Evaluating the safety and effectiveness of a two-step surgery for prostate cancer

An IDEAL Phase 2a, Single-arm, Single-center, Prospective Study of Two-step Radical Prostatectomy in the Treatment of Low- to Intermediate-risk Prostate Cancer Concomitant With Severe Benign Prostatic Hyperplasia

Observational Sun Yat-sen University · NCT05722392

This study is testing a two-step surgery for men with low- to intermediate-risk prostate cancer and an enlarged prostate to see if it makes the procedure easier and improves cancer control.

Quick facts

Study typeObservational
Enrollment30 (estimated)
SexMale
SponsorSun Yat-sen University Academic / other
Locations1 site (Guangzhou, Guangdong)
Trial IDNCT05722392 on ClinicalTrials.gov

What this trial studies

This observational study aims to assess the safety and efficacy of a two-step radical prostatectomy for patients with low- to intermediate-risk prostate cancer who also have an enlarged prostate and severe benign prostatic hyperplasia. The study will investigate whether this surgical approach can reduce the difficulty of the procedure and provide promising oncologic control. Patients will be evaluated based on specific criteria, including prostate volume and Gleason score, to determine their eligibility for the intervention.

Who should consider this trial

Good fit: Ideal candidates are men diagnosed with localized prostate cancer, having a prostate volume greater than 70mL and a Gleason score of 7 or lower.

Not a fit: Patients who have undergone previous therapies for prostate cancer or have contraindications to surgery may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could provide a safer surgical option for patients with complex prostate conditions.

How similar studies have performed: While this specific approach is novel, similar surgical interventions have shown promise in improving outcomes for prostate cancer patients.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Diagnosed as prostate cancer pathologically by prostate biopsy
2. Evaluated as localized prostate cancer by imaging studies
3. Prostate volume\>70mL evaluated by transrectal ultrasonography or multi-parametric magnetic resonance imaging
4. Gleason score≤ 4+3=7
5. Preoperative PSA\<20ng/mL
6. Estimated survival\> 10 years;
7. Informed consent is obtained from the patient

Exclusion Criteria:

1. The patient has received other therapy including radical radiotherapy, transurethral resection of the prostate, cryoablation, HIFU, etc.
2. Any contraindication of surgery or anaesthesia

Where this trial is running

Guangzhou, Guangdong

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 Prostate Cancer
Last reviewed 2026-06-13 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.