ArticleInternational neurourology journal2021
Comparison of Efficacy of Different Surgical Techniques for Benign Prostatic Obstruction.
Article in International neurourology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 16 citations in OpenAlex.
- From Machine Learning to Generative Artificial Intelligence in Urology: Technological Evolution and Future Perspectives.International neurourology journal · 2026Review
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- Public Views on Managing Benign Prostatic Hyperplasia-Related Voiding Dysfunction: Potential Applications of Digital Therapeutic.International neurourology journal · 2024Article
- Prostate tissue ablation and drug delivery by an image-guided injectable ionic liquid in ex vivo and in vivo models.Science translational medicine · 2024Article
- Peripheral zone thickness in preoperative MRI is predictive of Trifecta achievement after Holmium laser enucleation of the prostate (HoLEP).Abdominal radiology (New York) · 2024Article
- The Current State of Artificial Intelligence Application in Urology.International neurourology journal · 2023Article
- Transfer Learning for Effective Urolithiasis Detection.International neurourology journal · 2023Article
- Development and Evaluation of Urolithiasis Detection Technology Based on a Multimethod Algorithm.International neurourology journal · 2023Article
- New Trends in Innovative Technologies Applying Artificial Intelligence to Urinary Diseases.International neurourology journal · 2022Article
- A Study on the Optimal Artificial Intelligence Model for Determination of Urolithiasis.International neurourology journal · 2022Article
- Laser enucleation of the prostate in men with very large glands ≥175 ml: A systematic review.Annals of medicine and surgery (2012) · 2022Review
- Development of an Artificial Intelligence-Based Support Technology for Urethral and Ureteral Stricture Surgery.International neurourology journal · 2022Article
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Authors and funding
5 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeWe compared success rates of 3 surgical techniques (holmium laser enucleation of the prostate [HoLEP], transurethral resection of the prostate [TURP], and photoselective laser vaporization prostatectomy [PVP]) for treatment of benign prostatic obstruction (BPO). We aimed to identify preoperative clinical variables and urodynamic parameters that predict surgical success.
methodsA total of 483 patients who underwent surgical treatment for BPO at Samsung Medical Center between 2006 and 2017 were retrospectively analyzed; of these 361, 81, and 41 patients underwent HoLEP, TURP, and PVP, respectively. Prostate-specific antigen, prostate volume, urodynamic parameters, and International Prostate Symptom Score (IPSS)/quality of life (QoL) index were evaluated preoperatively; uroflowmetry, postvoid residual urine, and IPSS/QoL index were measured 6 months postoperatively. Surgical success was defined based on IPSS, maximum flow rate, and QoL index and predictive factors were identified using multiple logistic regression analyses.
resultsSuccess rates of HoLEP, TURP, and PVP were 67.6%, 65.4%, and 34.1%, respectively, and the HoLEP and TURP groups were not significantly different. Regression analysis revealed prostate volume ≥50 mL and bladder outlet obstruction index (BOOI) ≥40 to be independent factors predicting HoLEP success. Only high preoperative QoL could predict the success of TURP, whereas other urodynamic parameters remained unrelated.
conclusionPatients treated with HoLEP and TURP displayed equivalent efficacies, but PVP was relatively less efficient than both. Preoperative variables of prostate volume ≥50 mL and BOOI ≥40 were independent predictive factors for the success of HoLEP but not of TURP.
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