The Expander-2 Trial: A Multi-Center, Randomized, Blinded, Controlled Study to Evaluate the Safety and Efficacy of the Urocross(TM) Expander System and Retrieval Sheath
To demonstrate the safety and efficacy of the Urocross Expander System/Retrieval Sheath and the procedure to treat patients with symptomatic Benign Prostatic Hyperplasia (BPH)
Subject has signed an informed consent form (ICF).;
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Men = 45 years.;
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Symptomatic BPH with the following (all must be met):;
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IPSS = 13.;
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Qmax = 12 mL/sec on a voided volume of = 125 mL.;
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PVR < 250 mL.;
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Prostate volume 30-80 cc measured by transrectal ultrasound (TRUS) or magnetic resonance imaging (MRI) within 6 months prior to randomization.;
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Subjects willing to be off their BPH-related medications from time of enrollment and throughout study participation.;
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Note: All subjects on BPH-related medications must start a washout period prior to qualifying questionnaires and uroflowmetry.
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Subjects who meet ANY of the following exclusion criteria will not participate in the trial:
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;Previous BPH procedure intended to disobstruct the bladder outlet (e.g., prostate surgery, stent implantations, laser prostatectomy, hyperthermia or another invasive treatment to the prostate).
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;Obstructive protruding (mobile) middle (median) prostatic lobe as confirmed by cystoscopy.
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;High bladder neck as determined by the Investigator.
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;Urethral stricture, meatal stenosis, or bladder neck contraction - either current, or recurrent requiring 2 or more dilatations.
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;Biopsy of the prostate within past 8 weeks.
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;Baseline Prostate Specific Antigen (PSA) level \> 10 ng/mL or confirmed or suspected prostate cancer (subjects with a PSA level \> 2.5 ng/mL or whose PSA levels fall outside age-specific or local reference ranges, should have prostate cancer excluded to the Investigator's satisfaction in conjunction with shared decision making \[SDM\] with the study subjects).
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;Confirmed or suspected bladder cancer.
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;History of cystolithiasis, kidney stone, or kidney disease within the prior 3 months.
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;History of neurogenic bladder.
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;Previous episode of AUR, i.e., post hernia repair or other condition or disease that might cause urinary retention.
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;Parkinson's disease or other neurologic disease known to impact bladder function (e.g., stroke, TIA, multiple sclerosis).
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;Serum creatinine \> 1.8 mg/dL or renal dysfunction attributed to bladder outlet obstruction (BOO).
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;Concomitant UTI (subject can be enrolled following successful treatment of UTI and a negative UTI test), or subjects who have a history of recurrent or chronic UTIs (defined as 2 or more UTIs in the past 12 months).
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;Active infection including acute bacterial prostatitis.
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;Previous pelvic irradiation or radical pelvic surgery.
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;Known allergy to nickel.
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;Subjects with life-threatening disease in which life expectancy is foreshortened are excluded.
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;Desire to maintain fertility post-treatment.
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;Anticipated need for additional major surgery or treatments for comorbidities during the study period (e.g., valve repair, organ transplant).
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; Prostatic urethral length \< 25 mm or \> 60 mm, as measured from bladder neck to verumontanum, using cystoscopy just prior to randomization.
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;Any concurrent medical condition or illness that might prevent study completion or that could impact the study results such as:
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;severe cardiac arrhythmias uncontrolled by medications or pacemaker.
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;congestive heart failure New York Heart Association (NYHA) III or IV.
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;uncontrolled diabetes mellitus.
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;significant respiratory disease in which hospitalization may be required.
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;known immunosuppression (i.e., AIDS, post-transplant, undergoing chemotherapy).
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;Inability to stop taking anticoagulants and/or antiplatelets for at least 3 days prior to the procedure or coumadin for at least 5 days prior to the procedure.;
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Note: Low dose aspirin therapy is acceptable.;
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Unable or unwilling to complete all required questionnaires and follow-up assessments.
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;Participating in any other investigational study for either drug or device which can influence collection of valid data under this study.
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;Subject is in custody or institution, or, in the Investigator's opinion, has a physical, psychological, or medical impairment that might prevent study completion or would confound study results (including subject questionnaires).
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- Surgery (Colon and Rectal)
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