Evidence map›Paper›PMID 33591378›Full record

ArticleWorld journal of urology2021

Ejaculation-sparing versus non-ejaculation-sparing anatomic GreenLight laser enucleo-vaporization of the prostate: first comparative study.

Paolo Destefanis, Mattia Sibona, Francesco Soria, Eugenia Vercelli, Federico Vitiello, Andrea Bosio, Alessandro Bisconti, Beatrice Lillaz, Paolo Gontero

Abstract readComparative Study
PubMed Publisher
In one paragraph

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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
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

9 authors at 2 institutions in 1 country.

Paolo DestefanisDivision of Urology, Department of Surgical Sciences, Molinette Hospital - A.O.U. Città della Salute e della Scienza, University of Turin, Turin, Italy.
Mattia SibonaDivision of Urology, Department of Surgical Sciences, Molinette Hospital - A.O.U. Città della Salute e della Scienza, University of Turin, Turin, Italy. mattia.sibona@gmail.com.ORCID http://orcid.org/0000-0002-1997-6527
Francesco SoriaDivision of Urology, Department of Surgical Sciences, Molinette Hospital - A.O.U. Città della Salute e della Scienza, University of Turin, Turin, Italy.
Eugenia VercelliDivision of Urology, Department of Surgical Sciences, Molinette Hospital - A.O.U. Città della Salute e della Scienza, University of Turin, Turin, Italy.
Federico VitielloDivision of Urology, Department of Surgical Sciences, Molinette Hospital - A.O.U. Città della Salute e della Scienza, University of Turin, Turin, Italy.
Andrea BosioDivision of Urology, Department of Surgical Sciences, Molinette Hospital - A.O.U. Città della Salute e della Scienza, University of Turin, Turin, Italy.
Alessandro BiscontiDivision of Urology, Department of Surgical Sciences, Molinette Hospital - A.O.U. Città della Salute e della Scienza, University of Turin, Turin, Italy.
Beatrice LillazDivision of Urology, Department of Surgical Sciences, Molinette Hospital - A.O.U. Città della Salute e della Scienza, University of Turin, Turin, Italy.
Paolo GonteroDivision of Urology, Department of Surgical Sciences, Molinette Hospital - A.O.U. Città della Salute e della Scienza, University of Turin, Turin, Italy.
University of Turin · ITFondazione Ricerca Molinette · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo present the step-by-step description of an ejaculation-sparing anatomic photo-selective vaporization of the prostate (PVP) technique. To report the results of a series of ejaculation-sparing versus non-ejaculation-sparing anatomic PVPs.

methodsSexually active, benign prostatic hyperplasia (BPH) patients undergoing an anatomic PVP between 11/2018 and 2/2020 were included. Patients were divided into group A (ejaculation-sparing surgery) and group B (control group). Baseline, peri-operative and 6-months follow-up data were evaluated. Lower urinary tract symptoms (LUTS) and sexual function were assessed through internationally validated questionnaires. Groups were matched by an inverse probability of treatment weighting (IPTW) analysis. Logistic univariable regression analysis was performed to detect predictors of antegrade ejaculation preservation.

resultsOverall, 76 patients were included, among which 15 in group A and 61 in group B. Median (inter-quartile range, IQR) age was 72 (66.5-77) years, median (IQR) prostate volume 63.5 (54.5-98.5) cc. No differences about peri-operative outcomes were detected, included high-grade complications. At 6-months follow-up, no differences in urinary or erectile function were detected between groups, while ejaculation-sparing patients showed better Male Sexual Health Questionnaire (MSHQ) scores [7 (1-13) vs. 1 (1-1), p < 0.001] and higher rates of antegrade ejaculation (60% vs. 13.1%, p < 0.001). The ejaculation-sparing technique was identified as a predictor of post-operative antegrade ejaculation (OR 19.3, CI 95% 7.2-51.2, p < 0.001).

conclusionThe ejaculation-sparing anatomic PVP showed superiority over the control group in post-operative ejaculatory function scores and antegrade ejaculation rates. Besides, preliminary results suggested similar effectiveness in LUTS relief at a short-term follow-up.

Indexed as

EjaculationAgedHumansLaser TherapyMaleMiddle AgedProstatectomyProstatic HyperplasiaRetrospective StudiesBenign prostatic hyperplasiaEjaculationGreenLightLaserProstateSurgery

Identifiers

PMID33591378
OpenAlexW3130101142

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.