Evidence map›Paper›PMID 41053206›Full record

ArticleScientific reports2025

Clinical comparison of TURP, PVP and holep for small volume BPH.

Xuanhan Hu, Jia Miao, Kaihong Xie, Yunkai Yang, Yifan Wang, Xinyu Zhang, Lin Qian, Dahong Zhang, Haibin Wei

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Xuanhan Hu *The Second School of Clinical Medicine , Zhejiang Chinese Medical University , Hangzhou, China.
Jia Miao *The Second School of Clinical Medicine , Zhejiang Chinese Medical University , Hangzhou, China.
Kaihong XieStomatology Hospital, School of Stomatology, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Zhejiang University School of Medicine, Cancer Center of Zhejiang University, Hangzhou, China.
Yunkai YangUrology & Nephrology Center Department of Urology , Zhejiang Provincial People's Hospital (Affiliated People's Hospital Hangzhou Medical College) , Hangzhou, China.
Yifan WangUrology & Nephrology Center Department of Urology , Zhejiang Provincial People's Hospital (Affiliated People's Hospital Hangzhou Medical College) , Hangzhou, China.
Xinyu ZhangUrology & Nephrology Center Department of Urology , Zhejiang Provincial People's Hospital (Affiliated People's Hospital Hangzhou Medical College) , Hangzhou, China.
Lin QianUrology & Nephrology Center Department of Urology , Zhejiang Provincial People's Hospital (Affiliated People's Hospital Hangzhou Medical College) , Hangzhou, China.
Dahong ZhangUrology & Nephrology Center Department of Urology , Zhejiang Provincial People's Hospital (Affiliated People's Hospital Hangzhou Medical College) , Hangzhou, China. zhangdahong88@yeah.net.
Haibin WeiUrology & Nephrology Center Department of Urology , Zhejiang Provincial People's Hospital (Affiliated People's Hospital Hangzhou Medical College) , Hangzhou, China. whb-sysu@163.com.

Funding

Medical Scientific Research Foundation of Zhejiang Province, China 2021KY449Zhejiang Medical Association 2022ZYC-A01
6 · The paper itself

Abstract

This retrospective study compares the efficacy and safety of transurethral resection of the prostate (TURP), green-light photoselective vaporization of the prostate (PVP), and holmium laser enucleation of the prostate (HoLEP) in treating small-volume benign prostatic hyperplasia (BPH). Data from 645 patients with small-volume BPH (2012-2022, Zhejiang Provincial People's Hospital) were analyzed. Baseline characteristics, surgical details, complications, and follow-up outcomes were compared. Logistic regression identified risk factors for urinary incontinence (UI) and bladder neck contracture (BNC). TURP was associated with a longer operative duration (53.15 ± 21.96 min) and catheterization time (5.29 ± 1.31 days) compared to PVP (48.53 ± 22.38 min, 4.84 ± 1.05 days) and HoLEP (45.00 ± 19.04 min, 4.79 ± 0.96 days). The incidence of BNC was significantly higher in the TURP group (9.4%) than in the PVP (4.8%) and HoLEP (5.7%) groups. Within 1 month postoperatively, the TURP group had a significantly higher proportion of patients with urinary incontinence. Between 1 and 3 months post-surgery, only UI with need for drug use (UIWD) remained significantly higher in the TURP group (8.2%). Preoperative indwelling catheterization, detrusor underactivity, severely elevated detrusor pressure, and undergoing TURP were identified as independent risk factors for UI. Green-light PVP was found to be a protective factor against BNC (OR = 0.40, P = 0.043). Green-light PVP and HoLEP showed similar efficacy and safety, with PVP offering the shortest operative time. TURP was associated with higher rates of BNC and UI. Laser techniques are preferable for high-risk patients.

Indexed as

Lasers, Solid-StateLaser TherapyProstatic HyperplasiaTransurethral Resection of ProstateAgedAged, 80 and overHumansMaleMiddle AgedOperative TimePostoperative ComplicationsProstateRetrospective StudiesRisk FactorsTreatment OutcomeUrinary IncontinenceGreen-light photoselective vaporization of the prostateHolmium laser enucleation of the prostateSmall-volume benign prostatic hyperplasiaTransurethral resection of the prostate

Identifiers

PMID41053206
PMCPMC12500945

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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.