNCT07276919Updated Dec 23, 2025

Perioperative Tamsulosin for Treating Voiding Dysfunction Following Prostate Biopsy

A Phase 4 interventional study of Tamsulosin 0.2mg in Acute Urinary Retention and LUTS(Lower Urinary Tract Symptoms), sponsored by Peking University First Hospital. Not yet recruiting at 1 site in China. Open to male participants aged 40 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-12-23.

Sponsored by Peking University First Hospital · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
1,844
Allocation
Randomized
Ages
40 Years to 85 Years
Sex
Male
01

Study summary

The goal of this clinical trial is to learn if the drug Tamsulosin Hydrochloride works to treat urination difficulties after a prostate biopsy in men.The main questions it aims to answer are:

  • Does Tamsulosin Hydrochloride lower the rate of Acute Urinary Retention (inability to urinate) after a prostate biopsy?
  • Does Tamsulosin Hydrochloride improve participants' urination symptoms, quality of life, urine flow rate, and post-void residual urine volume?

Researchers will compare the drug group to a control group (receiving no preventive medication) to see if Tamsulosin Hydrochloride works to prevent urination problems.

Participants will:

  • Be randomly assigned to either take Tamsulosin Hydrochloride or receive no preventive medication.
  • If in the drug group, take one capsule of Tamsulosin Hydrochloride every night, starting 3 days before the biopsy and continuing until 6 days after the biopsy (10 doses total).
  • Undergo a standard prostate biopsy procedure (either through the rectum or perineum).
  • Return to the clinic 7 days after the biopsy for a follow-up checkup, which will include questions about their symptoms (IPSS and QoL scores) and tests to measure urine flow and bladder emptying.
Read the detailed description

This study is designed as a multicenter, randomized, controlled, open-label trial. Participants will be randomized 1:1 into two groups using a block randomization method. The experimental group will receive Tamsulosin Hydrochloride Sustained-Release Capsules (0.2 mg, once daily at night) starting 3 days before the biopsy and continuing until the 6th day after the procedure (10 doses total). The control group will not receive Tamsulosin during this perioperative period. All patients will undergo standard pre-biopsy preparations, including bowel preparation and prophylactic antibiotics. The primary endpoint, Acute Urinary Retention (AUR) incidence, along with secondary endpoints (IPSS, QoL, urinary flow rate, post-void residual urine), will be assessed on the 7th day after the biopsy. Safety indicators, such as the incidence of adverse events like orthostatic hypotension and falls, will also be monitored.

02

Conditions studied

  • Acute Urinary Retention
  • LUTS(Lower Urinary Tract Symptoms)

Keywords

  • acute urinary retention
  • LUTS(Lower urinary tract symptoms)
  • tamsulosin
  • prostate biopsy
03

In context

Lower Urinary Tract Symptoms

406 studies on the registry are indexed under Lower Urinary Tract Symptoms; 110 are open to participants now.

This study's planned enrollment of 1,844 is above the median of 93 across 260 interventional studies indexed under Lower Urinary Tract Symptoms.

Browse Lower Urinary Tract Symptoms studies →

Lead sponsor

Peking University First Hospital is the lead sponsor of 378 studies on the registry; 178 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Male, aged 40 to 85 years (inclusive).
  • Meets indications for prostate biopsy per clinical guidelines (e.g., suspicious nodule on digital rectal exam, suspicious lesion on imaging, tPSA >10 ng/mL, or tPSA 4-10 ng/mL with f/t \<0.16 or PSAD >0.15).
  • Voluntarily participates and provides written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Previous prostate surgery, urinary diversion, or intermittent catheterization.
  • Use of alpha-adrenergic blockers (e.g., Tamsulosin, Doxazosin) within one week prior to screening.
  • Known or suspected allergy/intolerance to Tamsulosin, or history of orthostatic hypotension.
  • Indwelling urinary catheter or suprapubic cystostomy tube at the time of biopsy.
  • History of severe bleeding disorders.
  • Poorly controlled or unstable comorbidities such as hypertension or diabetes.
  • Severe immunosuppression.
  • Severe psychological disorders or uncooperative for the biopsy procedure.
  • Active urinary tract infection or neurogenic bladder.
  • Any other condition deemed by the investigator as unsuitable for participation.
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Outcomes assessor)
Enrollment
1,844 participants (estimated)

Study arms

  • Experimental
    Tamsulosin Group

    The experimental group will receive Tamsulosin Hydrochloride Sustained-Release Capsules (0.2 mg, once daily at night) starting 3 days before the biopsy and continuing until the 6th day after the procedure (10 doses total).

    Drug: Tamsulosin 0.2mg

  • No intervention
    Control Group

    Participants will not receive Tamsulosin during the perioperative period but will undergo the standard prostate biopsy procedure.

Interventions

  • DrugTamsulosin 0.2mg

    The experimental group will receive Tamsulosin Hydrochloride Sustained-Release Capsules (0.2 mg, once daily at night) starting 3 days before the biopsy and continuing until the 6th day after the procedure (10 doses total).

    Also known as: Tamsulosin Hydrochloride Sustained-Release Capsules

06

What researchers measure

Primary outcomes

  1. Incidence of AUR

    Incidence of Acute Urinary Retention (AUR)

    Time frame: From biopsy to the 7th day after biopsy.

Secondary outcomes

  1. IPSS

    Change in International Prostate Symptom Score (IPSS)

    Time frame: From baseline (pre-biopsy) to the 7th day after biopsy.

  2. QoL

    Change in Quality of Life (QoL) score related to urinary symptoms

    Time frame: From baseline (pre-biopsy) to the 7th day after biopsy.

  3. Qmax

    Maximum urinary flow rate (Qmax)

    Time frame: From baseline (pre-biopsy) to the 7th day after biopsy.

  4. PVR

    Post-void residual (PVR) urine volume

    Time frame: From baseline (pre-biopsy) to the 7th day after biopsy.

07

Study locations

1 site
  • Peking University First Hospital, Urology Department
    Beijing, Outside U.S./Canada 100034, China
08

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 Dec 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07276919
Lead sponsor
Peking University First Hospital
Collaborators
Taiyuan Central Hospital of Shanxi Medical University
Responsible party
Sponsor
First posted
Dec 11, 2025
Start date
Feb 1, 2026 (estimated)
Primary completion
Jan 1, 2028 (estimated)
Completion
Jan 1, 2028 (estimated)
Last update
Dec 23, 2025

Study contacts

Kai Zhang, Doctor Degree
Contact
yaokaifeng@pku.edu.cn
+8618909870823

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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