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 : 002D42 ( PubMed/Corpus ); précédent : 002D41; suivant : 002D43A 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 ; Sascha Ahyai ; Alexander Bachmann ; Jean De La Rosette ; Peter Gilling ; Christian Gratzke ; Kevin Mcvary ; Giacomo Novara ; Henry Woo ; Stephan MadersbacherSource :
- European urology [ 1873-7560 ] ; 2015.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Humans, Laser Therapy (adverse effects), Laser Therapy (methods), Lasers, Solid-State (therapeutic use), Length of Stay (statistics & numerical data), Male, Middle Aged, Postoperative Complications (epidemiology), Prostate (pathology), Prostate (surgery), Prostatic Hyperplasia (complications), Prostatic Hyperplasia (pathology), Prostatic Hyperplasia (surgery), Randomized Controlled Trials as Topic, Time Factors, Transurethral Resection of Prostate (adverse effects), Transurethral Resection of Prostate (methods), Treatment Outcome, Urinary Bladder Neck Obstruction (etiology), Urinary Bladder Neck Obstruction (surgery), Volatilization.
- MESH :
- adverse effects : Laser Therapy, Transurethral Resection of Prostate.
- complications : Prostatic Hyperplasia.
- epidemiology : Postoperative Complications.
- etiology : Urinary Bladder Neck Obstruction.
- methods : Laser Therapy, Transurethral Resection of Prostate.
- pathology : Prostate, Prostatic Hyperplasia.
- statistics & numerical data : Length of Stay.
- surgery : Prostate, Prostatic Hyperplasia, Urinary Bladder Neck Obstruction.
- therapeutic use : Lasers, Solid-State.
- Adult, Aged, Aged, 80 and over, Humans, Male, Middle Aged, Randomized Controlled Trials as Topic, Time Factors, Treatment Outcome, Volatilization.
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
Links to Exploration step
pubmed:24972732Le document en format XML
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<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>
<term>Male</term>
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<term>Prostatic Hyperplasia (complications)</term>
<term>Prostatic Hyperplasia (pathology)</term>
<term>Prostatic Hyperplasia (surgery)</term>
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<term>Time Factors</term>
<term>Transurethral Resection of Prostate (adverse effects)</term>
<term>Transurethral Resection of Prostate (methods)</term>
<term>Treatment Outcome</term>
<term>Urinary Bladder Neck Obstruction (etiology)</term>
<term>Urinary Bladder Neck Obstruction (surgery)</term>
<term>Volatilization</term>
</keywords>
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<term>Transurethral Resection of Prostate</term>
</keywords>
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</keywords>
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</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Urinary Bladder Neck Obstruction</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laser Therapy</term>
<term>Transurethral Resection of Prostate</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Prostate</term>
<term>Prostatic Hyperplasia</term>
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<term>Prostatic Hyperplasia</term>
<term>Urinary Bladder Neck Obstruction</term>
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<term>Aged, 80 and over</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</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>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><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>
<Author ValidYN="Y"><LastName>Ahyai</LastName>
<ForeName>Sascha</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Klinik und Poliklinik für Urologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bachmann</LastName>
<ForeName>Alexander</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Urology, University Hospital Basel, Basel, Switzerland.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>de la Rosette</LastName>
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<AffiliationInfo><Affiliation>Department of Urology, AMC University Hospital, Amsterdam, The Netherlands.</Affiliation>
</AffiliationInfo>
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<AffiliationInfo><Affiliation>Department of Urology, Tauranga Hospital, Tauranga, New Zealand.</Affiliation>
</AffiliationInfo>
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<ForeName>Christian</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Urology, Urologische Klinik und Poliklinik, Klinikum der Universität München-Großhadern, Munich, Germany.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>McVary</LastName>
<ForeName>Kevin</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Urology, Southern Illinois University School of Medicine, Springfield, IL, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Novara</LastName>
<ForeName>Giacomo</ForeName>
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<AffiliationInfo><Affiliation>Department of Surgery, Oncology, and Gastroenterology-Urology Clinic, University of Padua, Padua, Italy.</Affiliation>
</AffiliationInfo>
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<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Urology, Sydney Adventist Hospital Clinical School, University of Sydney, Sydney, Australia.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Madersbacher</LastName>
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<AffiliationInfo><Affiliation>Department of Urology and Andrology, Kaiser-Franz-Josef Spital, Vienna, Austria.</Affiliation>
</AffiliationInfo>
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