Evidence map›Paper›PMID 32193652›Full record

ArticleWorld journal of urology2021

The "Omega Sign": a novel HoLEP technique that improves continence outcomes after enucleation.

Lutfi Tunc, Serdar Yalcin, Engin Kaya, Eymen Gazel, Sercan Yılmaz, Halil Cagri Aybal, Mehmet Yılmaz, Theodoros Tokas

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Article in World journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
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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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Lutfi TuncDepartment of Urology, Gazi University School of Medicine, Ankara, Turkey.
Serdar YalcinDepartment of Urology, Gülhane Training and Research Hospital, Health Sciences University, Ankara, Turkey.
Engin KayaDepartment of Urology, Gülhane Training and Research Hospital, Health Sciences University, Ankara, Turkey. drenginkaya@yahoo.com.
Eymen GazelDepartment of Urology, Acıbadem University Ankara Hospital, Ankara, Turkey.
Sercan YılmazDepartment of Urology, Gülhane Training and Research Hospital, Health Sciences University, Ankara, Turkey.
Halil Cagri AybalDepartment of Urology, Ankara Oncology Training and Research Hospital, Ankara, Turkey.
Mehmet YılmazDepartment of Urology, Ankara City Hospital, Health Sciences University, Ankara, Turkey.
Theodoros TokasDepartment of Urology and Andrology, General Hospital Hall i.T, Hall in Tirol, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHolmium-laser enucleation of the prostate (HoLEP) has been a promising prostate surgery since its first introduction. Although there are 10 different HoLEP techniques in the literature, stress urinary incontinence (SUI) is common, because surgery is not performed based on the topographic anatomy of the external sphincter. We have developed a new HoLEP method named as the ''Omega Sign technique", which is based on the topographic anatomy of the external sphincter and could provide better continence outcomes by decreasing SUI rates. MATERIALS AND

methodsThe data of 400 patients who underwent HoLEP by a single surgeon between May 2016 and February 2019 were retrospectively reviewed. The patients were divided into two groups, the first underwent the Gilling's technique (Group 1) and the second the novel ''Omega Sign'' technique (Group 2). Continence status and post-micturition symptoms (PMS) were evaluated according to the standards recommended by the international continence status.

resultsThe data of 400 HoLEP procedures between May 2016 and February 2019 were analyzed, comparing Group 1 (n = 200) and Group 2(n = 200). SUI rate was significantly lower in Group 2 at the day of catheter removal and first month (p < 0.005). In addition, urge urinary incontinence (UUI) rate and PMS were significantly lower in Group 2.

conclusionsWe could demonstrate improved continence results, comparable functional outcomes and equally minimal complications with the standard HoLEP technique. We believe that, the novel 'Omega sign' technique decreases SUI rates and will become standardised and easy to understand, thereby bringing and creating a shorter learning curve.

Indexed as

AgedHumansLasers, Solid-StateMaleMiddle AgedPostoperative ComplicationsProstatectomyProstatic HyperplasiaRetrospective StudiesTreatment OutcomeUrinary Incontinence, StressHoLEPHolmium laserLaser enucleationOmega Sign

Identifiers

PMID32193652

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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.