Evidence map›Paper›PMID 36040501›Full record

ArticleWorld journal of urology2022

Functional and surgical outcomes of Aquablation in elderly men.

Brendan L Raizenne, David Bouhadana, Kevin C Zorn, Neil Barber, Peter Gilling, Steven Kaplan, Gopal Badlani, Bilal Chughtai, Dean Elterman, Naeem Bhojani

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 7% 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.

NCT02505919 nacompletednot on this map

A Prospective Multicenter Randomized Blinded Study Comparing Aquablation of the Prostate With the AQUABEAM System and TURP for the Treatment of LUTS

TypeinterventionalSponsorPROCEPT BioRoboticsRan2015 to 2021Enrolled184ConditionsBenign Prostatic Hyperplasia (BPH)ArmsAQUABEAM System, Transurethral Resection of the Prostate (TURP)
NCT03123250 nacompletednot on this map

Waterjet Ablation Therapy for Endoscopic Resection of Prostate Tissue II

TypeinterventionalSponsorPROCEPT BioRoboticsRan2017 to 2022Enrolled101ConditionsBenign Prostatic Hyperplasia (BPH)ArmsAquablation
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Safety and clinical outcomes of GreenLight laser prostatectomy in octogenarians.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    Article
  9. Article
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 4 countries.

Brendan L RaizenneDivision of Urology, Centre Hospitalier de l'Université de Montréal, 900 St. Denis, Montréal, QC, H2X 0A9, Canada. brendanraizenne@gmail.com.ORCID http://orcid.org/0000-0002-1710-8224
David BouhadanaFaculty of Medicine, Mcgill University, Montréal, QC, Canada.
Kevin C ZornDivision of Urology, Centre Hospitalier de l'Université de Montréal, 900 St. Denis, Montréal, QC, H2X 0A9, Canada.
Neil BarberDepartment of Urology, Frimley Park Hospital, Frimley, UK.
Peter GillingDepartment of Urology, Bay of Plenty District Health Board Clinical School, Tauranga, New Zealand.
Steven KaplanDepartment of Urology, Mount Sinai Hospital, New York, NY, USA.
Gopal BadlaniDepartment of Urology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Bilal ChughtaiDepartment of Urology, Weill Cornell Medical College/New York Presbyterian, New York, NY, USA.
Dean EltermanDivision of Urology, University Health Network, University of Toronto, Toronto, ON, Canada.
Naeem BhojaniDivision of Urology, Centre Hospitalier de l'Université de Montréal, 900 St. Denis, Montréal, QC, H2X 0A9, Canada.
Centre Hospitalier de l’Université de Montréal · CACornell University · USFrimley Park Hospital · GBMcGill University · CAMount Sinai Hospital · USUniversity Health Network · CAUrology Bay of Plenty · NZWake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAs benign prostatic hyperplasia (BPH) is an age-related process, growing interest in surgical management for elderly men has emerged. Recently, Aquablation was approved for treatment of BPH associated lower urinary tract symptoms (LUTS) and utilizes robotic ultrasound guided surgeon-controlled waterjet ablation. We assessed the differences in functional and surgical outcomes between elderly and young men undergoing Aquablation for BPH/LUTS. MATERIALS AND

methodsWe retrospectively assessed prospectively collected data from the WATER I (NCT02505919) and WATER II (NCT03123250) clinical trials reporting safety and efficacy of Aquablation in the treatment of LUTS/BPH in men 45-80 years with a prostate between 30 and 80 cc, and 80 cc and 150 cc, respectively. Men ≥ 65 years were defined as elderly and men < 65 years as young.

resultsOf 217 patients included, 83 (38.2%) were young and 134 (61.8%) were elderly. Mean age (SD) was 59.3 (± 3.4) years and 71.2 (± 4.2) years for young and elderly men, respectively. At 3 years of follow-up compared to baseline, elderly men showed similar reductions in total IPSS (7.68 points vs 7.12 points, p > 0.05) and similar increases in Qmax (20.6 mL/s vs 19.3 mL/s, p > 0.05) compared to young men. The ejaculatory dysfunction rate was similar for both cohorts (12.0% vs 9.7%, p > 0.05). Elderly men experienced similar annual retreatment rates compared to young men (1.5% vs 0.8% p > 0.05).

conclusionsElderly men undergoing Aquablation have similar functional and surgical outcomes as young men. Elderly patient BPH surgical counseling should, therefore, consider Aquablation as a treatment option for LUTS/BPH.

Indexed as

Ablation TechniquesLower Urinary Tract SymptomsProstatic HyperplasiaAgedHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeWaterWaterAquablationBPHElderlyRobotics

Identifiers

PMID36040501
OpenAlexW4293553773

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.