Evidence map›Paper›PMID 39514127›Full record

ArticleWorld journal of urology2024

Current era HOLEP with MOSES 2.0 technology compared to the gold standard TURP.

Jamie Michael, Perry Xu, Nick Dean, Meera Ganesh, Kyle Tsai, Nabila Khondakar, Aidan Raikar, Amy Krambeck

Erratum issuedAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Jamie MichaelDepartment of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA. jamie.michael@nm.org.ORCID http://orcid.org/0000-0002-6214-1568
Perry XuDepartment of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.
Nick DeanDepartment of Urology, University of Alberta, Edmonton, AB, Canada.
Meera GaneshFeinberg School of Medicine, Northwestern University, 420 E Superior Street, Chicago, IL, 60611, USA.
Kyle TsaiDepartment of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.
Nabila KhondakarDepartment of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.
Aidan RaikarFeinberg School of Medicine, Northwestern University, 420 E Superior Street, Chicago, IL, 60611, USA.
Amy KrambeckDepartment of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBipolar TURP is regarded as the gold standard for treatment of BPH. Historically, when compared to HOLEP, bTURP has been found to have shorter operative times and is considered more efficient. We sought to compare the efficiency, efficacy, and safety of current era HOLEP with MOSES 2.0 technology (MOLEP) and bTURP.

methodsWe performed a retrospective review of patients who underwent bTURP or MOLEP at our institution between 2018 and 2023. Preoperative, intraoperative, and postoperative characteristics were collected for analysis. Analysis was done with SPSS software with significance defined as p < 0.05.

resultsWe identified 195 bTURPs and 918 MOLEPs performed at our institution. Men undergoing MOLEP had significantly higher pre-op prostate volume and resected weight (61 ml v 123 ml and 15 g v 70 g, p < 0.001, respectively) when compared to bTURP patients. MOLEP was completed in significantly less OR and procedure time compared to bTURP (66 min vs. 73 min, p < 0.001; 90 min vs. 111 min, p = 0.026, respectively). These results remained significant when controlling for age and prostate volume. At a mean follow up of 3.7 months, HOLEP patients were significantly more likely to be medication (0 vs. 35.84% p < 0.001) and catheter free post-operatively (0.95% vs. 5.68%, p < 0.001) compared to bTURP.

conclusionIn our contemporary cohort, MOLEP is faster and more efficient than bTURP. These findings remained significant despite being performed on larger prostates and in patients more likely to be anticoagulated. Furthermore, MOLEP patients are more likely to remain catheter and medication free at follow-up when compared to bTURP.

Indexed as

Prostatic HyperplasiaTransurethral Resection of ProstateAgedHumansMaleMiddle AgedProstatectomyRetrospective StudiesTreatment OutcomeBPHHOLEPProstateTURP

Identifiers

What OpenQuestion holds

Textmetadata
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.