Evidence map›Paper›PMID 30314492›Full record

ArticleBMC urology2018

Impact of endoscopic enucleation of the prostate with thulium fiber laser on the erectile function.

Dmitry Enikeev, Petr Glybochko, Leonid Rapoport, Zhamshid Okhunov, Mitchel O'Leary, Natalya Potoldykova, Roman Sukhanov, Mikhail Enikeev, Ekaterina Laukhtina, Mark Taratkin

Open access · goldAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 51 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Dmitry EnikeevInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia. dvenikeev@gmail.com.ORCID http://orcid.org/0000-0001-7169-2209
Petr GlybochkoInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Leonid RapoportInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Zhamshid OkhunovDepartment of Urology, University of California, Irvine; Orange, CA, USA.
Mitchel O'LearyDepartment of Urology, University of California, Irvine; Orange, CA, USA.
Natalya PotoldykovaInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Roman SukhanovInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Mikhail EnikeevInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Ekaterina LaukhtinaInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Mark TaratkinInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Sechenov University · RUUniversity of California, Irvine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of number of endoscopic enucleation of the prostate techniques (holmium laser enucleation - HoLEP for example) on erectile function have already been investigated. However, the thulium-fiber laser, in this setting remains unstudied. In this study, we compared sexual function outcomes in patients with benign prostatic hyperplasia (BPH) treated with transurethral resection of the prostate (TURP) or thulium-fiber laser enucleation (ThuFLEP).

methodsWe performed a retrospective analysis of patients who underwent transurethral resection and endoscopic enucleation of the prostate for BPH; inclusion criteria was the presence of infravesical obstruction (IPSS > 20, Qmax < 10 mL/s). Erectile function (EF) was assessed using the International Index of Erectile Function (IIEF-5) both prior to endoscopic examination, and six months after.

resultsA total of 469 patients with BPH were included in the study; of these, 211 underwent to ThuFLEP, and 258 TURP. Preoperative IIEF-5 in TURP and ThuFLEP groups were 11.7 (±4.5) and 11.1 (±5.0), respectively (p = 0.17). At six month the IIEF-5 score was unchanged (p = 0.26 and p = 0.08) and comparable in both groups (p = 0.49). However, mean IIEF-5 score shown significant increase of 0.72 in ThuFLEP group, comparing to decrease of 0.24 in TURP patients (p < 0.001).

conclusionsBoth TURP and ThuFLEP are effective modalities in the management of infravesical obstruction due to BPH. At six months follow-up after surgery, both techniques lead to comparable IIEF-5 score. However, our results demonstrated that the ThuFLEP is more likely to preserve the erectile function leading to increase of IIEF-5 at six months in contrast to TURP which lead to slight drop in IIEF-5 score.

Indexed as

AgedEndoscopyErectile DysfunctionHumansLasers, Solid-StateMaleMiddle AgedPenile ErectionProstateProstatectomyProstatic HyperplasiaQuality of LifeRetrospective StudiesTransurethral Resection of ProstateTreatment OutcomeBPHEndoscopic enucleation of the prostateErectile functionThuFLEPThulium fiber laser

Identifiers

PMID30314492
PMCPMC6186032
OpenAlexW2897139120

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.