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Study aim
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Determination of Cyproterone acetate effect to prevent recurrent urinary retention in patients with benign prostatic hypertrophy
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Design
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Clinical trial with control group, based on clients referred to the hospital, with groups, simple randomised,With a sample size of 84, Phase 3 Clinical Trial
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Settings and conduct
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A study on patients who complained of acute urinary retention to ًQuaem Hospital's Urology Emergency in Mashhad with a primary diagnosis of Benign Prostatic Hypertrophy .After insertion of a Urinary catheter, the patients in the intervention group are treated with cyproterone acetate and tamsulusin, and the patients in the control group are treated with thamsulosin, and then all patients are examined after one week and again one month later, followed by 6 months for second urinary retention and the need for surgical intervention.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: Patients with acute urinary retention complaints with primary diagnosis of BPH / Exclusion criteria: prostate cancer or urinary tract infections or , sympathomimetic drugs use.
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Intervention groups
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Intervention group: After insertion of a Urinary catheter, patients are treated with 1mg per kg per day oral Cyproterone acetate, combined with 0.4 mg per day Tamsulosin capsule for 4 weeks. Then Tamsulosin treatment is continued for up to 6 months. The urinary catheter is removed a week after insertion.
Control group: After insertion of a Urinary catheter, patients are treated with 0.4 mg per day Tamsulosin capsules for 6 months. The urinary catheter is removed a week after insertion
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Main outcome variables
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The main variable is the reappearance of urinary retention. Other variables that are used to diagnose urinary tract obstruction include Frequency, intermittency, Urgency, straining, and Urinary flow force.