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CTRI Number  CTRI/2024/01/061636 [Registered on: 19/01/2024] Trial Registered Prospectively
Last Modified On: 18/01/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Histopathology of Female Urethral Strictures  
Scientific Title of Study   Histologic Analysis of Female Urethral Strictures Following Dorsal On lay Buccal Mucosal Graft Urethroplasty  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prasanna Ram 
Designation  Senior Resident 
Affiliation  AIIMS Bhubaneswar 
Address  Department of Urology, Room no 244, Patradapa, Bhubaneswar

Khordha
ORISSA
751019
India 
Phone  9686559576  
Fax    
Email  dr.praspr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prasanna Ram 
Designation  Senior Resident 
Affiliation  All India Institute of Medical Sciences 
Address  Department of urology, room o 244, All India Institute of Medical Sciences, Patradapa, Bhubaneswar

Khordha
ORISSA
751019
India 
Phone  9686559576  
Fax    
Email  dr.praspr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prasanna Ram 
Designation  Senior Resident 
Affiliation  All India Institute of Medical Sciences 
Address  Department of urology, room no 244, All India Institute of Medical Sciences, Patradapa, Bhubaneswar

Khordha
ORISSA
751019
India 
Phone  9686559576  
Fax    
Email  dr.praspr@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences, Bhubaneswar 
NIL 
 
Primary Sponsor  
Name  Department of Urology 
Address  All India Institute of Medical Sciences, Patradapa, Bhubaneswar 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sambit Tripathy  All India Institute of Medical SCiences  Department of Urology, Room no 244, All India Institute of Medical Sciences, Patradapa, Bhubaneswar
Khordha
ORISSA 
9686559576

urol_sambit@aiimsbhubaneswar.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC AIIMS Bhubaneswar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N359||Urethral stricture, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL   NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Female 
Details  1. Females aged 18 years or above with urethral stricture disease confirmed by uroflowmetry and cystoscopy.
2. Females who undergo a dorsal onlay buccal mucosal graft urethroplasty.
3. Written informed consent.
 
 
ExclusionCriteria 
Details  1. Patients who have undergone surgery for urethral stricture disease previously
2. Patients in whom ventral BMGU is performed.
3. Patients with STDs
4. Patients with genitourinary anomalies
5. Patients who have had surgery for hypertrophy of the bladder neck
6. Patients who have had radiation to the pelvis
7. Patients with bladder malignancies

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
a)Evaluation for epithelial hyperplasia and cell type  10 days 
 
Secondary Outcome  
Outcome  TimePoints 
a) To evaluate the presence of mucosal oedema
b) To evaluate the degree of fibroblast/inflammatory cell infiltrate
c) To evaluate the elastin fibre distribution.
 
baseline, 4 weeks 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   06/02/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

There is no literature with regard to the histopathology of female urethral stricture disease currently. In a recent study by Ram Pathak et al of 9 patients who underwent urethroplasty, 67 % of the patients had stratified squamous epithelium overlying fibrosis, while 29% showed acute injury with prominent squamous papillary hyperplasia. While many studies have looked into the pathophysiology of Urethral Stricture Disease in males and suggested that chronic inflammation and Lichen’s Sclerosis are the most common findings, there is a huge paucity of data with regard to females. Here, we look to present the pathologic analysis of female urethral stricture disease. 

 
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