Evidence map›Paper›PMID 33811512›Full record

ArticleWorld journal of urology2021

Feasibility, safety, and efficacy of ultrasound-guided transperineal laser ablation for the treatment of benign prostatic hyperplasia: a single institutional experience.

Nicola Frego, Alberto Saita, Paolo Casale, Pietro Diana, Roberto Contieri, Pier Paolo Avolio, Massimo Lazzeri, Rodolfo Hurle, Nicolò Maria Buffi, Giorgio Ferruccio Guazzoni and 1 more

Registry-linked trialAbstract read
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. It is linked to trial NCT06564415 (European Registry for Transperineal Laser Ablation of Prostate), which is not on this map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
6.6field-weighted citation impact, top 2% 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.

NCT06564415 recruitingnot on this mapstarted 2024, after this paper: background citation

European Registry for Transperineal Laser Ablation of Prostate (TPLA) for Lower Urinary Tract Symptoms (LUTS) Due to Benign Prostatic Obstruction (BPO)

Typeobservational_patient_registrySponsorUniversity of FlorenceRan2024 to 2034Enrolled2,500ConditionsBenign Prostatic Hyperplasia, Prostatic DiseasesArmsTransperineal Laser Ablation of Prostate
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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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

11 authors at 1 institution in 1 country.

Nicola FregoDepartment of Urology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy. nicola.frego@humanitas.it.ORCID http://orcid.org/0000-0003-0272-6094
Alberto SaitaDepartment of Urology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy.
Paolo CasaleDepartment of Urology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy.
Pietro DianaDepartment of Urology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy.
Roberto ContieriDepartment of Urology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy.
Pier Paolo AvolioDepartment of Urology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy.
Massimo LazzeriDepartment of Urology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy.
Rodolfo HurleDepartment of Urology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy.
Nicolò Maria BuffiDepartment of Urology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy.
Giorgio Ferruccio GuazzoniDepartment of Urology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy.
Giovanni LughezzaniDepartment of Urology, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy.
Humanitas University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the feasibility, safety, and efficacy of ultrasound-guided transperineal laser ablation (TPLA) as a new minimally invasive surgical therapy (MIST) for the treatment of lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). MATERIALS AND

methodsUnder local anesthesia and conscious sedation up to two laser fibers for each prostatic lobe were inserted under US-guidance by a percutaneous approach. TPLA was performed using a continuous wave diode laser (SoracteLite-EchoLaserX4) able to generate a light-induced thermal heating and subsequent coagulative necrosis of the prostatic tissue. Patients were evaluated at 3, 6, and 12 months after TPLA.

resultsTwenty-two consecutive patients were prospectively enrolled (median age 61.9 years). All procedures were well tolerated and no procedural complications were recorded. Median catheterization time was 7 days, while the median hospitalization time was 1 day. Three out of twenty-two patients (13.6%) experienced acute urinary retention and two (9.1%) of them urinary tract infection requiring major antibiotic treatment. At 3, 6, and 12 months, median prostate volume significantly decreased by a - 21.3%, - 29%, and - 41%, respectively. At the same time point, median IPSS was 8 (- 63.6%), 5 (- 74%), and 6 (- 75%), while median QoL score was 1 in all the scheduled timepoints of follow-up. The median postoperative Qmax at 3, 6, and 12 months improved by + 57.8%, + 98%, and + 115.8%, respectively. Ejaculatory function was preserved in 21 out of 22 patients (95.5%).

conclusionsTPLA of the prostate appears to be a promising MIST for BPH. Long-term results and comparative studies against standard treatments are warranted before implementations of this technique in the urologist's armamentarium.

Indexed as

PerineumAgedAnesthesia, LocalFeasibility StudiesHumansLaser TherapyMaleMiddle AgedProcedural SedationProstatic HyperplasiaSurgery, Computer-AssistedUltrasonographyBPHLUTSMISTsTPLA

Identifiers

PMID33811512
OpenAlexW3147966457

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.