Evidence map›Paper›PMID 38564078›Full record

ArticleInternational urology and nephrology2024

Surgical outcomes of endoscopic enucleation of the prostate in community aging males with or without preoperative urinary retention.

Tung-Shiun Hsu, Shu-Chuan Weng, Yu-Hsiang Lin, Chien-Lun Chen, Shu-Han Tsao, Han-Yu Tsai, Horng-Heng Juang, Phei-Lang Chang, Chen-Pang Hou

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Article in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.1field-weighted citation impact, top 15% 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, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Tung-Shiun HsuDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan.
Shu-Chuan WengDepartment of Health and Management, Yuanpei University of Medical Technology, Hsinchu, 330, Taiwan.
Yu-Hsiang LinDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan.
Chien-Lun ChenDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan.
Shu-Han TsaoDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan.
Han-Yu TsaiDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan.
Horng-Heng JuangSchool of Medicine, Chang Gung University, Taoyuan, 333, Taiwan.
Phei-Lang ChangDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan.
Chen-Pang HouDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan. glucose1979@gmail.com.ORCID http://orcid.org/0009-0006-8532-6086
Chang Gung Memorial Hospital · TWChang Gung University · TWChang Gung University of Science and Technology · TWYuanpei University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to investigate the surgical outcomes of endoscopic enucleation of the prostate in older males with or without preoperative urinary retention (UR). MATERIAL AND

methodsWe conducted a study on selected patients with symptomatic benign prostatic hyperplasia (BPH) who underwent either thulium:YAG laser (vela XL) prostate enucleation (ThuLEP) or bipolar plasma enucleation of the prostate (B-TUEP) at the geriatric urology department of our institution. The studied patients were categorized into two groups, namely the UR group and the non-UR group, on the basis of whether they experienced UR in the 1 month preceding their surgery. Their clinical outcomes following prostate endoscopic surgery were evaluated and analyzed.

resultsOur results revealed comparable outcomes for operation time, length of hospital stay, percentage of tissue removed, re-catheterization rate, and urinary tract infection rate within the 1 month between the B-TUEP and ThuLEP surgery groups, regardless of UR history. However, the non-UR B-TUEP group experienced more blood loss relative to the non-UR ThuLEP group (P = .004). Notably, patients with UR exhibited significantly greater changes in IPSS total, IPSS voiding, and prostate-specific antigen values relative to those without UR.

conclusionsBoth ThuLEP and B-TUEP were effective in treating BPH-related bladder outlet obstruction. Our study identified more pronounced changes in IPSS total, IPSS voiding, and prostate-specific antigens within the UR group. Moreover, the rate of postoperative UR in this group was not higher than that observed in the non-UR group. Our study also revealed that the presumed benefits of laser surgery in reducing blood loss were less pronounced for patients with UR.

Indexed as

EndoscopyProstatic HyperplasiaUrinary RetentionAgedAged, 80 and overBlood Loss, SurgicalHumansLasers, Solid-StateLaser TherapyLength of StayMaleMiddle AgedOperative TimeProstatectomyProstate-Specific AntigenRetrospective StudiesProstate-Specific AntigenBenign prostate hyperplasiaEnucleationProstateThulium laserTURPUrinary retention

Identifiers

PMID38564078
PMCPMC11266197
OpenAlexW4393523566

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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.