Photoselective vaporisation of the prostate using 80-W and 120-W laser versus transurethral resection of the prostate for benign prostatic hyperplasia: a systematic review with meta-analysis from 2002 to 2012

European Urology
Isaac A ThangasamyHenry H Woo

Abstract

Photoselective vaporisation (PVP) of the prostate is being used increasingly to treat symptomatic benign prostatic hyperplasia, due to the associated lower morbidity. Holmium laser enucleation of the prostate was considered to be the treatment with the highest evidence; however, evidence for PVP has dramatically increased recently. To conduct a systematic review and meta-analysis of level 1 evidence studies to determine the effectiveness of PVP versus transurethral resection of the prostate (TURP) for surgical treatment of benign prostatic hyperplasia. Outcomes reviewed included perioperative data, complications, and functional outcomes. Biomedical databases from 2002 to 2012 and American Urological Association and European Association of Urology conference proceedings from 2007 to 2011 were searched. Trials were included if they were randomised controlled trials, had PVP as the intervention, and TURP as control. Meta-analysis was performed using a random effects model. Nine trials were identified with 448 patients undergoing PVP (80 W in five trials and 120 W in four trials) and 441 undergoing TURP. Catheterisation time and length of stay were shorter in the PVP group by 1.91 d (95% confidence interval [CI], 1.47-2.35; p<0.000...Continue Reading

References

Feb 1, 1996·Controlled Clinical Trials·A R JadadH J McQuay
Jan 1, 1997·International Journal of Urology : Official Journal of the Japanese Urological Association·Y HommaY Aso
Jun 1, 2005·European Urology·Alexander BachmannTullio Sulser
Jul 4, 2008·BMJ : British Medical Journal·Tania LourencoUNKNOWN Benign Prostatic Enlargement team
Jan 29, 2011·International Journal of Urology : Official Journal of the Japanese Urological Association·Henry Hyunshik Woo, Tania Anne Hossack

❮ Previous
Next ❯

Citations

Jun 20, 2013·Current Urology Reports·Arman Adam Kahokehr, Peter J Gilling
Jan 10, 2014·Lasers in Medical Science·Hyun Wook Kang
Feb 14, 2014·Journal of Endourology·César VargasAinhoa Laborda
Sep 17, 2013·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·V MisraiJ Guillotreau
Jan 30, 2013·European Urology·Thomas A McNicholasFrancesco Montorsi
Jan 29, 2013·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·V MisraïF Bruyère
Nov 20, 2012·European Urology·Alexander BachmannMalte Rieken
Jan 26, 2013·The Journal of Sexual Medicine·Jean-Baptiste TerrasaBertrand Lukacs
Apr 8, 2016·Current Urology Reports·Shiva Madhwan NairPeter John Gilling
Jul 15, 2015·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·V MisraïA Descazeaud
May 25, 2015·Journal of Surgical Education·Christopher B AllardQuoc-Dien Trinh
Jun 21, 2015·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·J Andrew ThomasBen Van Hout
Oct 15, 2014·Prostate Cancer and Prostatic Diseases·R D MalikB T Helfand
Apr 30, 2016·Scandinavian Journal of Urology·Ionel Valentin PopeneciuSascha Pahernik

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Absence Epilepsy

Absence epilepsy is a common seizure disorder in children which can produce chronic psychosocial sequelae. Discover the latest research on absence epilepsies here.