Modified Saddle Block vs Spinal Anesthesia for TURP
Official title: Comparison of Modified Saddle Block With Spinal Anesthesia Among Patients Undergoing Transurethral Resection of Prostate Cancer; A Randomized Control Trial at a Tertiary Care Hospital
Run by Pakistan Institute of Medical Sciences · NCT07841184 · Data updated 2026-11-12
This study tests whether a modified saddle block or a standard spinal anesthesia better controls blood pressure during TURP for adults 40–90.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 40 Years to 90 Years |
| Sex | Men only |
| Enrollment | 60 (estimated) |
| Sponsor | Pakistan Institute of Medical Sciences Government |
| Locations | 1 site (Islamabad, Federal) |
| Status | Recruiting |
| Started | August 25, 2026 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | September 25, 2026 |
| Trial ID | NCT07841184 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 40–90 undergoing elective TURP with ASA I–II and no contraindication to neuraxial anesthesia.
✕Probably not a fit
Patients with inadequate block, adverse reaction to the study drugs, or those requiring conversion to general anesthesia may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this randomized, interventional trial, eligible adults undergoing elective TURP under neuraxial anesthesia are assigned to receive either a spinal anesthesia or a modified saddle block with hyperbaric bupivacaine at the L3-L4 level. Anesthesia level and hemodynamics are monitored closely, with hypotension treated as needed and any conversion to general anesthesia recorded. The trial aims to compare intraoperative stability and block adequacy between the two techniques. Participants are followed intraoperatively for blood pressure changes, heart rate, and requirement for intervention. Exclusion criteria include inadequate block and other standard contraindications to neuraxial anesthesia.
Why it matters
Potential benefit: If successful, the study could identify which neuraxial technique provides more stable blood pressure during TURP, potentially reducing complications.
How similar studies have gone: Previous work in neuraxial anesthesia for TURP has explored saddle block and spinal techniques, with mixed results; this study contributes new, direct comparison.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 40- 90 years * Elective TURP surgery under Neuraxial Anesthesia * ASA class I and II Exclusion Criteria: * Contraindication to Neuraxial anesthesia * Allergic to study medications * Lack of consent
Where it's running
-
Deparmtent of Anesthesia and Critical Care Medicine, Pakistan Institute of Medical Sciences
Islamabad, Federal, Pakistan Recruiting
Study contacts
- Study coordinator: Department of Anesthesia Principal Investigator, MBBS,FCPS
- Email: departmentofanesthesiapims@gmail.com
- Phone: +92-333-5236956
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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.