Laser prostatectomy of lower urinary tract symptoms due to benign prostate enlargement: a critical review of evidence.
Identifieur interne : 000362 ( PubMed/Checkpoint ); précédent : 000361; suivant : 000363Laser prostatectomy of lower urinary tract symptoms due to benign prostate enlargement: a critical review of evidence.
Auteurs : Alexander Bachmann [Suisse] ; Henry H. Woo ; Stephen WylerSource :
- Current opinion in urology [ 1473-6586 ] ; 2012.
Descripteurs français
- KwdFr :
- Essais contrôlés randomisés comme sujet, Humains, Hyperplasie de la prostate (), Lasers à semiconducteur, Lasers à solide, Mâle, Médecine factuelle, Résection transuréthrale de prostate (), Résection transuréthrale de prostate (effets indésirables), Résection transuréthrale de prostate (instrumentation), Résultat thérapeutique, Symptômes de l'appareil urinaire inférieur (), Symptômes de l'appareil urinaire inférieur (étiologie), Thérapie laser (effets indésirables), Thérapie laser (instrumentation).
- MESH :
- effets indésirables : Résection transuréthrale de prostate, Thérapie laser.
- étiologie : Résection transuréthrale de prostate, Symptômes de l'appareil urinaire inférieur, Thérapie laser.
- Essais contrôlés randomisés comme sujet, Humains, Hyperplasie de la prostate, Lasers à semiconducteur, Lasers à solide, Mâle, Médecine factuelle, Résection transuréthrale de prostate, Résultat thérapeutique, Symptômes de l'appareil urinaire inférieur.
English descriptors
- KwdEn :
- Evidence-Based Medicine, Humans, Laser Therapy (adverse effects), Laser Therapy (instrumentation), Lasers, Semiconductor, Lasers, Solid-State, Lower Urinary Tract Symptoms (etiology), Lower Urinary Tract Symptoms (surgery), Male, Prostatic Hyperplasia (complications), Prostatic Hyperplasia (surgery), Randomized Controlled Trials as Topic, Transurethral Resection of Prostate (adverse effects), Transurethral Resection of Prostate (instrumentation), Transurethral Resection of Prostate (methods), Treatment Outcome.
- MESH :
- adverse effects : Laser Therapy, Transurethral Resection of Prostate.
- complications : Prostatic Hyperplasia.
- etiology : Lower Urinary Tract Symptoms.
- instrumentation : Laser Therapy, Transurethral Resection of Prostate.
- methods : Transurethral Resection of Prostate.
- surgery : Lower Urinary Tract Symptoms, Prostatic Hyperplasia.
- Evidence-Based Medicine, Humans, Lasers, Semiconductor, Lasers, Solid-State, Male, Randomized Controlled Trials as Topic, Treatment Outcome.
Abstract
Different transurethral prostatic laser systems are available. In 2011, new Oxford evidence levels (LoEs) were published with significant changes compared with the former version. They are easier to use and incorporate more clinical aspects. Randomized trials of laser systems used before 2002, except Holmium laser, were not included in this critical evidence analysis, as these techniques are not in clinical use any more.
DOI: 10.1097/MOU.0b013e32834dd0ed
PubMed: 22123291
Affiliations:
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pubmed:22123291Le document en format XML
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<author><name sortKey="Bachmann, Alexander" sort="Bachmann, Alexander" uniqKey="Bachmann A" first="Alexander" last="Bachmann">Alexander Bachmann</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, University Hospital Basel, University Basel, Basel, Switzerland. Bachmanna@uhbs.ch</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Urology, University Hospital Basel, University Basel, Basel</wicri:regionArea>
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<author><name sortKey="Woo, Henry H" sort="Woo, Henry H" uniqKey="Woo H" first="Henry H" last="Woo">Henry H. Woo</name>
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<author><name sortKey="Wyler, Stephen" sort="Wyler, Stephen" uniqKey="Wyler S" first="Stephen" last="Wyler">Stephen Wyler</name>
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<series><title level="j">Current opinion in urology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>Laser Therapy (adverse effects)</term>
<term>Laser Therapy (instrumentation)</term>
<term>Lasers, Semiconductor</term>
<term>Lasers, Solid-State</term>
<term>Lower Urinary Tract Symptoms (etiology)</term>
<term>Lower Urinary Tract Symptoms (surgery)</term>
<term>Male</term>
<term>Prostatic Hyperplasia (complications)</term>
<term>Prostatic Hyperplasia (surgery)</term>
<term>Randomized Controlled Trials as Topic</term>
<term>Transurethral Resection of Prostate (adverse effects)</term>
<term>Transurethral Resection of Prostate (instrumentation)</term>
<term>Transurethral Resection of Prostate (methods)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Essais contrôlés randomisés comme sujet</term>
<term>Humains</term>
<term>Hyperplasie de la prostate ()</term>
<term>Lasers à semiconducteur</term>
<term>Lasers à solide</term>
<term>Mâle</term>
<term>Médecine factuelle</term>
<term>Résection transuréthrale de prostate ()</term>
<term>Résection transuréthrale de prostate (effets indésirables)</term>
<term>Résection transuréthrale de prostate (instrumentation)</term>
<term>Résultat thérapeutique</term>
<term>Symptômes de l'appareil urinaire inférieur ()</term>
<term>Symptômes de l'appareil urinaire inférieur (étiologie)</term>
<term>Thérapie laser (effets indésirables)</term>
<term>Thérapie laser (instrumentation)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Laser Therapy</term>
