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A Systematic Review and Meta-analysis of Functional Outcomes and Complications Following Transurethral Procedures for Lower Urinary Tract Symptoms Resulting from Benign Prostatic Obstruction: An Update.

Identifieur interne : 003028 ( PubMed/Checkpoint ); précédent : 003027; suivant : 003029

A Systematic Review and Meta-analysis of Functional Outcomes and Complications Following Transurethral Procedures for Lower Urinary Tract Symptoms Resulting from Benign Prostatic Obstruction: An Update.

Auteurs : Jean-Nicolas Cornu [France] ; Sascha Ahyai [Allemagne] ; Alexander Bachmann [Suisse] ; Jean De La Rosette [Pays-Bas] ; Peter Gilling [Nouvelle-Zélande] ; Christian Gratzke [Allemagne] ; Kevin Mcvary [États-Unis] ; Giacomo Novara [Italie] ; Henry Woo [Australie] ; Stephan Madersbacher [Autriche]

Source :

RBID : pubmed:24972732

Descripteurs français

English descriptors

Abstract

A number of transurethral ablative techniques based on the use of innovative medical devices have been introduced in the recent past for the surgical treatment of benign prostatic obstruction (BPO).

DOI: 10.1016/j.eururo.2014.06.017
PubMed: 24972732


Affiliations:


