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Thulium laser versus standard transurethral resection of the prostate for benign prostatic obstruction: a systematic review and meta-analysis.

Identifieur interne : 000142 ( PubMed/Corpus ); précédent : 000141; suivant : 000143

Thulium laser versus standard transurethral resection of the prostate for benign prostatic obstruction: a systematic review and meta-analysis.

Auteurs : Yiping Zhu ; Jian Zhuo ; Dongliang Xu ; Shujie Xia ; Thomas R W. Herrmann

Source :

RBID : pubmed:25298242

English descriptors

Abstract

To assess the efficacy and safety of thulium laser versus standard transurethral resection of the prostate (TURP) for treating patients with benign prostatic obstruction.

DOI: 10.1007/s00345-014-1410-6
PubMed: 25298242

Links to Exploration step

pubmed:25298242

Le document en format XML

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<title xml:lang="en">Thulium laser versus standard transurethral resection of the prostate for benign prostatic obstruction: a systematic review and meta-analysis.</title>
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<name sortKey="Zhu, Yiping" sort="Zhu, Yiping" uniqKey="Zhu Y" first="Yiping" last="Zhu">Yiping Zhu</name>
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<nlm:affiliation>Department of Urology, Shanghai First People's Hospital, School of Medicine, Shanghai Jiao Tong University, No.100, Haining Road, Shanghai, 200080, People's Republic of China.</nlm:affiliation>
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<name sortKey="Zhuo, Jian" sort="Zhuo, Jian" uniqKey="Zhuo J" first="Jian" last="Zhuo">Jian Zhuo</name>
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<name sortKey="Xu, Dongliang" sort="Xu, Dongliang" uniqKey="Xu D" first="Dongliang" last="Xu">Dongliang Xu</name>
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<name sortKey="Xia, Shujie" sort="Xia, Shujie" uniqKey="Xia S" first="Shujie" last="Xia">Shujie Xia</name>
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<name sortKey="Herrmann, Thomas R W" sort="Herrmann, Thomas R W" uniqKey="Herrmann T" first="Thomas R W" last="Herrmann">Thomas R W. Herrmann</name>
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<title xml:lang="en">Thulium laser versus standard transurethral resection of the prostate for benign prostatic obstruction: a systematic review and meta-analysis.</title>
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<name sortKey="Zhuo, Jian" sort="Zhuo, Jian" uniqKey="Zhuo J" first="Jian" last="Zhuo">Jian Zhuo</name>
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<name sortKey="Xu, Dongliang" sort="Xu, Dongliang" uniqKey="Xu D" first="Dongliang" last="Xu">Dongliang Xu</name>
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<name sortKey="Xia, Shujie" sort="Xia, Shujie" uniqKey="Xia S" first="Shujie" last="Xia">Shujie Xia</name>
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<title level="j">World journal of urology</title>
<idno type="eISSN">1433-8726</idno>
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<term>Humans</term>
<term>Lasers, Solid-State (therapeutic use)</term>
<term>Male</term>
<term>Prostatectomy (methods)</term>
<term>Prostatic Hyperplasia (complications)</term>
<term>Prostatic Hyperplasia (surgery)</term>
<term>Thulium</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>
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<term>Thulium</term>
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<term>Prostatic Hyperplasia</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Urinary Bladder Neck Obstruction</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Prostatectomy</term>
<term>Transurethral Resection of Prostate</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Prostatic Hyperplasia</term>
<term>Urinary Bladder Neck Obstruction</term>
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<keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en">
<term>Lasers, Solid-State</term>
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<term>Humans</term>
<term>Male</term>
<term>Treatment Outcome</term>
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<div type="abstract" xml:lang="en">To assess the efficacy and safety of thulium laser versus standard transurethral resection of the prostate (TURP) for treating patients with benign prostatic obstruction.</div>
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<Day>15</Day>
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<Volume>33</Volume>
<Issue>4</Issue>
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<Title>World journal of urology</Title>
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<ArticleTitle>Thulium laser versus standard transurethral resection of the prostate for benign prostatic obstruction: a systematic review and meta-analysis.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To assess the efficacy and safety of thulium laser versus standard transurethral resection of the prostate (TURP) for treating patients with benign prostatic obstruction.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A systematic search of the electronic databases, including Medline, Embase, Web of Science, and The Cochrane Library, was performed up to February 1, 2014. The pooled estimates of demographic and clinical baseline characteristics, perioperative variables, complications, and postoperative efficacy including International Prostate Symptom Score (IPSS), quality of life (QoL), maximum flow rate (Qmax), and postvoid residual (PVR) were calculated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Seven trials assessing thulium laser versus standard TURP were considered suitable for meta-analysis including four randomized controlled trials (RCTs) and three non-RCTs. Compared with TURP, although thulium laser prostatectomy (TmLRP) needed a longer operative time [weighted mean difference (WMD) 8.18 min; 95 % confidence interval (CI) 1.60-14.75; P = 0.01], patients having TmLRP might benefit from significantly less serum sodium decreased (-3.73 mmol/L; 95 % CI -4.41 to -3.05; P < 0.001), shorter time of catheterization (WMD -1.29 days; 95 % CI -1.95 to -0.63; P < 0.001), shorter length of hospital stay (WMD -1.83 days; 95 % CI -3.10 to -0.57; P = 0.005), and less transfusion (odds ratio 0.09; 95 % CI 0.02-0.41; P = 0.002). During the 1, 3, and, 12 months of postoperative follow-up, the procedures did not demonstrate a significant difference in IPSS, QoL, Qmax, and PVR.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">TmLRP had a similar efficacy to standard TURP in terms of IPSS, QoL, Qmax, and PVR, and offered several advantages over TURP in terms of blood transfusion, serum sodium decreased, catheterization time, and hospital stay, while TURP was superior in terms of operation duration. Well-designed multicentric/international RCTs with long-term follow-up are still needed.</AbstractText>
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