Laser treatments of the prostate vs TURP/ open prostatectomy: systematic review of urodynamic data.
Identifieur interne : 000518 ( PubMed/Checkpoint ); précédent : 000517; suivant : 000519Laser treatments of the prostate vs TURP/ open prostatectomy: systematic review of urodynamic data.
Auteurs : T R W. Herrmann [Allemagne] ; A. Georgiou ; T. Bach ; A J Gross ; M. OelkeSource :
- Minerva urologica e nefrologica = The Italian journal of urology and nephrology [ 0393-2249 ] ; 2009.
Descripteurs français
- KwdFr :
- Coagulation par laser, Essais contrôlés randomisés comme sujet, Humains, Hyperplasie de la prostate (), Hyperplasie de la prostate (physiopathologie), Mâle, Obstruction du col de la vessie (physiopathologie), Obstruction du col de la vessie (étiologie), Prostatectomie, Résection transuréthrale de prostate, Thérapie laser, Urodynamique.
- MESH :
- physiopathologie : Hyperplasie de la prostate, Obstruction du col de la vessie.
- étiologie : Obstruction du col de la vessie.
- Coagulation par laser, Essais contrôlés randomisés comme sujet, Humains, Hyperplasie de la prostate, Mâle, Prostatectomie, Résection transuréthrale de prostate, Thérapie laser, Urodynamique.
English descriptors
- KwdEn :
- Humans, Laser Coagulation, Laser Therapy, Male, Prostatectomy, Prostatic Hyperplasia (complications), Prostatic Hyperplasia (physiopathology), Prostatic Hyperplasia (surgery), Randomized Controlled Trials as Topic, Transurethral Resection of Prostate, Urinary Bladder Neck Obstruction (etiology), Urinary Bladder Neck Obstruction (physiopathology), Urodynamics.
- MESH :
- complications : Prostatic Hyperplasia.
- etiology : Urinary Bladder Neck Obstruction.
- physiopathology : Prostatic Hyperplasia, Urinary Bladder Neck Obstruction.
- surgery : Prostatic Hyperplasia.
- Humans, Laser Coagulation, Laser Therapy, Male, Prostatectomy, Randomized Controlled Trials as Topic, Transurethral Resection of Prostate, Urodynamics.
Abstract
Bladder outlet obstruction (BOO) is believed to be the major component of benign prostatic hyperplasia (BPH) that harms the urinary tract. Therefore, BOO relief is the primary treatment objective in patients with obstructive BPH. This systematic review aims to analyze urodynamic data of laser treatment modalities of the prostate in direct comparison with standard treatment (TURP or open prostatectomy). We systematically searched the literature for randomized-controlled trials (RCTs) of prostate laser treatments in which urodynamic results were compared to TURP or open prostatectomy. The literature search included articles that were published between January 1995 and January 2009. Thirty five RCTs were identified encompassing in total 3669 patients. Of all available laser treatments, only one RCT used pressure-flow data to compare the laser treatment of the prostate (holmium laser enucleation, HoLEP) with standard treatment. Improvement of maximum urinary flow rate (Q(max)) of free uroflowmetry was similar for contact laser ablation (CLAP) with Nd:YAG, interstitial laser coagulation with Nd:YAG, potassium potassium-titanyl-phosphate (KTP)/Nd: YAG hybrid treatment, and HoLEP. Qmax improvement was also similar for holmium laser ablation (HoLAP) with 60-80 Watts, holmium laser resection, and thulium laser resection but limited to only one study each. The laser hybrid therapy with CLAP/visual laser ablation of the prostate (VLAP)/Nd:YAG was inferior to TURP. VLAP and KTP showed inhomogeneous
PubMed: 19773731
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Georgiou</name></author><author><name sortKey="Bach, T" sort="Bach, T" uniqKey="Bach T" first="T" last="Bach">T. Bach</name></author><author><name sortKey="Gross, A J" sort="Gross, A J" uniqKey="Gross A" first="A J" last="Gross">A J Gross</name></author><author><name sortKey="Oelke, M" sort="Oelke, M" uniqKey="Oelke M" first="M" last="Oelke">M. Oelke</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:19773731</idno><idno type="pmid">19773731</idno><idno type="wicri:Area/PubMed/Corpus">000517</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000517</idno><idno type="wicri:Area/PubMed/Curation">000517</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000517</idno><idno type="wicri:Area/PubMed/Checkpoint">000517</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000517</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Laser treatments of the prostate vs TURP/ open prostatectomy: systematic review of urodynamic data.</title><author><name sortKey="Herrmann, T R W" sort="Herrmann, T R W" uniqKey="Herrmann T" first="T R W" last="Herrmann">T R W. Herrmann</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. herrmann.thomas@mh-hannover.