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RECRUITING
NCT07678489
NA

Total en Bloc Urethra Preservation at Robot-assisted Prostatectomy IDEAL Stage 2a

Sponsor: Sami-Ramzi Leyh-Bannurah

View on ClinicalTrials.gov

Summary

Prospective single-arm IDEAL stage 2a feasibility study of urethra-preserving RARP in localized prostate cancer.

Official title: Total en Bloc Urethra Preservation at Robot-assisted Prostatectomy (ToP-RAP): A Prospective IDEAL Stage 2a Study

Key Details

Gender

MALE

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

60

Start Date

2024-01-30

Completion Date

2030-12-31

Last Updated

2026-07-01

Healthy Volunteers

No

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.

Locations (2)

Clinic Bel Etage

Düsseldorf, Germany

Diakonie Klinikum Jung-Stilling

Siegen, Germany