Evidence map›Paper›PMID 40990260›Full record

ArticleNeurourology and urodynamics2026

Is It Necessary to Remove the Maximum Prostate Tissue in All Patients? the Percentage of Resected Prostate Tissue and the Influence on Surgery Outcomes: A One-Year Follow Up Study.

Bruno Rodrigues Lebani, André Barcelos da Silva, Luciano Teixeira Silva, Marcia Eli Girotti, Eduardo Remaile Pinto, Milton Skaff, Fernando Gonçalves Almeida

Abstract read
In one paragraph

Article in Neurourology and urodynamics, 2026. 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

7 authors.

Bruno Rodrigues LebaniDepartment of Surgery, Division of Urology, Voiding Dysfunction Section, Federal University of São Paulo, São Paulo, Brazil.
André Barcelos da SilvaDepartment of Surgery, Division of Urology, Voiding Dysfunction Section, Federal University of São Paulo, São Paulo, Brazil.
Luciano Teixeira SilvaDepartment of Surgery, Division of Urology, Voiding Dysfunction Section, Federal University of São Paulo, São Paulo, Brazil.
Marcia Eli GirottiDepartment of Surgery, Division of Urology, Voiding Dysfunction Section, Federal University of São Paulo, São Paulo, Brazil.
Eduardo Remaile PintoDepartment of Surgery, Division of Urology, Voiding Dysfunction Section, Federal University of São Paulo, São Paulo, Brazil.
Milton SkaffDepartment of Surgery, Division of Urology, Voiding Dysfunction Section, Federal University of São Paulo, São Paulo, Brazil.
Fernando Gonçalves AlmeidaDepartment of Surgery, Division of Urology, Voiding Dysfunction Section, Federal University of São Paulo, São Paulo, Brazil.

Funding

The study developed includes only patients treated inside the Brazilian public health system. There were not any additional costs involved.
6 · The paper itself

Abstract

introductionTo investigate whether the volume of the prostate tissue resected on TURP influences on short and medium term follow up.

methodsIt was developed a prospective study between May 2020 and August 2022, embracing patients with severe LUTS due to BPO, including clinical and urodynamic parameters meeting obstruction criteria (BOOI > 40), and good detrusor function (BCI > 100). Patients were assessed at 1, 6 and 12 months follow up. The primary endpoint was to compare whether the amount of resected tissue after TURP influences uroflowmetry at 12 months follow up (Qmax, ml/sec). The secondary endpoint was to compare different percentages of resected tissue (RPT) and its relation to the outcomes.

resultsNinety-six patients with mean age of 70,4 ± 7.96 years. At baseline, prostate volume was 78.5 ± 51.8 cc³, Qmax was 6.03 ± 3.09 ml/sec and post void residual (PVR) was 113 ± 132 ml, IPSS of 24.9 ± 6.75. All of them were urodinamically obstructed (BOOI 86.7 ± 35.6) and good detrusor function (BCI 130 ± 28.6). The general RPT was 45.5 ± 27.7%. The higher the RTP, the lower the PSA at 1 month follow up (p < 0.001, R = 0.521). Nevertheless, it was not found correlation between the RTP and Qmax, IPSS or PVR.

conclusionTURP improves clinical and urodynamic parameters at 1 year follow up, independent of the amount of resected prostate tissue, in patients with bladder outlet obstruction and good detrusor function, since the surgery is effective.

Indexed as

Lower Urinary Tract SymptomsProstateProstatic HyperplasiaTransurethral Resection of ProstateUrinary Bladder Neck ObstructionAgedFollow-Up StudiesHumansMaleMiddle AgedOrgan SizeProspective StudiesTime FactorsTreatment OutcomeUrodynamicsbladder contractility indexbladder outlet obstructioneffectivenessunderactive bladderurodynamics assessment

Identifiers

PMID40990260
PMCPMC12748016

What OpenQuestion holds

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LicenceCC BY
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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.