Comparing prostate artery embolization to surgery for enlarged prostate treatment
Official title: Prostatic Artery Embolization vs Transurethral Resection of the Prostate or Open Prostatectomy in Patients With Symptomatic Benign Prostatic Hyperplasia
Run by Oslo University Hospital · NCT04084938 · Data updated 2026-11-12
This study is testing whether a new procedure called prostate artery embolization works as well as traditional surgery for men with an enlarged prostate and bothersome urinary symptoms.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | Men only |
| Enrollment | 140 (estimated) |
| Sponsor | Oslo University Hospital Academic / other |
| Locations | 1 site (Oslo) |
| Status | Recruiting |
| Started | September 1, 2019 |
| Main results expected | December 31, 2024 |
| Study ends | December 31, 2027 |
| Registry record updated | December 27, 2023 |
| Trial ID | NCT04084938 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are men with moderate to severe LUTS due to BPH, refractory to medical treatment, and willing to undergo both PAE and surgery.
✕Probably not a fit
Patients with clinically significant prostate cancer, severe renal insufficiency, or previous prostate surgery may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to compare prostate artery embolization (PAE) with traditional surgical treatment for benign prostatic hyperplasia (BPH) in terms of patient acceptance, complications, and functional outcomes. A total of 140 patients suffering from lower urinary tract symptoms (LUTS) will be randomized to receive either PAE or surgery. Prior to randomization, patients will undergo imaging to ensure eligibility, and both procedures will be performed in specialized departments. Follow-up assessments will be conducted at 3 months, 1 year, and 5 years to evaluate recovery and complications.
Why it matters
Potential benefit: If successful, this study could provide a less invasive treatment option for patients with benign prostatic hyperplasia, potentially reducing recovery time and complications.
How similar studies have gone: While PAE has shown promise in preliminary studies, it has not yet been widely adopted into clinical guidelines, making this approach relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * LUTS from Benign Prostate Hyperplasia (BPH) with moderate and severe IPSS score (IPSS \> 8) and QoL = or \>3 * and refractory to medical treatment for at least 6 months or the patient is unwilling to accept medical treatment * or BPH using permanent or intermittent catheterization * Prostate volume \> 50 ml * Signed informed consent Exclusion Criteria: * Urological disorders: evidence of clinically significant prostate cancer \[as defined by START criteria\] on prostate biopsy (27,28), prostatitis (29,30), detrusor-sphincter dyssynergia or evidence of neurogenic bladder, urethral strictures, bladder neck contracture, bladder stone or bladder cancer * Renal insufficiency defined as Glomerular Filtration Rate \< 30 ml/min/1,73m2 * Known severe reactions to iodine-based contrast or gadolinium-based contrast * Previous prostate operation * CT examination reveals no access to the prostate arteries.
Where it's running
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Oslo University Hospital, Aker
Oslo, Norway Recruiting
Study contacts
- Principal investigator: Nils Einar Kløw, MD, PHD — Department of Radiology, Oslo University Hospital
- Study coordinator: Thijs Hagen, MD
- Email: thihag@ous-hf.no
- Phone: + 47 45002349
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.