Evidence map›Paper›PMID 33227302›Full record

ArticleUrology2021

Holmium Laser Enucleation of Prostate Within 6 Weeks of Transrectal Ultrasound Guided Prostate Biopsy is Safe and Effective.

Mohamed H Etafy, Jonathan E Katz, Mia R Gonzalgo, Emmanuel Alejandro Garcia Lopez, Rashmi H Shah, Indraneel Banerjee, Nicholas Smith, Hemendra N Shah

Abstract read
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Article in Urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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  3. Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Mohamed H EtafyMiller School of Medicine, University of Miami, Miami, FL.
Jonathan E KatzMiller School of Medicine, University of Miami, Miami, FL.
Mia R GonzalgoMiller School of Medicine, University of Miami, Miami, FL.
Emmanuel Alejandro Garcia LopezMiller School of Medicine, University of Miami, Miami, FL.
Rashmi H ShahS. L. Raheja (Fortis Associate Hospital), Mumbai, India.
Indraneel BanerjeeMiller School of Medicine, University of Miami, Miami, FL.
Nicholas SmithMiller School of Medicine, University of Miami, Miami, FL.
Hemendra N ShahMiller School of Medicine, University of Miami, Miami, FL; S. L. Raheja (Fortis Associate Hospital), Mumbai, India. Electronic address: drhemendrashah@yahoo.co.in.
University of Miami · USS.L. Raheja Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the safety and efficacy of performing Holmium laser enucleation of the prostate (HoLEP) for the treatment of bladder outlet obstruction secondary to an enlarged prostate within 6-weeks of a transrectal ultrasound (TRUS) guided prostate biopsy. MATERIALS AND

methodsWe performed a retrospective review of patients who underwent a HoLEP at our institution, excluding any patients with a confounding urologic history and compared patients who underwent a TRUS-guided 6- or 12-core prostate biopsy, and then underwent a HoLEP within 6 weeks (study group) with all other patients (control group). Our primary outcomes were enucleation efficiency (EE) and perioperative complication rate. Our secondary outcomes included postoperative drop in hemoglobin, duration of catheterization, length of hospital stay, voiding metrics at 1 and 6 months and rate of incidental prostate cancer diagnosed on histopathological examination of prostate specimens after HoLEP. To test for differences between the study and control groups, we performed independent sample t-test (2-tailed) and chi-square tests for quantitative and qualitative variables, respectively. P values of < 0.05 were considered statistically significant.

results552 patients met inclusion criteria and 84 patients underwent prostate biopsy within a period of 45 days prior to HoLEP. Enucleation efficiency was higher in the study group (P = 0.00). There was no significant difference between the 2 groups regarding perioperative complications, postoperative voiding outcomes, or rate of incidental prostate cancer detection.

conclusionsTRUS prostate biopsy performed within 6 weeks of HoLEP does not negatively impact operative difficulty or treatment outcome.

Indexed as

AgedHemoglobin AHumansImage-Guided BiopsyIncidental FindingsLasers, Solid-StateLength of StayMalePostoperative ComplicationsProstateProstatectomyProstatic HyperplasiaProstatic NeoplasmsRetrospective StudiesTime FactorsTreatment OutcomeHemoglobin A

Identifiers

PMID33227302
OpenAlexW3110114801

What OpenQuestion holds

Textmetadata
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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.