Evidence map›Paper›PMID 32740805›Full record

ReviewWorld journal of urology2021

Reasons to overthrow TURP: bring on Aquablation.

Iman Sadri, Adel Arezki, Félix Couture, David-Dan Nguyen, Russell Schwartz, Ahmed S Zakaria, Dean Elterman, Enrique Rijo, Vincent Misrai, Thorsten Bach and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Aquablation, a safe technique?Central European journal of urology · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 5 countries.

Iman SadriFaculty of Medicine, McGill University, Montreal, QC, Canada.ORCID http://orcid.org/0000-0003-1399-7527
Adel ArezkiFaculty of Medicine, McGill University, Montreal, QC, Canada.
Félix CoutureDivision of Urology, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada.ORCID http://orcid.org/0000-0001-8523-2414
David-Dan NguyenFaculty of Medicine, McGill University, Montreal, QC, Canada.ORCID http://orcid.org/0000-0001-5570-8792
Russell SchwartzDivision of Urology, Centre Hospitalier de L'Université de Montréal, Montreal, QC, Canada.
Ahmed S ZakariaDivision of Urology, Centre Hospitalier de L'Université de Montréal, Montreal, QC, Canada.ORCID http://orcid.org/0000-0002-4582-9969
Dean EltermanDivision of Urology, University Health Network, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0003-1507-7783
Enrique RijoDepartment of Urology, Hospital Quirón Salud, Barcelona, Spain.ORCID http://orcid.org/0000-0002-8606-9361
Vincent MisraiDepartment of Urology, Clinique Pasteur, Toulouse, France.
Thorsten BachDepartment of Urology, Asklepios Westklinikum Rissen, Hamburg, Germany.
Claus G RoehrbornDepartment of Urology, University of Texas Southwestern Medical Centre, Dallas, TX, USA.
Kevin C ZornDivision of Urology, Centre Hospitalier de L'Université de Montréal, Montreal, QC, Canada. zorn.chumurology@gmail.com.ORCID http://orcid.org/0000-0003-3651-6669
Centre Hospitalier de l’Université de Montréal · CAMcGill University · CAAsklepios · DECentre Hospitalier Universitaire de Sherbrooke · CAClinique Pasteur · FRHospital Quirónsalud Barcelona · ESThe University of Texas Southwestern Medical Center · USUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn this review, we will discuss the state of the literature regarding Aquablation, its limitations, and opportunities for its application in the treatment of benign prostatic enlargement (BPE).

methodsA comprehensive review of original research on Aquablation was conducted. Articles related to transurethral resection of the prostate, holmium laser enucleation of the prostate, greenlight photoselective vaporization of the prostate, and simple prostatectomy were reviewed for discussion.

resultsFor small-medium prostates (30-80 mL), Aquablation's main advantages include better ejaculatory function and similar functional outcomes compared to TURP. For large prostates (80-150 mL), Aquablation demonstrates shorter operative time and superior ejaculatory function when compared to simple prostatectomy, HoLEP, and Greenlight PVP. In addition, Aquablation displays shorter hospital stays than simple prostatectomy. The integration of software programming and semi-automatic technology increases the reproducibility of the procedure and helps standardize overall outcomes, while also accelerating the learning curve. Its ability to preserve antegrade ejaculation makes Aquablation a very compelling option for sexually active patients. However cost and postoperative bleeding risks remain a concern.

conclusionThe current evidence suggests that Aquablation is a safe and effective alternative for BPE for small to large prostates. Further prospective clinical trials, with comparisons to other BPE modalities, and data from longer follow-up periods are still required.

Indexed as

Ablation TechniquesEquipment DesignHumansMaleProstatectomyProstatic HyperplasiaTransurethral Resection of ProstateWaterWaterAquablationBPEBPHLUTSSurgery

Identifiers

PMID32740805
OpenAlexW3046444595

What OpenQuestion holds

Textmetadata
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.