Evidence map›Paper›PMID 30734073›Full record

ArticleWorld journal of urology2019

'En Bloc' HoLEP with early apical release in men with benign prostatic hyperplasia.

Giuseppe Saitta, José Ernesto Aguayo Becerra, Julio Fernández Del Álamo, Luis Llanes González, Javier Reinoso Elbers, Nazareno Suardi, Fernando Gómez-Sancha

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In one paragraph

Article in World journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

80 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  12. En-bloc vs lobe-by-lobe laser prostatectomy: where do we stand?Prostate cancer and prostatic diseases · 2026
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20 more citing papers are in PubMed but not listed here.

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

7 authors.

Giuseppe SaittaICUA-Clínica CEMTRO, Av. Ventisquero de la Condesa 42, 28035, Madrid, Spain.ORCID http://orcid.org/0000-0003-0587-173X
José Ernesto Aguayo BecerraICUA-Clínica CEMTRO, Av. Ventisquero de la Condesa 42, 28035, Madrid, Spain.
Julio Fernández Del ÁlamoICUA-Clínica CEMTRO, Av. Ventisquero de la Condesa 42, 28035, Madrid, Spain.
Luis Llanes GonzálezICUA-Clínica CEMTRO, Av. Ventisquero de la Condesa 42, 28035, Madrid, Spain.
Javier Reinoso ElbersICUA-Clínica CEMTRO, Av. Ventisquero de la Condesa 42, 28035, Madrid, Spain.
Nazareno SuardiIRCCS Ospedale San Raffaele, Via Stamira d'Ancona 20, 20127, Milan, Italy.
Fernando Gómez-SanchaICUA-Clínica CEMTRO, Av. Ventisquero de la Condesa 42, 28035, Madrid, Spain. fgomsan@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHoLEP represents an excellent treatment option for benign prostatic hyperplasia. Recently, 'en bloc' techniques resulting in improved visualization, shorter surgical times, and easier recognition of the dissection plane have been described. In this paper we describe the 'En bloc' HoLEP technique with early apical release. MATERIALS AND

methodsBetween January 2015 and March 2017, 137 consecutive patients were subjected to this technique by a single surgeon. The following parameters were measured pre- and post-procedure: International Prostate Symptom Score (IPSS), maximum flow rate (Q

resultsMean (SD; range) age was 66 years (8.0; 51-84), mean PSA was 4.8 ng/ml (7.0; 0.3-70), mean prostate volume was 75.63 ml (42.1; 37-253), mean volume of prostatic tissue removed was 65.9 ml (35.8; 30-217). Mean surgical duration was 47.58 min (21.3; 15-120 min): enucleation 31.5 min (14.9; 5-80 min), morcellating 6.9 min (6.6; 1-60 min). Mean hospitalization duration was 1.2 days (range 1-3), mean catheterization time was 1.2 days (range 1-5). The rate of stress urinary incontinence (SUI) was 5.8, 1.5 and 0.7% at 1, 3, and 6 months post-operation, respectively. Compared to pre-operative values, IPSS, Q

conclusions'En Bloc' HoLEP with early apical release is a safe technique that allows for easier recognition of the surgical plane and preserves the external sphincter's mucosa to provide low rates of post-operative stress incontinence and significant functional results.

Indexed as

AgedAged, 80 and overHumansLasers, Solid-StateMaleMiddle AgedPostoperative ComplicationsProstatectomyProstatic HyperplasiaTime FactorsUrinary Incontinence, StressBenign prostatic hyperplasiaEn bloc enucleationHolmium laserIPSSProstate-specific antigen

Identifiers

PMID30734073

What OpenQuestion holds

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Registered trials

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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.