Evidence map›Paper›PMID 38744699›Full record

ArticleAbdominal radiology (New York)2024

Peripheral zone thickness in preoperative MRI is predictive of Trifecta achievement after Holmium laser enucleation of the prostate (HoLEP).

Jae Hyon Park, Jongjin Yoon, Insun Park, Jun Gu Kang, Jongsoo Lee, Jang Hwan Kim, Dae Chul Jung, Byung-Chul Kang, Young Taik Oh

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Article in Abdominal radiology (New York), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jae Hyon Park *Department of Radiology, Armed Forces Daejeon Hospital, Daejeon, Korea.ORCID 0000-0002-7626-194X
Jongjin Yoon *Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0003-4733-7658
Insun ParkDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.ORCID 0000-0002-6413-752X
Jun Gu KangDepartment of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0003-1282-5889
Jongsoo LeeDepartment of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0002-9984-1138
Jang Hwan KimDepartment of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0002-9056-7072
Dae Chul JungDepartment of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0001-5769-5083
Byung-Chul KangDepartment of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-5536-7796
Young Taik OhDepartment of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. oytaik@yuhs.ac.ORCID 0000-0002-4438-8890

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate various anatomical features of the prostate using preoperative MRI and patients' clinical factors to identify predictors of successful Holmium:YAG laser enucleation of the prostate (HoLEP).

methods71 patients who had received HoLEP and undergone a 3.0-T prostate MRI scan within 6 months before surgery were retrospectively enrolled. MRI features (e.g., total prostate and transitional zone volume, peripheral zone thickness [PZT], BPH patterns, prostatic urethral angle, intravesical prostatic protrusion, etc.) and clinical data (e.g., age, body mass index, surgical technique, etc.) were analyzed using univariable and multivariable logistic regression to identify predictors of successful HoLEP. Successful HoLEP was defined as achieving the Trifecta, characterized by the contemporary absence of postoperative complications within 3 months, a 3-month postoperative maximum flow rate (Qmax) > 15 mL/s, and no urinary incontinence at 3 months postoperatively.

resultsTrifecta achievement at 3 months post-surgery was observed in 37 (52%) patients. Patients with Trifecta achievement exhibited a lower preoperative IPSS-quality of life score (QoL) (4.1 vs. 4.5, P = 0.016) and a thinner preoperative peripheral zone thickness (PZT) on MRI (7.9 vs.10.3 mm, P < 0.001). In the multivariable regression analysis, a preoperative IPSS-QoL score < 5 (OR 3.98; 95% CI, 1.21-13.07; P = 0.017) and PZT < 9 mm (OR 11.51; 95% CI, 3.51-37.74; P < 0.001) were significant predictors of Trifecta achievement after HoLEP.

conclusionsAlongside the preoperative QoL score, PZT measurement in prostate MRI can serve as an objective predictor of successful HoLEP. Our results underscore an additional utility of prostate MRI beyond its role in excluding concurrent prostate cancer.

Indexed as

Lasers, Solid-StateMagnetic Resonance ImagingProstatic HyperplasiaAgedHumansLaser TherapyMaleMiddle AgedPostoperative ComplicationsPredictive Value of TestsPreoperative CareProstateProstatectomyRetrospective StudiesTreatment OutcomeMinimally invasive surgical proceduresProstatic hyperplasia

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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.