Comparing two surgical techniques for prostate cancer treatment

Application of the Extra-fascial Robot Assisted Radical Prostatectomy Via the Posterior Approach in Intermediate or High Risk Patients: a Prospective, Multicenter, Double-blind, Randomized Controlled Study

Not applicable Interventional First Affiliated Hospital of Fujian Medical University · NCT06434649

This study is testing two different surgical techniques for treating prostate cancer to see which one is safer and more effective for patients at higher risk.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment118 (estimated)
Ages18 Years and up
SexMale
SponsorFirst Affiliated Hospital of Fujian Medical University Academic / other
Locations1 site (Fuzhou, Fujian)
Trial IDNCT06434649 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates the feasibility and safety of two different extrafascial techniques in robot-assisted radical prostatectomy (RARP) for patients with intermediate- and high-risk prostate cancer. It is a prospective, multicentre, double-blind, randomised controlled trial involving approximately 118 subjects across 12 research centres. Participants will be randomly assigned to either the posterior or anterior approach and will undergo comprehensive preoperative evaluations. Follow-up assessments will track oncological and functional outcomes, as well as safety over a period of one year.

Who should consider this trial

Good fit: Ideal candidates are men diagnosed with intermediate- or high-risk prostate cancer who meet specific health criteria.

Not a fit: Patients with a life expectancy of less than 10 years or those with severe comorbidities may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide evidence-based guidance for selecting the most effective surgical approach for prostate cancer patients.

How similar studies have performed: While similar surgical techniques have been explored, this specific comparison of posterior versus anterior approaches in RARP is novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. intermediate- and high-risk prostate cancer patients assessed by comprehensive clinical evaluation;
2. prostate volume \<80 ml;
3. life expectancy of patients \>10 years;
4. patients sign the "informed consent";
5. Routine preoperative examination has been improved (chest CT, electrocardiogram, and color Doppler echocardiography), and there is no serious basic disease. After clinical evaluation, it can tolerance robot-assisted radical prostatectomy (RARP).

Exclusion Criteria:

1. life expectancy \<10 years;
2. comorbidities with other malignancies;
3. uncorrected coagulation dysfunctions;
4. patients with severe underlying diseases such as severe pulmonary insufficiency who could not tolerate the surgery;
5. patients or family members who did not accept radical prostatectomy.

Where this trial is running

Fuzhou, Fujian

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Surgical Procedure, UnspecifiedProstate Cancer
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.