Evidence map›Paper›PMID 35937664›Full record

ReviewCentral European journal of urology2022

Does power setting impact surgical outcomes of holmium laser enucleation of the prostate? A systematic review and meta-analysis.

Giacomo Maria Pirola, Daniele Castellani, Martina Maggi, Ee Jean Lim, Vinson Wai Shun Chan, Angelo Naselli, Jeremy Yuen Chun Teoh, Vineet Gauhar

Abstract readReview
In one paragraph

Review in Central European journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Increased oscillation rate may improve morcellation efficiency in HoLEP.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Article
  5. Article
  6. Article
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

8 authors.

Giacomo Maria PirolaDepartment of Urology, San Giuseppe Hospital, Multimedica Group, Milano, Italy.
Daniele CastellaniDepartment of Urology, University Hospital 'Ospedali Riuniti' and Polytechnic University of Marche Region, Ancona, Italy.
Martina MaggiDepartment of Urology, 'Sapienza' Rome University, Policlinico Umberto I Hospital, Rome, Italy.
Ee Jean LimDepartment of Urology, Singapore General Hospital, Singapore.
Vinson Wai Shun ChanSchool of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom.
Angelo NaselliMultiMedica, IRCCS, Milan, Italy.
Jeremy Yuen Chun TeohDepartment of Surgery, S.H. Ho Urology Center, The Chinese University of Hong Kong, Hong Kong, China.
Vineet GauharDepartment of Urology, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The aim of this article was to enumerate the differences in immediate and postoperative outcomes for holmium laser enucleation of the prostate (HoLEP) performed with low-power (LP) or high-power (HP) laser settings through a systematic review of comparative studies. Material and methods: We performed a systematic literature review using MEDLINE, EMBASE, and Cochrane Central Controlled Register of Trials. Potential clinical differences among LP and HP HoLEP were determined using the PICOS (Patient Intervention Comparison Outcome Study type) model, where outcomes were surgical time, operative efficiency, postoperative catheterization time, length of hospital stay, blood transfusion, incontinence rate, maximum urinary flow rate (QMax) and International Prostatic Symptom score (IPSS). Retrospective, prospective nonrandomized, randomized studies, and meeting abstracts were considered. Results: A total of five studies were included for meta-analysis. No significant differences between LP and HP HoLEP were evidenced in terms of intraoperative variables (surgical time, surgical efficiency); postoperative outcomes (length of stay, length of catheterization); postoperative complications; functional results (IPSS; Qmax). Urinary incontinence rate did not differ between the two groups (OR 0.95, 95% CI 0.362.47, p = 0.91). Conclusions: The study shows equal outcomes in outcomes from HoLEP performed with LP or HP energy settings. Even if further comparative studies are still needed to increase the level of evidence, those results encourage a further clinical adoption of LP HoLEP.

Indexed as

benign prostatic hyperplasiahigh-power laserholmium laserlow-power laser

Identifiers

PMID35937664
PMCPMC9326704

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.