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pubmed:24972732

Le document en format XML

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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Humans</term>
<term>Laser Therapy (adverse effects)</term>
<term>Laser Therapy (methods)</term>
<term>Lasers, Solid-State (therapeutic use)</term>
<term>Length of Stay (statistics & numerical data)</term>
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<term>Middle Aged</term>
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<term>Postoperative Complications</term>
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<term>Urinary Bladder Neck Obstruction</term>
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<term>Laser Therapy</term>
<term>Transurethral Resection of Prostate</term>
</keywords>
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<term>Prostate</term>
<term>Prostatic Hyperplasia</term>
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<term>Length of Stay</term>
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<term>Prostate</term>
<term>Prostatic Hyperplasia</term>
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<term>Obstruction du col de la vessie</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Humans</term>
<term>Male</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Durée du séjour</term>
<term>Essais contrôlés randomisés comme sujet</term>
<term>Facteurs temps</term>
<term>Humains</term>
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<front>
<div type="abstract" xml:lang="en">A number of transurethral ablative techniques based on the use of innovative medical devices have been introduced in the recent past for the surgical treatment of benign prostatic obstruction (BPO).</div>
</front>
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<PMID Version="1">24972732</PMID>
<DateCreated>
<Year>2015</Year>
<Month>05</Month>
<Day>06</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>04</Month>
<Day>07</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>11</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1873-7560</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>67</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2015</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>European urology</Title>
<ISOAbbreviation>Eur. Urol.</ISOAbbreviation>
</Journal>
<ArticleTitle>A Systematic Review and Meta-analysis of Functional Outcomes and Complications Following Transurethral Procedures for Lower Urinary Tract Symptoms Resulting from Benign Prostatic Obstruction: An Update.</ArticleTitle>
<Pagination>
<MedlinePgn>1066-1096</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0302-2838(14)00538-7</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.eururo.2014.06.017</ELocationID>
<Abstract>
<AbstractText Label="CONTEXT" NlmCategory="BACKGROUND">A number of transurethral ablative techniques based on the use of innovative medical devices have been introduced in the recent past for the surgical treatment of benign prostatic obstruction (BPO).</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To conduct a systematic review of the literature and a meta-analysis of available randomized controlled trials (RCTs), and to evaluate the efficacy and safety of transurethral ablative procedures for BPO.</AbstractText>
<AbstractText Label="EVIDENCE ACQUISITION" NlmCategory="METHODS">A systematic literature search was performed for all RCTs comparing any transurethral surgical technique for BPO to another between 1992 and 2013. Efficacy was evaluated after a minimum follow-up of 1 yr based on International Prostate Symptom Score, maximum flow rate, and postvoid residual volume. Efficacy at midterm follow-up, prostate volume, perioperative data, and short-term and long-term complications were also assessed. Data were analyzed using RevMan software.</AbstractText>
<AbstractText Label="EVIDENCE SYNTHESIS" NlmCategory="RESULTS">A total of 69 RCTs (8517 enrolled patients) were included. No significant difference was found in terms of short-term efficacy between bipolar transurethral resection of the prostate (B-TURP) and monopolar transurethral resection of the prostate (M-TURP). However, B-TURP was associated with a lower rate of perioperative complications. Better short-term efficacy outcomes, fewer immediate complications, and a shorter hospital stay were found after holmium laser enucleation of the prostate (HoLEP) compared with M-TURP. Compared with M-TURP, GreenLight photoselective vaporization of the prostate (PVP) was associated with a shorter hospital stay and fewer complications but no different short-term efficacy outcomes.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This meta-analysis shows that HoLEP is associated with more favorable outcomes than M-TURP in published RCTs. B-TURP and PVP have resulted in better perioperative outcomes without significant differences regarding efficacy parameters after short-term follow-up compared with M-TURP. Further studies are needed to provide long-term comparative data and head-to head comparisons of emerging techniques.</AbstractText>
<AbstractText Label="PATIENT SUMMARY" NlmCategory="RESULTS">Bipolar transurethral resection of the prostate, photovaporization of the prostate, and holmium laser enucleation of the prostate have shown efficacy outcomes comparable with conventional techniques yet reduce the complication rate. The respective role of these new options in the surgical armamentarium needs to be refined to propose tailored surgical treatment for benign prostatic obstruction relief.</AbstractText>
<CopyrightInformation>Copyright © 2014 European Association of Urology. Published by Elsevier B.V. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Cornu</LastName>
<ForeName>Jean-Nicolas</ForeName>
<Initials>JN</Initials>
<AffiliationInfo>
<Affiliation>Department of Urology, Tenon Hospital, University Paris 6, Assistance Publique-Hopitaux de Paris, Paris, France. Electronic address: jeannicolas.cornu@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Ahyai</LastName>
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<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Klinik und Poliklinik für Urologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Bachmann</LastName>
<ForeName>Alexander</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Department of Urology, University Hospital Basel, Basel, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>de la Rosette</LastName>
<ForeName>Jean</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Urology, AMC University Hospital, Amsterdam, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Gilling</LastName>
<ForeName>Peter</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Department of Urology, Tauranga Hospital, Tauranga, New Zealand.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Gratzke</LastName>
<ForeName>Christian</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Department of Urology, Urologische Klinik und Poliklinik, Klinikum der Universität München-Großhadern, Munich, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>McVary</LastName>
<ForeName>Kevin</ForeName>
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<Affiliation>Department of Urology, Southern Illinois University School of Medicine, Springfield, IL, USA.</Affiliation>
</AffiliationInfo>
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<LastName>Novara</LastName>
<ForeName>Giacomo</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Department of Surgery, Oncology, and Gastroenterology-Urology Clinic, University of Padua, Padua, Italy.</Affiliation>
</AffiliationInfo>
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<LastName>Woo</LastName>
<ForeName>Henry</ForeName>
<Initials>H</Initials>
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<Affiliation>Department of Urology, Sydney Adventist Hospital Clinical School, University of Sydney, Sydney, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Madersbacher</LastName>
<ForeName>Stephan</ForeName>
<Initials>S</Initials>
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<Affiliation>Department of Urology and Andrology, Kaiser-Franz-Josef Spital, Vienna, Austria.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>06</Month>
<Day>25</Day>
</ArticleDate>
</Article>
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<Country>Switzerland</Country>
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<NlmUniqueID>7512719</NlmUniqueID>
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<CitationSubset>IM</CitationSubset>
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<CommentsCorrections RefType="CommentIn">
<RefSource>Eur Urol. 2015 Jun;67(6):1097-8</RefSource>
<PMID Version="1">25542629</PMID>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
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<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
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<DescriptorName UI="D053844" MajorTopicYN="N">Lasers, Solid-State</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D011470" MajorTopicYN="N">Prostatic Hyperplasia</DescriptorName>
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<Keyword MajorTopicYN="N">Transurethral procedures</Keyword>
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