Document Detail

Meta-analysis of holmium laser enucleation versus transurethral resection of the prostate for symptomatic prostatic obstruction.
MedLine Citation:
PMID:  17729384     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Holmium laser enucleation (HoLEP) is an alternative to transurethral resection (TURP) of the prostate for symptomatic prostatic obstruction. METHODS: Randomized controlled trials comparing HoLEP and TURP were identified systematically using Medline, Embase and The Cochrane Library. Primary outcomes were peak urinary flow rate (Qmax), postvoid residual volume, symptom score and quality of life. Secondary outcomes were duration of operation, hospital stay, blood loss, catheterization time and adverse events. RESULTS: There was no statistically significant difference between HoLEP and TURP in terms of Qmax at 6 and 12 months' follow-up. HoLEP was associated with significantly less blood loss, a shorter catheterization time and a shorter hospital stay. TURP was associated with reduced operating time. The techniques were similar in terms of urethral stricture, stress incontinence, transfusion requirement and rate of reintervention. CONCLUSION: HoLEP and TURP provide a similar improvement in Qmax. HoLEP, however, has several advantages over TURP, despite requiring more operating time. It is at least as safe as TURP in terms of adverse events.
A Tan; C Liao; Z Mo; Y Cao
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Review    
Journal Detail:
Title:  The British journal of surgery     Volume:  94     ISSN:  1365-2168     ISO Abbreviation:  Br J Surg     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-24     Completed Date:  2007-11-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  1201-8     Citation Subset:  AIM; IM    
Copyright Information:
Copyright (c) 2007 British Journal of Surgery Society Ltd.
Department of Urology, First Affiliated Hospital, Guangxi Medical University, Guangxi, China.
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MeSH Terms
Laser Therapy / instrumentation*
Lasers, Solid-State
Prostatic Hyperplasia / physiopathology,  surgery*
Randomized Controlled Trials as Topic
Transurethral Resection of Prostate / adverse effects,  instrumentation*
Urinary Retention / physiopathology,  surgery*
Urination / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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