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Urology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Hanovre</settlement></placeName></affiliation></author><author><name sortKey="Georgiou, A" sort="Georgiou, A" uniqKey="Georgiou A" first="A" last="Georgiou">A. Georgiou</name></author><author><name sortKey="Bach, T" sort="Bach, T" uniqKey="Bach T" first="T" last="Bach">T. Bach</name></author><author><name sortKey="Gross, A J" sort="Gross, A J" uniqKey="Gross A" first="A J" last="Gross">A J Gross</name></author><author><name sortKey="Oelke, M" sort="Oelke, M" uniqKey="Oelke M" first="M" last="Oelke">M. Oelke</name></author></analytic><series><title level="j">Minerva urologica e nefrologica = The Italian journal of urology and nephrology</title><idno type="ISSN">0393-2249</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term><term>Laser Coagulation</term><term>Laser Therapy</term><term>Male</term><term>Prostatectomy</term><term>Prostatic Hyperplasia (complications)</term><term>Prostatic Hyperplasia (physiopathology)</term><term>Prostatic Hyperplasia (surgery)</term><term>Randomized Controlled Trials as Topic</term><term>Transurethral Resection of Prostate</term><term>Urinary Bladder Neck Obstruction (etiology)</term><term>Urinary Bladder Neck Obstruction (physiopathology)</term><term>Urodynamics</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Coagulation par laser</term><term>Essais contrôlés randomisés comme sujet</term><term>Humains</term><term>Hyperplasie de la prostate ()</term><term>Hyperplasie de la prostate (physiopathologie)</term><term>Mâle</term><term>Obstruction du col de la vessie (physiopathologie)</term><term>Obstruction du col de la vessie (étiologie)</term><term>Prostatectomie</term><term>Résection transuréthrale de prostate</term><term>Thérapie laser</term><term>Urodynamique</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Prostatic Hyperplasia</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Urinary Bladder Neck Obstruction</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Hyperplasie de la prostate</term><term>Obstruction du col de la vessie</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Prostatic Hyperplasia</term><term>Urinary Bladder Neck Obstruction</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Prostatic Hyperplasia</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Obstruction du col de la vessie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Laser Coagulation</term><term>Laser Therapy</term><term>Male</term><term>Prostatectomy</term><term>Randomized Controlled Trials as Topic</term><term>Transurethral Resection of Prostate</term><term>Urodynamics</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Coagulation par laser</term><term>Essais contrôlés randomisés comme sujet</term><term>Humains</term><term>Hyperplasie de la prostate</term><term>Mâle</term><term>Prostatectomie</term><term>Résection transuréthrale de prostate</term><term>Thérapie laser</term><term>Urodynamique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Bladder outlet obstruction (BOO) is believed to be the major component of benign prostatic hyperplasia (BPH) that harms the urinary tract. Therefore, BOO relief is the primary treatment objective in patients with obstructive BPH. This systematic review aims to analyze urodynamic data of laser treatment modalities of the prostate in direct comparison with standard treatment (TURP or open prostatectomy). We systematically searched the literature for randomized-controlled trials (RCTs) of prostate laser treatments in which urodynamic results were compared to TURP or open prostatectomy. The literature search included articles that were published between January 1995 and January 2009. Thirty five RCTs were identified encompassing in total 3669 patients. Of all available laser treatments, only one RCT used pressure-flow data to compare the laser treatment of the prostate (holmium laser enucleation, HoLEP) with standard treatment. Improvement of maximum urinary flow rate (Q(max)) of free uroflowmetry was similar for contact laser ablation (CLAP) with Nd:YAG, interstitial laser coagulation with Nd:YAG, potassium potassium-titanyl-phosphate (KTP)/Nd: YAG hybrid treatment, and HoLEP. Qmax improvement was also similar for holmium laser ablation (HoLAP) with 60-80 Watts, holmium laser resection, and thulium laser resection but limited to only one study each. The laser hybrid therapy with CLAP/visual laser ablation of the prostate (VLAP)/Nd:YAG was inferior to TURP. VLAP and KTP showed inhomogeneous</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">19773731</PMID><DateCreated><Year>2009</Year><Month>09</Month><Day>23</Day></DateCreated><DateCompleted><Year>2010</Year><Month>05</Month><Day>06</Day></DateCompleted><DateRevised><Year>2013</Year><Month>05</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0393-2249</ISSN><JournalIssue CitedMedium="Print"><Volume>61</Volume><Issue>3</Issue><PubDate><Year>2009</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Minerva urologica e nefrologica = The Italian journal of urology and nephrology</Title><ISOAbbreviation>Minerva Urol Nefrol</ISOAbbreviation></Journal><ArticleTitle>Laser treatments of the prostate vs TURP/ open prostatectomy: systematic review of urodynamic data.