Clinical Trials Directory

Trials / Completed

CompletedNCT06753071

The Efficacy of Pyridostigmine Therapy After Transurethral Resection of Prostate in Cases with Underactive Urinary Bladder.

The Efficacy of Pyridostigmine Therapy After Transurethral Resection of Prostate in Cases with Underactive Urinary Bladder: Prospective Randomized Trial

Status
Completed
Phase
Phase 4
Study type
Interventional
Enrollment
66 (actual)
Sponsor
Menoufia University · Academic / Other
Sex
Male
Age
45 Years – 75 Years
Healthy volunteers
Not accepted

Summary

The efficacy of pyridostigmine therapy after transurethral resection of prostate in cases with underactive urinary bladder

Detailed description

Underactive bladder is a decrease in detrusor contraction and/or shortening of the contraction time, resulting in an incomplete and/or prolongation of the bladder emptying within the normal time frame. Prolonged bladder outlet obstruction due to prostatic enlargment one of the main causes of bladder hypocontractility. To make a diagnosis, it is necessary to perform a pressure-flow study. Decrease in maximum urine flow rate related to bladder outlet obstruction or poor contractility can be distinguished by pressure-flow study. parasympathomimetics (cholinergic receptor stimulating agents) could be beneficial for patients with underactive bladder. However, no systematic review with meta-analysis addressing potential benefits or adverse effects exists. Pyridostigmine is a medication used to treat myasthenia gravis and underactive bladder as well. Patients with underactive bladder after transurethral resection of prostate may still complain of recurrent attacks of obstructive lower urinary tract symptoms.

Conditions

Interventions

TypeNameDescription
DRUGPyridostigmine oral tabletPyridostigmine oral tablet, 60 mg, twice daily, for 3 months
DRUGPlaceboPlacebo oral tablet, twice daily, for 3 months

Timeline

Start date
2024-04-01
Primary completion
2024-07-01
Completion
2025-01-01
First posted
2024-12-31
Last updated
2025-03-26

Locations

1 site across 1 country: Egypt

Regulatory

Source: ClinicalTrials.gov record NCT06753071. Inclusion in this directory is not an endorsement.