A prospective, randomized comparative study of monopolar transurethral resection of the prostate <i>versus</i> photoselective vaporization of the prostate with GreenLight 120-W laser, in prostates less than 80 cc

Telli, Onur; Okutucu, Tolga Muharrem; Süer, Evren; Burgu, Berk; Gülpınar, Ömer; Yaman, Önder; Bozkurt, Selen

doi:10.1177/1756287214556643

Cited by 19 publications

(13 citation statements)

References 26 publications

(29 reference statements)

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“…1286 studies were identified through electronic searches and nine studies through additional searching. Thirty-six studies with 40 published articles (3831 participants) were finally included in our study 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 ( Fig. 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Re-operation was analyzed as other complications-related outcomes and was reported in 13 studies 5 9 11 16 18 21 22 28 32 33 34 35 36 38 41 . However, the reasons for re-operation were not adequately interpreted in all included studies.…”

Section: Resultsmentioning

confidence: 99%

“…There were some limitations in this network meta-analysis, such as included RCTs studied from 1995 to 2015, evident differences in sample sizes and significant transformation in techniques of the same lasers (green light laser improved form initial 80-W to 120-W, and subsequently to the current laser at 180-W) 5 7 8 9 10 13 18 22 24 25 26 35 40 . Although all authors were contacted to provide un-reported data for the integrity of analysis, the results of this study were restricted by incomplete data reported by included studies.…”

Section: Discussionmentioning

confidence: 99%

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Different lasers in the treatment of benign prostatic hyperplasia: a network meta-analysis

Zhang

Shen

et al. 2016

Sci Rep

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All available surgical treatments for benign prostatic hyperplasia (BPH) have their individual advantages or disadvantages. However, the lack of head-to-head studies comparing different surgeries makes it unavailable to conduct direct analysis. To compare the efficacy and safety among different lasers and transurethral resection of prostate (TURP) for BPH, randomized controlled trials were searched in MEDLINE, EMBASE, Cochrane library, WHO International Clinical Trial Registration Platform, and Clinical Trial.gov by 2015.5; and the effectiveness-, perioperation- and complication-related outcomes were assessed by network meta-analysis. 36 studies involving 3831 patients were included. Holmium laser through resection and enucleation had the best efficacy in maximum flow rate. Thulium laser through vapo-resection was superior in improving international prostate symptom score and holmium laser through enucleation was the best for post-voiding residual volume improvement. Diode laser through vaporization was the rapidest in removing postoperative indwelling catheter, while TURP was the longest. TURP required the longest hospitalization and thulium laser through vapo-resection was relatively shorter. Holmium and thulium lasers seem to be relatively better in surgical efficacy and safety, so that these two lasers might be preferred in selection of optimal laser surgery. Actually, more large-scale and high quality head-to-head RCTs are suggested to validate the conclusions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Different lasers in the treatment of benign prostatic hyperplasia: a network meta-analysis

Zhang

Shen

et al. 2016

Sci Rep

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“…As PVP has emerged as an alternative to MTURP in the treatment of BPH, several valuable randomized controlled trials (RCTs) have compared the surgical efficacy and safety of MTURP and PVP [ 7 8 9 10 11 12 13 14 15 16 17 ]. Thus, we performed a systematic review and meta-analysis of these RCTs in order to compare MTURP and PVP and to be able to provide the most up-to-date and reliable recommendations possible.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of Functional Outcomes and Complications Following the Photoselective Vaporization of the Prostate and Monopolar Transurethral Resection of the Prostate

Kang

Ham

Choi

et al. 2016

World J Mens Health

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PurposeTo perform a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing monopolar transurethral resection of the prostate (MTURP) and photoselective vaporization of the prostate (PVP) in order to provide the most up-to-date and reliable recommendations possible.Materials and MethodsRelevant RCTs were identified from electronic databases for meta-analysis of the surgical outcomes and complications of MTURP and PVP. Meta-analytical comparisons were made using qualitative and quantitative syntheses. The outcome variables are presented as odds ratios with 95% confidence intervals (CIs).ResultsIn total, 11 articles were included in this comparative analysis of PVP versus MTURP. Most of the recently published studies exhibited low risk in terms of quality assessment. MTURP was superior to PVP regarding operative time; however, with regard to catheterization and hospitalization time, the mean differences were -1.39 (95% CI=-1.83~-0.95, p<0.001) and -2.21 (95% CI=-2.73~-1.69, p<0.001), respectively, in favor of PVP. PVP was superior to MTURP with regard to transfusion rate and clot retention, but no statistically significant differences were found with regard to acute urinary retention and urinary tract infection. The long-term complications of bladder neck contracture and urethral stricture showed no statistically significant differences between PVP and MTURP. Long-term functional outcomes, including the International Prostate Symptom Score and maximum flow rate, likewise did not display statistically significant differences between PVP and MTURP.ConclusionsBased on our findings, we believe that PVP should be considered as an alternative surgical procedure for treating male lower urinary tract symptoms secondary to benign prostatic hyperplasia.

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“…The authors claim that postoperative functional improvements were durable and equivalent in the two groups. Both techniques had a similar complication rate, however, hospital stay after laser procedure was significantly shorter [ 24 ]. Early outcomes of new 180-W XPS GreenLight laser system have been recently reported.…”

Section: Introductionmentioning

confidence: 99%

The role of lasers in modern urology

Dołowy¹,

Krajewski²,

Dembowski³

et al. 2015

CEJU

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IntroductionThe functioning of modern urological departments and the high level of service they provide is possible through, among other things, the use of modern laser techniques.Material and methodsOpen operations have been replaced by minimally invasive procedures, and classical surgical tools by advanced lasers.The search for new applications with lasers began as technology developed. Among many devices available, holmium, diode and thulium lasers are currently the most popular.ResultsDepending on the wavelength, the absorption by water and hemoglobin and the depth of penetration, lasers can be used for coagulation, vaporization and enucleation. In many centres, after all the possibilities of pharmacological treatment have been exhausted, lasers are used as the primary treatment for patients with benign prostatic hyperplasia, with therapeutic results that are better than those obtained through open or endoscopic operations. The use of lasers in the treatment of urolithiasis, urinary strictures and bladder tumours has made treatment of older patients with multiple comorbidities safe, without further necessity to modify the anticoagulant drug treatment. Laser procedures are additionally less invasive, reduce hospitalization time and enable a shorter bladder catheterization time, sometimes even eliminating the need for bladder catherterization completely. Such procedures are also characterized by more stable outcomes and a lower number of reoperations.ConclusionsThere are also indications that with the increased competition among laser manufacturers, decreased purchase and maintenance costs, and increased operational safety, laser equipment will become mandatory and indispensable asset in all urology wards.

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A prospective, randomized comparative study of monopolar transurethral resection of the prostate versus photoselective vaporization of the prostate with GreenLight 120-W laser, in prostates less than 80 cc

Cited by 19 publications

References 26 publications

Different lasers in the treatment of benign prostatic hyperplasia: a network meta-analysis

Different lasers in the treatment of benign prostatic hyperplasia: a network meta-analysis

A Systematic Review and Meta-Analysis of Functional Outcomes and Complications Following the Photoselective Vaporization of the Prostate and Monopolar Transurethral Resection of the Prostate

The role of lasers in modern urology

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