</ArticleTitle><Pagination><MedlinePgn>309-24</MedlinePgn></Pagination><Abstract><AbstractText Label="UNLABELLED">Bladder outlet obstruction (BOO) is believed to be the major component of benign prostatic hyperplasia (BPH) that harms the urinary tract. Therefore, BOO relief is the primary treatment objective in patients with obstructive BPH. This systematic review aims to analyze urodynamic data of laser treatment modalities of the prostate in direct comparison with standard treatment (TURP or open prostatectomy). We systematically searched the literature for randomized-controlled trials (RCTs) of prostate laser treatments in which urodynamic results were compared to TURP or open prostatectomy. The literature search included articles that were published between January 1995 and January 2009. Thirty five RCTs were identified encompassing in total 3669 patients. Of all available laser treatments, only one RCT used pressure-flow data to compare the laser treatment of the prostate (holmium laser enucleation, HoLEP) with standard treatment. Improvement of maximum urinary flow rate (Q(max)) of free uroflowmetry was similar for contact laser ablation (CLAP) with Nd:YAG, interstitial laser coagulation with Nd:YAG, potassium potassium-titanyl-phosphate (KTP)/Nd: YAG hybrid treatment, and HoLEP. Qmax improvement was also similar for holmium laser ablation (HoLAP) with 60-80 Watts, holmium laser resection, and thulium laser resection but limited to only one study each. The laser hybrid therapy with CLAP/visual laser ablation of the prostate (VLAP)/Nd:YAG was inferior to TURP. VLAP and KTP showed inhomogeneous</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Most contemporary laser treatments modalities provide similar Qmax improvement compared to standard treatment. However, precise differences can only be determined by comparative computer urodynamic investigations. Therefore, new laser techniques (such as thulium laser vapoenucleation of the prostate) should be investigated by urodynamic studies in the future.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Herrmann</LastName><ForeName>T R W</ForeName><Initials>TR</Initials><AffiliationInfo><Affiliation>Department of Urology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. herrmann.thomas@mh-hannover.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Georgiou</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Bach</LastName><ForeName>T</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Gross</LastName><ForeName>A J</ForeName><Initials>AJ</Initials></Author><Author ValidYN="Y"><LastName>Oelke</LastName><ForeName>M</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>Minerva Urol Nefrol</MedlineTA><NlmUniqueID>8503649</NlmUniqueID><ISSNLinking>0393-2249</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D017075">Laser Coagulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D053685">Laser Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D011468">Prostatectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011470">Prostatic Hyperplasia</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016032">Randomized Controlled Trials as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020728">Transurethral Resection of Prostate</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001748">Urinary Bladder Neck Obstruction</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014563">Urodynamics</DescriptorName></MeshHeading></MeshHeadingList><NumberOfReferences>76</NumberOfReferences></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>9</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>9</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>5</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19773731</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Basse-Saxe</li></region><settlement><li>Hanovre</li></settlement></list><tree><noCountry><name sortKey="Bach, T" sort="Bach, T" uniqKey="Bach T" first="T" last="Bach">T. Bach</name><name sortKey="Georgiou, A" sort="Georgiou, A" uniqKey="Georgiou A" first="A" last="Georgiou">A. Georgiou</name><name sortKey="Gross, A J" sort="Gross, A J" uniqKey="Gross A" first="A J" last="Gross">A J Gross</name><name sortKey="Oelke, M" sort="Oelke, M" uniqKey="Oelke M" first="M" last="Oelke">M. Oelke</name></noCountry><country name="Allemagne"><region name="Basse-Saxe"><name sortKey="Herrmann, T R W" sort="Herrmann, T R W" uniqKey="Herrmann T" first="T R W" last="Herrmann">T R W. Herrmann</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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