This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. This is an investigator initiated Phase I study of the safety and Efficasy of Botulinum toxin (Botox ) injection into the prostate in patients who have obstructive lower urinary symptoms due to Benign Prostatic Hyperplasia. A phase I design of this study refers to an escalating dose increase of Botulinum toxin to measure the maximal tolerated doze. 24 men over the age of 50, who match the inclusion criteria, will be enrolled prospectively in the study with a median follow up of 12 months. The safety will be assessed by close follow up on 2 weekly interval and recording any reported adverse events. The efficacy will be assessed by monitoring changes in urinary symptoms and sexual health parameters. Changes in Uroflowmetry and prostate volume will also be recorded
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