Evidence map›Paper›PMID 40745590›Full record

ArticleBMC urology2025

Long-term follow-up of "three horse shoe-like incision (3-HSI) holmium laser enucleation of the prostate: outcomes and efficacy of a novel en-bloc technique for anatomic transurethral prostatectomy".

Maximilian Glienke, M F von Bargen, A Özkan, D Sirtl, C Gratzke, A Miernik, D Schoeb

Abstract readComparative Study
In one paragraph

Article in BMC urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Maximilian GlienkeDepartment of Urology, Faculty of Medicine, Medical Centre, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany. Maximilian.glienke@uniklinik-freiburg.de.
M F von BargenDepartment of Urology, Faculty of Medicine, Medical Centre, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
A ÖzkanDepartment of Urology, Faculty of Medicine, Medical Centre, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
D SirtlDepartment of Urology, Faculty of Medicine, Medical Centre, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
C GratzkeDepartment of Urology, Faculty of Medicine, Medical Centre, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
A MiernikDepartment of Urology, Faculty of Medicine, Medical Centre, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
D SchoebDepartment of Urology, Faculty of Medicine, Medical Centre, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to evaluate the long-term outcomes of the novel "three horseshoe-like incision" (3-HSI) technique for holmium laser enucleation of the prostate (HoLEP) compared to the traditional three-lobe HoLEP method in treating benign prostatic hyperplasia (BPH).

methodsA comparative study was conducted of 54 patients undergoing the 3-HSI technique and 27 patients treated with the three-lobe technique from November 2016 to June 2018. All surgeries were performed by a single experienced surgeon. Data were collected preoperatively, perioperatively, and during follow-up. Statistical analyses were conducted using the Wilcoxon rank-sum test and Fisher's exact test, with significance set at p < 0.05.

resultsPreoperative parameters showed no significant differences between groups, except for a higher symptom burden and medication use in the 3-HSI group. The 3-HSI technique revealed a significantly shorter perioperative operative duration (44.9 ± 43 vs. 60.1 ± 34 min, p = 0.01). Hospital stay, catheterization period, and resected tissue weight were similar. Follow-up data revealed similar functional outcomes and patient satisfaction between groups, with no significant differences in complication rates.

conclusionThe 3-HSI HoLEP technique demonstrates similar safety and efficacy to the traditional method, with the added benefit of shorter operative time. These findings support the 3-HSI technique as a viable and potentially superior option for BPH surgical intervention.

trial registrationThis trial has been registered in the German Clinical Trials Register DRKS-ID: FRKS005540.

Indexed as

Lasers, Solid-StateLaser TherapyProstatic HyperplasiaTransurethral Resection of ProstateAgedFollow-Up StudiesHumansMaleMiddle AgedTime FactorsTreatment OutcomeBenign prostatic obstruction, BPOLaser therapy/MethodsLower urinary tract symptoms, LUTSProstatic hyperplasia/Surgery

Identifiers

PMID40745590
PMCPMC12312310

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.