Prospective evaluation of ambulatory laser vaporization of the prostate for benign prostatic hyperplasia

Berquet, G.; Corbel, L.; Negra, Emmanuel Della; Huët, Romain; Trifard, F.; Codet, Y.; Boulière, Fabien; Verhoest, G.; Vincendeau, S.; Bensalah, Karim; Mathiéu, Romain

doi:10.1002/lsm.22363

Cited by 20 publications

(9 citation statements)

References 28 publications

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“…Only two studies 20,36 did not report failure events among the patients included in their analysis and therefore were not considered in the quantitative synthesis. In total, 18 studies 18,19,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35]37 reporting data on immediate hospital readmission and/or inability to discharge after the endoscopic procedure presented different FR estimates ranging from 1.7% to 51.1%. Demographic and perioperative characteristics of the 18 studies analyzed are further presented in Table 2.…”

Section: Cumulative Fr Of Outpatient Bph Surgical Managementmentioning

confidence: 99%

“…Subgroup analysis according to type of surgical technique. In total, five studies [32][33][34][35]37 implementing Greenlight, nine articles with HoLEP, [23][24][25][26][27][28][29][30][31] and four with TURP 18,19,21,22 were, respectively, reviewed. Test for differences among subgroups revealed the presence of a SAFETY OF BPH SURGERY ON OUTPATIENT SETTING statistical difference among the three different approaches (Q = 13.32, df = 2, p < 0.001).…”

Section: Cumulative Fr Of Outpatient Bph Surgical Managementmentioning

confidence: 99%

“…Subgroup analysis according to preoperative TRUS volume (cc). In total, six studies [21][22][23]25,26,32 reporting a preoperative PV <40 cc and eight 24,[29][30][31][33][34][35]37 with >40 cc were, respectively, enrolled. Test for differences among subgroups revealed presence of a statistical difference among small and larger prostates (Q = 4.88, df = 1, p = 0.03).…”

Section: Cumulative Fr Of Outpatient Bph Surgical Managementmentioning

confidence: 99%

“…Information regarding urethral catheter at discharge was available on 15 studies. Out of these, 11 18,21,23,[25][26][27][28][29][30][31]37 and 4 studies 22,32,33,35 reported discharge with and without catheter, respectively. We found that there was evidence for difference among the two subgroups analyzed (Q = 4.5, df = 1, p = 0.03).…”

Section: Cumulative Fr Of Outpatient Bph Surgical Managementmentioning

confidence: 99%

“…Preoperative recorded ASA scores were identified from 17 studies. 18,19,[21][22][23][24][25][26][27][28][29][30][31][32][33]35,37 Out of these, 6 studies 18,19,[21][22][23]29 included only patients with a preoperative score of I or II, while the remaining 11 studies [24][25][26][27][28][29][30][31][32][33]35,37 enrolled patients presenting with any ASA score. Test for homogeneity among the two subgroups demonstrated no significant difference between the adoption of a different ASA score inclusion criterion (Q = 2.03, df = 1, p = 0.15).…”

Section: Fig 1 Preferred Reporting Items For Systematic Reviews Andmentioning

confidence: 99%

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Safety and Feasibility of Outpatient Surgery in Benign Prostatic Hyperplasia: a Systematic Review and Meta-Analysis

