Document Detail


Photoselective vaporization with the green light laser vs transurethral resection of the prostate for treating benign prostate hyperplasia: a systematic review and meta-analysis.
MedLine Citation:
PMID:  23145474     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the overall efficacy and safety of photoselective vaporization of the prostate (PVP) vs transurethral resection of the prostate (TURP) for treating patients with lower urinary tract symptoms (LUTS) secondary to benign prostate hyperplasia (BPH).
PATIENTS AND METHODS: A systematic search of the electronic databases, including MEDLINE, Embase, Web of Science and The Cochrane Library, as well as manual bibliography searches were performed. The pooled estimates of maximum flow rate (Q(max)), postvoid residual (PVR), quality of life (QoL), International Prostate Symptom Score (IPSS), operation duration, blood loss, catheterization time, hospital stay, capsule perforation, transfusion, transurethral resection (TUR) syndrome, urethral stricture and reintervention were calculated.
RESULTS: At the 3-month follow-up, there was no significant difference in Q(max), PVR, QoL and IPSS between the TURP and PVP groups. At the 6-month follow-up, the pooled QoL favoured TURP, but there was no significant difference in the other variables between the two groups. PVP was associated with less blood loss, transfusion, capsular perforation, TUR syndrome, shorter catheterization time and hospital stay, but longer operation duration and higher reintervention rate.
CONCLUSIONS: The efficacy of PVP was similar to that of TURP in relation to Q(max), PVR, QoL and IPSS, and it offered several advantages over TURP. As a promising minimal invasive technique, PVP could be used as an alternative surgical procedure for treating BPH.
Authors:
Jingfei Teng; Dongxu Zhang; Yao Li; Lei Yin; Kai Wang; Xingang Cui; Danfeng Xu
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Publication Detail:
Type:  Comparative Study; Journal Article; Meta-Analysis; Review     Date:  2012-11-13
Journal Detail:
Title:  BJU international     Volume:  111     ISSN:  1464-410X     ISO Abbreviation:  BJU Int.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-29     Completed Date:  2013-03-20     Revised Date:  2013-05-14    
Medline Journal Info:
Nlm Unique ID:  100886721     Medline TA:  BJU Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  312-23     Citation Subset:  IM    
Copyright Information:
© 2012 BJU International.
Affiliation:
Department of Urology, Changzheng Hospital, Second Military Medical University, Shanghai, China. tengjingfei@yahoo.cn
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MeSH Terms
Descriptor/Qualifier:
Blood Loss, Surgical
Humans
Laser Coagulation / adverse effects,  methods*
Length of Stay
Male
Operative Time
Postoperative Complications / etiology
Prostatic Hyperplasia / surgery*
Quality of Life
Randomized Controlled Trials as Topic
Reoperation
Transurethral Resection of Prostate / adverse effects,  methods*
Treatment Outcome
Comments/Corrections
Comment In:
BJU Int. 2013 Apr;111(4):E137-8   [PMID:  23551445 ]
BJU Int. 2013 Apr;111(4):E137   [PMID:  23551444 ]

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


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