Evidence map›Paper›PMID 42851274›Full record

ReviewBJUI compass2026

A systematic review and meta-analysis on the safety and efficacy of Aquablation.

Kimberley Chan, Nico Christian Grossmann, Matthew Feyissa, Jeremy Nettleton, Philip Charlesworth, Neil Barber, Jeremy Teoh, Ben Challacombe, Garrett Pohlman, Evangelos Liatsikos and 2 more

Abstract readReview
In one paragraph

Review in BJUI compass, 2026. 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

12 authors.

Kimberley ChanHertfordshire and Bedfordshire Urological Cancer Centre, Department of Urology Lister Hospital, East and North Hertfordshire NHS Teaching Trust Stevenage UK.ORCID https://orcid.org/0000-0002-2320-5696
Nico Christian GrossmannClinic for Urology University Teaching and Research Hospital of the University of Lucerne Lucerne Switzerland.ORCID https://orcid.org/0000-0001-8698-6461
Matthew FeyissaHertfordshire and Bedfordshire Urological Cancer Centre, Department of Urology Lister Hospital, East and North Hertfordshire NHS Teaching Trust Stevenage UK.ORCID https://orcid.org/0009-0001-2135-3169
Jeremy NettletonCheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust Cheltenham UK.
Philip CharlesworthThe Royal Marsden NHS Trust London UK.ORCID https://orcid.org/0000-0002-7775-2812
Neil BarberDepartment of Urology Frimley Park Hospital London UK.
Jeremy TeohFaculty of Medicine The Chinese University of Hong Kong Hong Kong.ORCID https://orcid.org/0000-0002-9361-2342
Ben ChallacombeGuy's and St Thomas' NHS Foundation Trust London UK.
Garrett PohlmanKearney Urology Center PC Kearney Nebraska USA.ORCID https://orcid.org/0009-0004-3120-0256
Evangelos LiatsikosDepartment of Urology Medical University of Vienna Vienna Austria.ORCID https://orcid.org/0000-0002-5544-9636
Dean EltermanDivision of Urology, Department of Surgery University Health Network, University of Toronto Toronto ON Canada.ORCID https://orcid.org/0000-0003-1507-7783
Nikhil VasdevHertfordshire and Bedfordshire Urological Cancer Centre, Department of Urology Lister Hospital, East and North Hertfordshire NHS Teaching Trust Stevenage UK.ORCID https://orcid.org/0000-0002-3966-5734

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This work aimed to evaluate the efficacy and safety of Aquablation for the treatment of benign prostatic enlargement. Methods: A systematic review was conducted in accordance with PRISMA 2020 guidelines (PROSPERO CRD420261401865). A comprehensive PubMed search identified prospective studies and randomised controlled trials published up to January 2026. Studies including ≥30 patients reporting clinical outcomes of Aquablation were included. Guidelines, case reports, review articles, letters, retrospective studies with pooled data were excluded. Primary outcomes were International Prostate Symptom Score, maximum flow rate, postvoid residual and sexual function. Secondary outcomes included perioperative parameters and complications. Random-effects meta-analysis using DerSimonian-Laird was performed for outcomes reported in three or more studies. Results: Fifteen studies comprising 1580 patients were included. Mean age and prostate volume were 67.0 years and 82.1 cc, respectively. Aquablation significantly improved urinary outcomes, with a pooled IPSS reduction of -15.80 at 6 months (95% confidence interval [CI] -17.88 to -13.73; Conclusion: Aquablation provides durable and significant improvements in urinary outcomes with a favourable safety profile and low rates of sexual dysfunction, supporting its role as an effective surgical option for BPE.

Indexed as

Aquablationbenign prostate hyperplasiaprostatewaterjet

Identifiers

PMID42851274
PMCPMC13645495

What OpenQuestion holds

Textmetadata
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.