Evidence map›Paper›PMID 41647485›Full record

ArticleBJUI compass2026

The impact of vaporization on adenoma weight in benign prostatic hyperplasia surgery.

André B Silva, Bruno R Lebani, Eduardo R Pinto, Luciano T Silva, Denise S Gouveia, Hudson de Lima, Marcia E Girotti, Milton Skaff, Fernando G Almeida

Abstract read
In one paragraph

Article in BJUI compass, 2026. 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.

André B SilvaDepartment of Urology Federal University of São Paulo São Paulo Brazil.ORCID https://orcid.org/0000-0001-5493-1415
Bruno R LebaniDepartment of Urology Federal University of São Paulo São Paulo Brazil.ORCID https://orcid.org/0000-0003-2402-1255
Eduardo R PintoDepartment of Urology Federal University of São Paulo São Paulo Brazil.
Luciano T SilvaDepartment of Urology Federal University of São Paulo São Paulo Brazil.
Denise S GouveiaDepartment of Urology Federal University of São Paulo São Paulo Brazil.
Hudson de LimaDepartment of Urology Federal University of São Paulo São Paulo Brazil.
Marcia E GirottiDepartment of Urology Federal University of São Paulo São Paulo Brazil.
Milton SkaffDepartment of Urology Federal University of São Paulo São Paulo Brazil.
Fernando G AlmeidaDepartment of Urology Federal University of São Paulo São Paulo Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The weight of adenoma removed during benign prostatic hyperplasia (BPH) surgery is commonly used as a surgical landmark. During endoscopic procedures, prostatic tissue is exposed to heat generated by electric current, resulting in tissue vaporization that may affect the final specimen weight. This study aimed to quantify tissue loss due to vaporization during TURP, comparing monopolar and bipolar techniques. Materials and Methods: Surgical specimens from 32 patients undergoing open simple prostatectomy were analysed. After enucleation, adenomas were weighed and then completely resected in vitro simulating TURP using monopolar or bipolar energy. The weight of the resected fragments was measured to estimate tissue loss associated with each energy source and compared with preoperative MRI-estimated transition zone volumes. Results: Mean patient age was 68.2 ± 5.75 years. There was a strong correlation between MRI-estimated transition zone weight and enucleated specimen weight (97.5 ± 40.1 g vs. 90.5 ± 38 g; Conclusion: The weight of the adenoma removed during surgical treatment of BPH differs depending on the technique used and, therefore, cannot be used comparatively between techniques. Resection surgeries result in tissue vaporization and dehydration, reducing adenoma weight by approximately 28%. Adenoma volume determination by MRI shows a strong correlation with the volume to be removed during surgery.

Indexed as

adenomabenign prostatic hyperplasiaenucleationtransurethral resection of the prostatevaporization

Identifiers

PMID41647485
PMCPMC12872109

What OpenQuestion holds

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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.