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 : 000143Thulium 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. HerrmannSource :
- World journal of urology [ 1433-8726 ] ; 2015.
English descriptors
- KwdEn :
- Humans, Lasers, Solid-State (therapeutic use), Male, Prostatectomy (methods), Prostatic Hyperplasia (complications), Prostatic Hyperplasia (surgery), Thulium, Transurethral Resection of Prostate (methods), Treatment Outcome, Urinary Bladder Neck Obstruction (etiology), Urinary Bladder Neck Obstruction (surgery).
- MESH :
- chemical : Thulium.
- complications : Prostatic Hyperplasia.
- etiology : Urinary Bladder Neck Obstruction.
- methods : Prostatectomy, Transurethral Resection of Prostate.
- surgery : Prostatic Hyperplasia, Urinary Bladder Neck Obstruction.
- therapeutic use : Lasers, Solid-State.
- Humans, Male, Treatment Outcome.
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:25298242Le document en format XML
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<author><name sortKey="Zhu, Yiping" sort="Zhu, Yiping" uniqKey="Zhu Y" first="Yiping" last="Zhu">Yiping Zhu</name>
<affiliation><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>
</affiliation>
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<author><name sortKey="Zhuo, Jian" sort="Zhuo, Jian" uniqKey="Zhuo J" first="Jian" last="Zhuo">Jian Zhuo</name>
</author>
<author><name sortKey="Xu, Dongliang" sort="Xu, Dongliang" uniqKey="Xu D" first="Dongliang" last="Xu">Dongliang Xu</name>
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<author><name sortKey="Xia, Shujie" sort="Xia, Shujie" uniqKey="Xia S" first="Shujie" last="Xia">Shujie Xia</name>
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<author><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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<sourceDesc><biblStruct><analytic><title xml:lang="en">Thulium laser versus standard transurethral resection of the prostate for benign prostatic obstruction: a systematic review and meta-analysis.</title>
<author><name sortKey="Zhu, Yiping" sort="Zhu, Yiping" uniqKey="Zhu Y" first="Yiping" last="Zhu">Yiping Zhu</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Zhuo, Jian" sort="Zhuo, Jian" uniqKey="Zhuo J" first="Jian" last="Zhuo">Jian Zhuo</name>
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<author><name sortKey="Xu, Dongliang" sort="Xu, Dongliang" uniqKey="Xu D" first="Dongliang" last="Xu">Dongliang Xu</name>
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<author><name sortKey="Xia, Shujie" sort="Xia, Shujie" uniqKey="Xia S" first="Shujie" last="Xia">Shujie Xia</name>
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<author><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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<series><title level="j">World journal of urology</title>
<idno type="eISSN">1433-8726</idno>
<imprint><date when="2015" type="published">2015</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><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>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Thulium</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="methods" xml:lang="en"><term>Prostatectomy</term>
<term>Transurethral Resection of Prostate</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Prostatic Hyperplasia</term>
<term>Urinary Bladder Neck Obstruction</term>
</keywords>
<keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en"><term>Lasers, Solid-State</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Male</term>
<term>Treatment Outcome</term>
</keywords>
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<front><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>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">25298242</PMID>
<DateCreated><Year>2015</Year>
<Month>03</Month>
<Day>27</Day>
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<DateCompleted><Year>2015</Year>
<Month>12</Month>
<Day>15</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1433-8726</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>33</Volume>
<Issue>4</Issue>
<PubDate><Year>2015</Year>
<Month>Apr</Month>
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<Title>World journal of urology</Title>
<ISOAbbreviation>World J Urol</ISOAbbreviation>
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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>
<Pagination><MedlinePgn>509-15</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00345-014-1410-6</ELocationID>
<Abstract><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>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zhu</LastName>
<ForeName>Yiping</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><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.</Affiliation>
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<Author ValidYN="Y"><LastName>Zhuo</LastName>
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<Author ValidYN="Y"><LastName>Xu</LastName>
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<Author ValidYN="Y"><LastName>Xia</LastName>
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<Author ValidYN="Y"><LastName>Herrmann</LastName>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2014</Year>
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<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>World J Urol</MedlineTA>
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<ISSNLinking>0724-4983</ISSNLinking>
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<ChemicalList><Chemical><RegistryNumber>8RKC5ATI4P</RegistryNumber>
<NameOfSubstance UI="D013932">Thulium</NameOfSubstance>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D053844">Lasers, Solid-State</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000627">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011468">Prostatectomy</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011470">Prostatic Hyperplasia</DescriptorName>
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<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013932">Thulium</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D020728">Transurethral Resection of Prostate</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D001748">Urinary Bladder Neck Obstruction</DescriptorName>
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