Evidence map›Paper›PMID 40407947›Full record

Trial reportWorld journal of urology2025

Laser vs. bipolar prostate vaporization in bleeding-prone patients: a randomized trial and cutting-edge analysis.

Ahmed A Shorbagy, Mohammed Ismail, Youssef M Kotb, Mohamed Desouki, Mohamed Shabayek, Peter Hanna

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Article
  2. 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

6 authors.

Ahmed A ShorbagyDepartment of Urology, Ain Shams University, Cairo, Egypt.
Mohammed IsmailDepartment of Urology, Ain Shams University, Cairo, Egypt.
Youssef M KotbDepartment of Urology, Ain Shams University, Cairo, Egypt.
Mohamed DesoukiDepartment of Urology, Ain Shams University, Cairo, Egypt.
Mohamed ShabayekDepartment of Urology, Ain Shams University, Cairo, Egypt.
Peter HannaDepartment of Urology, Aswan University, Aswan, Egypt. dr.peter444@gmail.com.ORCID http://orcid.org/0000-0002-4331-3715

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare effectiveness and safety of transurethral diode laser vaporization of prostate (diode LVP) versus bipolar transurethral vaporization of prostate (B-TUVP) in symptomatic benign prostatic hyperplasia (BPH) patients receiving oral anticoagulants/anti-platelet drugs. PATIENTS AND

methodsAll symptomatic prostate patients receiving oral anticoagulants/anti-platelet drugs are prospectively enrolled in the study between January 2023 to May 2024 in our institution. Of total 98 patients were randomized to B-TUVP (48 patients) or diode LVP (50 patients). The primary outcome is to compare B-TUVP with diode LVP regarding operative bleeding and postoperative hemoglobin drop. Secondary outcomes assess time of urinary irrigation, time of urethral catheter removal, length of hospital stays, and 6-month postoperative functional outcomes; IPSS, postoperative flow rate, and postvoid residual urine.

resultsBaseline characteristics were similar in both groups. Diode LVP group had a significantly higher postoperative hemoglobin with a lower drop compared to B-TUVP group (p = 0.032, p = 0.007; respectively). The diode LVP group had a significantly reduced urinary irrigation duration compared to the B-TUVP group (p = 0.031). Also, diode LVP patients had early catheter removal compared to those in the B-TUVP group (p = 0.014). Additionally, the diode group had a notably reduced hospital stay duration compared to the B-TUVP group (p = 0.024). There were no significant differences between both groups regarding 6-month postoperative IPSS, Q max and PVRU.

conclusionDiode LVP of the prostate is a safer alternative for treating BPH with fewer risks compared to B-TUVP especially in patients receiving anticoagulants. Nonetheless, both treatments yield similar 6-months functional outcomes.

Indexed as

Blood Loss, SurgicalLasers, SemiconductorLaser TherapyProstatic HyperplasiaTransurethral Resection of ProstateAgedHumansMaleMiddle AgedProspective StudiesTreatment OutcomeAnticoagulantBipolar electro vaporizationBleeding tendencyDiode laser

Identifiers

PMID40407947
PMCPMC12102097

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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.