Salciccia

Giudice

Maggi

et al. 2021

Journal of Endourology

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Purpose: Most of the endourologic procedures along the urinary tract have been widely practiced as outpatient operations, including surgery for benign prostatic hyperplasia (BPH). This systematic review and meta-analysis was conducted to assess safety and feasibility of outpatient surgery for patients suffering from symptomatic BPH candidate for endoscopic disobstruction. Materials and Methods: PubMed, Web of Science, Cochrane, and Embase were searched up until March 30, 2020. Methodological index for nonrandomized studies (MINORS) tool was utilized to assess the quality of included studies, and a pooled measure of failure rate (FR) or event rate (ER) estimate was calculated. Further sensitivity analysis, subgroup analysis, and meta-regression were conducted to investigate contribution of moderators to heterogeneity. Results: Twenty studies with a total of 1626 patients treated according to outpatient criteria for endoscopic BPH surgery were included. In total, 18 studies reporting data on immediate hospital readmission and/or inability to discharge after endoscopic procedure presented FR estimates ranging from 1.7% to 51.1%. Pooled FR estimate was 7.8% (95% confidence interval [CI]: 5.2-10.3); Heterogeneity: Q = 76.85; degree of freedom = 17, p < 0.001; I 2 = 75.12%. Subgroup analysis according to surgical technique revealed difference among the three approaches with pooled FR of 3% (95% CI: 1-4.9), 7.1% (95% CI: 3.9-10.4), and 11.8% (95% CI: 7-16.7) for transurethral resection of the prostate, Green-light, and holmium laser vaporesection, respectively (p < 0.001). At meta-regression analysis, none of the retrieved covariates was able to significantly influence the cumulative outcomes reported. ER for postoperative complications and early outpatient visit showed a pooled estimate of 18.6% (95% CI: 13.2-23.9) and 7.7% (95% CI: 4.3-11), respectively. Conclusions: Our analysis revealed how transurethral procedures for BPH on an outpatient setting are overall reliable and safe. Of note, there were significant outcome differences between groups with regard to type of surgical procedure, perioperative prostate volume, and discharge protocol suggesting the need for further prospective analysis to better elucidate the best strategy in such outpatient conduct.

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Section: Cumulative Fr Of Outpatient Bph Surgical Managementmentioning

confidence: 99%

Section: Cumulative Fr Of Outpatient Bph Surgical Managementmentioning

confidence: 99%

Section: Cumulative Fr Of Outpatient Bph Surgical Managementmentioning

confidence: 99%

Section: Cumulative Fr Of Outpatient Bph Surgical Managementmentioning

confidence: 99%

Section: Fig 1 Preferred Reporting Items For Systematic Reviews Andmentioning

confidence: 99%

See 3 more Smart Citations

Safety and Feasibility of Outpatient Surgery in Benign Prostatic Hyperplasia: a Systematic Review and Meta-Analysis

Salciccia

Giudice

Maggi

et al. 2021

Journal of Endourology

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Green Light photoselective vaporization of the prostate: a safe and effective treatment for elderly high-risk benign prostate hyperplasia patients with gland over 80 ml

et al. 2018

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To analyze the efficacy of Green Light photoselective vaporization of the prostate (PVP) in elderly high-risk benign prostatic hyperplasia (BPH) patients with glands over 80 ml. From December 2013 to February 2016, we allocated 84 elderly (age 71-97) high-risk patients who underwent preoperative transrectal ultrasound (TRUS) examination with glands over 80 ml and divided them into two groups to receive 120 W (n = 40) and 180 W (n = 44) PVP. All the patients have been observed at least one intraoperative comorbidity: hypertension, diabetes mellitus, NYHA II, or combined. They were followed up for 12 months. All the conventional parameters were compared in this study. All the patients received successful operations without severe complications, and no patient needed blood transfusion. The operation time and catheterization time of the 180 W patients were significantly shorter than that of the 120 W patients (p < 0.05). The International Prostate Symptom Scores (IPSS), quality of life (QoL) scores, maximum flow rate (Qmax), and residual urine volume (RUV) in both groups have been significantly improved. PVP is safe and effective for high-risk aging patients with gland over 80 ml. In addition, 180 W XPS system has a short operation time and catheterization time and less inflammatory response.

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Exploration of day-surgery photoselective vaporization of the prostate (PVP) in Chinese population

et al. 2019

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Prospective evaluation of ambulatory laser vaporization of the prostate for benign prostatic hyperplasia

Abstract: Ambulatory PVP is feasible with functional results and complications comparable to that of traditional hospitalization. Ambulatory care yields high patient's satisfaction.

Cited by 20 publications

References 28 publications

Safety and Feasibility of Outpatient Surgery in Benign Prostatic Hyperplasia: a Systematic Review and Meta-Analysis

Safety and Feasibility of Outpatient Surgery in Benign Prostatic Hyperplasia: a Systematic Review and Meta-Analysis

Green Light photoselective vaporization of the prostate: a safe and effective treatment for elderly high-risk benign prostate hyperplasia patients with gland over 80 ml

Exploration of day-surgery photoselective vaporization of the prostate (PVP) in Chinese population

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