A Systematic Review and Meta-analysis of Efficacy and Safety Following Holmium Laser Enucleation of Prostate and Transurethral Resection of Prostate for Benign Prostatic Hyperplasia

Zhong, Jianqiao; Feng, Zhaoyong; Peng, Yeping; Liang, Hao

doi:10.1016/j.urology.2019.03.034

Cited by 48 publications

(37 citation statements)

References 33 publications

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“…This could be explained by the fact that HoLEP yielded more prostate tissue removed as shown in the current study (marginally significant). We also confirmed that HoLEP had better perioperative parameters, including shorter operation time, less bleeding, and shorter catheterisation and hospitalisation time (Jones et al., 2016; Yin et al., 2013; Zhong et al., 2019). On the other hand, to date there have been only two trials comparing HoLEP and OP in the literature.…”

Section: Discussionsupporting

confidence: 79%

“…The literature search of the current study identified nine RCTs comparing long‐term (>12 months) functional outcomes of HoLEP with those of TURP. We confirmed that as compared to TURP, HoLEP had greater improvement in IPSS, PVR and Qmax (Yin, Teng, Huang, Zhang, & Xu, 2013; Zhong, Feng, Peng, & Liang, 2019). This could be explained by the fact that HoLEP yielded more prostate tissue removed as shown in the current study (marginally significant).…”

Section: Discussionsupporting

confidence: 67%

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Surgical outcome of anatomical endoscopic enucleation of the prostate: A systemic review and meta‐analysis

et al. 2020

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Benign prostatic hyperplasia (BPH) is the most common aetiology of bladder outlet obstruction and lower urinary tract symptoms (LUTS) in men. While medical treatment is considered as the first-line treatment for male LUTS secondary to BPH, a substantial portion of men would require surgical intervention because of insufficient relief of LUTS with medications or having any absolute indication for surgery, such as recurrent or refractory urinary retention, recurrent urinary tract infections, bladder stones or diverticula, or dilatation of the upper urinary tract due to BPH, with or without renal insufficiency (Foster et al., 2019; Oelke et al., 2013). By removing the hyperplastic prostate tissue, the surgery can restore normal urine flow, relieve the LUTS, and avoid bladder dysfunction and damages to the upper urinary tract. Transurethral resection of prostate (TURP) and open prostatectomy (OP) have been traditionally considered as the gold standard of the surgical management for BPH (Foster et al., 2019; Oelke et al., 2013). TURP is currently the most common surgical modality for BPH with a medium to large prostate. It is generally effective in relieving the outlet obstruction. However, in TURP the prostate is resected in a piece-by-piece fashion, and bleeding may arise from any cutting. This usually requires repeated coagulation and is time-consuming. These facts significantly limit the efficiency of TURP and therefore usually prohibits a complete resection, especially in cases with a huge prostate. On the other hand, OP can simply achieve complete removal

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Section: Discussionsupporting

confidence: 79%

Section: Discussionsupporting

confidence: 67%

Surgical outcome of anatomical endoscopic enucleation of the prostate: A systemic review and meta‐analysis

et al. 2020

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“…Overall, the fear of stress urinary incontinence, bleeding and bladder injury were noted as not being a major hindrance to adoption of AEEP. Although they remain as a concern among some participants of the study, with the current technical advances and relevant experience, the outcomes are favourable (Zhong, Feng, Peng, & Liang, 2019). Learning curve is another important aspect in achieving good outcomes.…”

Section: Discussionmentioning

confidence: 99%

A global knowledge, attitudes and practices survey on anatomical endoscopic enucleation of prostate for benign prostatic hyperplasia among urologists

et al. 2020

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Benign prostatic hyperplasia (BPH) is a bothersome condition that has high prevalence in elderly men (Lee, Chan, & Lai, 2017). Majority of practicing urologists treat BPH (Census Results-American Urological Association, n.d.) by medical therapy as well as surgical options (Herr, 2006; Nunes, Antunes, & Constantin, 2017). Removal of obstructive part of the enlarged gland in the transition zone remains the basis of surgical management (Foo, 2017; McNeal, 1988). From the earliest reports of open prostatectomy, the procedure has continued to evolve, with endoscopic procedures currently establishing themselves as a benchmark (Hiraoka & Akimoto, 1989; Mandeville & Mourtzinos, 2016; Millin, 1945). Among them, the status of transurethral resection of prostate (TURP) as gold-standard endoscopic procedure is being continuously challenged with anatomical endoscopic enucleation

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“…The recurrence rate of BPH after AEEP was significantly decreased as a result of more thorough resection and more evident boundary between transitional zone and surgical capsule; however, post‐operative UI is still an inevitable problem after AEEP (Zhong, Feng, Peng, & Liang, ). According to the recommendations of the International Continence Society, involuntary urine leak was defined as urinary incontinence (UI) (Xu et al, ).…”

Section: Evidence Synthesismentioning

confidence: 99%

Complications of anatomical endoscopic enucleation of the prostate

Wei

et al. 2020

Andrologia

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Transurethral resection of the prostate (TURP) remains the 'gold standard' for surgical treatment of benign prostatic obstruction (BPO). Recently, anatomical endoscopic enucleation of the prostate (AEEP) using holmium laser, thulium laser and plasma, etc., is extensively applied in clinical practice. However, perioperative complications of AEEP are inevitable in spite of lower incidence compared with TURP. This study reviewed the literature related to the aetiology, prevention and treatment of common complications of AEEP, which would contribute to the diagnosis and treatment of BPO.

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A Systematic Review and Meta-analysis of Efficacy and Safety Following Holmium Laser Enucleation of Prostate and Transurethral Resection of Prostate for Benign Prostatic Hyperplasia

Cited by 48 publications

References 33 publications

Surgical outcome of anatomical endoscopic enucleation of the prostate: A systemic review and meta‐analysis

Surgical outcome of anatomical endoscopic enucleation of the prostate: A systemic review and meta‐analysis

A global knowledge, attitudes and practices survey on anatomical endoscopic enucleation of prostate for benign prostatic hyperplasia among urologists

Complications of anatomical endoscopic enucleation of the prostate

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