Evidence map›Paper›PMID 40548982›Full record

SynthesisWorld journal of urology2025

Outcomes and safety of trans perineal laser ablation of the prostate: a systematic review.

Vincenzo Maria Altieri, Francesco Di Bello, Pietro Saldutto, Roberto La Rocca, Marco Lucio Romani, Walter Vena, Ernesto di Mauro, Vittore Verratti, Giuseppe Sangiorgi, Fabrizio Iacono and 4 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 3 papers.

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

3 citing papers in PubMed.

  1. Review
  2. Article
  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

14 authors.

Vincenzo Maria AltieriChair of Urology, Department of Medicine and Health Sciences "V. Tiberio", University of Molise, Via Sergio Pansini 5, 80131, Campobasso, Italy.
Francesco Di BelloDepartment of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80131, Naples, Italy. fran.dibello12@gmail.com.
Pietro SalduttoDepartment of Urology, Humanitas Gavazzeni, Bergamo, Italy.
Roberto La RoccaDepartment of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80131, Naples, Italy.
Marco Lucio RomaniDepartment of Urology, Humanitas Gavazzeni, Bergamo, Italy.
Walter VenaDepartment of Biomedical Sciences, Humanitas University, Rozzano, Milan, Italy.
Ernesto di MauroDepartment of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80131, Naples, Italy.
Vittore VerrattiDepartment of Psychological, Health and Territorial Sciences, University "G. Annunzio", Chieti-Pescara, Chieti, Italy.
Giuseppe SangiorgiDepartment of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy.
Fabrizio IaconoDepartment of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80131, Naples, Italy.
Gabriele PezoneDepartment of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80131, Naples, Italy.
Massimiliano CretaDepartment of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80131, Naples, Italy.
Luigi NapolitanoDepartment of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", 80131, Naples, Italy.
Gianluigi PatelliRadiology Department, Casa di Cura San Francesco-Istituto Madre Rubatto, Bergamo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveProstate trans-perineal laser ablation (TPLA) is a minimally invasive treatment for benign prostatic hyperplasia (BPH) that is gaining importance as an alternative to the standard of care, namely transurethral resection of the prostate (TURP). To evaluate the functional outcomes and rates of complication in BPH patients with LUTS who underwent TPLA. MATERIALS AND

methodsWe performed a scoping systematic review (PROSPERO id CRD42024612152) on PubMed/Medline, Embase, and the Cochrane Library in June 2025 according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) statement. Identified reports were reviewed according to the methodological index for non-randomized studies (MINORS).

resultsOverall, 17 studies (13 prospective and four retrospective studies) involving 717 patients were analyzed. However, study heterogeneity and limited long-term data hinder a comprehensive and unbiased comparison with TURP. Prostate TPLA was associated with improvements at 12-month in LUTS (Δ of IPPS and QoL ranged from 40.7 to 72.7% and from 50 to 75%, respectively) as well as patient satisfaction, and uroflowmetry measures (Δ of Qmax and Post-voidal residuum ranged from 42.8 to 127.7% and from 28.4 to 86.4%). Moreover, ejaculatory functioning was preserved. Prostate TPLA-related complication rates were low, with most adverse effects classified as Clavien-Dindo grade II.

conclusionsRetrospective evidence widely suggests that prostate TPLA is a suitable option for BPH treatment. Future research, especially randomized controlled trials, are needed to confirm prostate TPLA efficacy over a period longer than the standard 12-month follow-up and assess its cost-effectiveness relative to TURP.

Indexed as

Laser TherapyLower Urinary Tract SymptomsProstatic HyperplasiaHumansMalePerineumTreatment OutcomeLaserLUTSMinimally invasiveProstate

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.