Evidence map›Paper›PMID 36991392›Full record

ArticleBMC urology2023

Comparison of the short-term efficacy and safety of bipolar transurethral electro vaporization and holmium laser enucleation of the prostate for moderate and large benign prostatic enlargement.

Yutaro Hayashi, Shuko Yoneyama, Akitoshi Takizawa, Kazuki Kobayashi, Hiroki Ito

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Review
  3. 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

5 authors at 1 institution in 1 country.

Yutaro HayashiDepartment of Urology, Yokosuka Kyosai Hospital, 1-16, Yonegahama douri, Yokosuka, Kanagawa, Japan.
Shuko YoneyamaDepartment of Urology, Kokusai Shinzen Sougou Hospital, 1-28-1, Nishigaoka, Izumi-ku, Yokohama, Kanagawa, Japan.
Akitoshi TakizawaDepartment of Urology, Kokusai Shinzen Sougou Hospital, 1-28-1, Nishigaoka, Izumi-ku, Yokohama, Kanagawa, Japan.
Kazuki KobayashiDepartment of Urology, Yokosuka Kyosai Hospital, 1-16, Yonegahama douri, Yokosuka, Kanagawa, Japan.
Hiroki ItoDepartment of Urology, Yokosuka Kyosai Hospital, 1-16, Yonegahama douri, Yokosuka, Kanagawa, Japan. hiroki22@yokohama-cu.ac.jp.ORCID http://orcid.org/0000-0002-4433-370X
Yokosuka Kyosai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare the efficacy and safety of bipolar transurethral vaporization of the prostate (B-TUVP) with holmium laser enucleation of the prostate (HoLEP) for moderate [prostate volume (PV) 30-80 ml] and large (≥ 80 ml) benign prostatic enlargement (BPE). MATERIALS AND

methodsMale patients with lower urinary tract symptom (LUTS) or urinary retention who underwent B-TUVP or HoLEP treatment in two regional centers were respectively enrolled. Patient characteristics and treatment outcomes were retrospectively compared between B-TUVP and HoLEP.

resultsIn patients with moderate and large prostate volume,B-TUVP showed shorter operative time (P < 0.001) and less hemoglobin decrease (P < 0.001) than in HoLEP. In uncatheterised patients, voiding symptoms and patients' quality of life improved after B-TUVP and HoLEP, but these improvement rates were consistently bigger in HoLEP than in B-TUVP. In catheterised patients, the rate of achieving catheter-free status after surgery was higher in HoLEP than in B-TUVP for patients with PV > 80 ml.(P < 0.001) The incidence of postoperative fever was higher in B-TUVP than in HoLEP for patients with PV 30-80 ml (P < 0.001) but not for those with PV > 80 ml.(P=0.08) The Incidence of postoperative stress incontinence(SUI) was higher in HoLEP than in B-TUVP for patients with moderate and large prostate volume.

conclusionsThere are few studies that investigated the short-term efficacy and safety of second-generation B-TUVP in comparison with HoLEP for moderate and large BPE. Improvement in LUTS and achievement of catheter-free status were predominant in HoLEP, and these outcomes were more prominent in patients with large BPE of PV > 80 ml. However, B-TUVP resulted in less blood loss, shorter operative duration, and less SUI suggesting that B-TUVP is also well-tolerated surgical modality.

Indexed as

Lasers, Solid-StateLaser TherapyLower Urinary Tract SymptomsProstatic HyperplasiaTransurethral Resection of ProstateHumansMaleProstateQuality of LifeRetrospective StudiesTreatment OutcomeVolatilizationBenign prostatic enlargement (BPE)BipolarLaser enucleationLower urinary tract symptoms (LUTS)Vaporization

Identifiers

PMID36991392
PMCPMC10061965
OpenAlexW4361286074

What OpenQuestion holds

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Registered trials

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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.