<term>Transurethral Resection of Prostate</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Prostatic Hyperplasia</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Résection transuréthrale de prostate</term>
<term>Thérapie laser</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lower Urinary Tract Symptoms</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Laser Therapy</term>
<term>Transurethral Resection of Prostate</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Transurethral Resection of Prostate</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lower Urinary Tract Symptoms</term>
<term>Prostatic Hyperplasia</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Résection transuréthrale de prostate</term>
<term>Symptômes de l'appareil urinaire inférieur</term>
<term>Thérapie laser</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>Lasers, Semiconductor</term>
<term>Lasers, Solid-State</term>
<term>Male</term>
<term>Randomized Controlled Trials as Topic</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Essais contrôlés randomisés comme sujet</term>
<term>Humains</term>
<term>Hyperplasie de la prostate</term>
<term>Lasers à semiconducteur</term>
<term>Lasers à solide</term>
<term>Mâle</term>
<term>Médecine factuelle</term>
<term>Résection transuréthrale de prostate</term>
<term>Résultat thérapeutique</term>
<term>Symptômes de l'appareil urinaire inférieur</term>
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<front><div type="abstract" xml:lang="en">Different transurethral prostatic laser systems are available. In 2011, new Oxford evidence levels (LoEs) were published with significant changes compared with the former version. They are easier to use and incorporate more clinical aspects. Randomized trials of laser systems used before 2002, except Holmium laser, were not included in this critical evidence analysis, as these techniques are not in clinical use any more.</div>
</front>
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<DateCreated><Year>2011</Year>
<Month>12</Month>
<Day>06</Day>
</DateCreated>
<DateCompleted><Year>2012</Year>
<Month>04</Month>
<Day>03</Day>
</DateCompleted>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1473-6586</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>22</Volume>
<Issue>1</Issue>
<PubDate><Year>2012</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Current opinion in urology</Title>
<ISOAbbreviation>Curr Opin Urol</ISOAbbreviation>
</Journal>
<ArticleTitle>Laser prostatectomy of lower urinary tract symptoms due to benign prostate enlargement: a critical review of evidence.</ArticleTitle>
<Pagination><MedlinePgn>22-33</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1097/MOU.0b013e32834dd0ed</ELocationID>
<Abstract><AbstractText Label="PURPOSE OF REVIEW" NlmCategory="OBJECTIVE">Different transurethral prostatic laser systems are available. In 2011, new Oxford evidence levels (LoEs) were published with significant changes compared with the former version. They are easier to use and incorporate more clinical aspects. Randomized trials of laser systems used before 2002, except Holmium laser, were not included in this critical evidence analysis, as these techniques are not in clinical use any more.</AbstractText>
<AbstractText Label="RECENT FINDINGS" NlmCategory="RESULTS">Twenty-five [18 Holmium enucleation of the prostate (HoLEP) and seven photoselective vaporization of the prostate (PVP)] randomized trials covering transurethral electroresection of the prostate or HoLEP, PVP or Thulium laser enucleation were identified. According to evidence levels, there is a large gap in terms of long-term follow-up. The majority of randomised controlled trials are of low quality. Typically with HoLEP, many articles were published covering the same patient population (LoE II). Only one randomised controlled trial was published with Tm:YAG prostatectomy (LoE II) and none with diode lasers (980-1340 nm, LoE IV-V). Large cohort studies (LoE III-IV) provide additional evidence for PVP and HoLEP, typically for subgroups.</AbstractText>
<AbstractText Label="SUMMARY" NlmCategory="CONCLUSIONS">In 2011, higher evidence on HoLEP and PVP has been published. Evidence levels for HoLEP and PVP are comparable with meta-analysis (LoE II). However, evidence that laser prostatectomy is better than transurethral electroresection of the prostate in terms of efficacy is lacking (LoE II). All lasers are safer in terms of perioperative bleeding (LoE II).</AbstractText>
</Abstract>
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<AffiliationInfo><Affiliation>Department of Urology, University Hospital Basel, University Basel, Basel, Switzerland. Bachmanna@uhbs.ch</Affiliation>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D053844">Lasers, Solid-State</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D059411">Lower Urinary Tract Symptoms</DescriptorName>
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<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011470">Prostatic Hyperplasia</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D016032">Randomized Controlled Trials as Topic</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D020728">Transurethral Resection of Prostate</DescriptorName>
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<QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName>
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