Minimally invasive treatments for lower urinary tract symptoms in men with benign prostatic hyperplasia: a network meta-analysis

Franco, Juan Víctor Ariel; Jung, Jae Hung; Imamura, Mari; Borofsky, Michael S.; Omar, Muhammad Imran; Liquitay, Camila Micaela Escobar; Young, Shamar; Golzarian, Jafar; Veroniki, Areti Angeliki; Garegnani, Luis; Dahm, Philipp

doi:10.1002/14651858.cd013656.pub2

Cited by 19 publications

(10 citation statements)

References 224 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some studies believe that the use of prostatic embolism in the treatment of elderly patients with BPH can alleviate the patient’s dysuria and improve the patient’s urination function. The main reason is that prostatic artery embolization under fluoroscopic guidance can improve urethral obstruction, reduce the pressure of the middle lobe of the prostate on the urethra and cause little damage to the urethral tissue, thus improving urination function and reducing the incidence of urethral infection and other complications ( 21 – 24 ).…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Prostatic Artery Embolization in the Treatment of High Risk Benign Prostatic Hyperplasia and its Influence on Postoperative Life Quality of Patients

et al. 2022

View full text Add to dashboard Cite

ObjectiveTo evaluate the efficacy, safety and postoperative quality of life of high risk benign prostatic hyperplasia (BPH) patients treated with prostatic artery embolization.Methods34 patients with high-risk BPH were selectedfrom January 2020 to June 2021 in our hospital. All patients were treated with prostatic artery embolization. The changes of international prostate symptom score (IPSS), prostate volume (PV), remaining urine (RU), maximum urine flow rate (Qmax), quality of life scale -74(GQOLI-74), time to sleep without disturbance (HUS) judgment, self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) were compared before operation, 1 month and 6 months after operation.ResultsProstatic artery embolization was successful in all 34 patients, including unilateral embolization in 15 patients and bilateral embolization in 19 patients. No severe complications occurred in the postoperative patients. The IPSS, PV and RU levels of the patient one month and six months after surgery were lower than those before surgery, while the Qmax level was higher than that before surgery. Besides, the IPSS, PV and RU levels six months after surgery were significantly lower than those one month after surgery, and the Qmax level was significantly higher than that one month after surgery (p < 0.05). The GQOLI-74 score six months after surgery was significantly higher than that before surgery (p < 0.05). The HUS of the patient six months after surgery was significantly increased, and the SAS and SDS scores were significantly decreased as compared with those before surgery (p < 0.05).ConclusionFor high-risk patients with BPH, prostate embolization is an effective and safe method, which can significantly improve the quality of life of patients after surgery and has good application prospects.

show abstract

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Prostatic Artery Embolization in the Treatment of High Risk Benign Prostatic Hyperplasia and its Influence on Postoperative Life Quality of Patients

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Minimally invasive treatments result in broadly similar or less improvement in urinary symptoms and quality of life compared with TURP in men with BPE having moderate to severe symptoms as per a Cochrane network meta-analysis published in 2021 (27 randomised controlled trials, 3017 patients)910 (fig 2). Among minimally invasive procedures, PUL and prostatic artery embolisation (PAE) are likely to be more effective in reducing urinary symptoms.…”

Section: What Is the Evidence Of Uncertainty?mentioning

confidence: 99%

“…Retreatment rates with TURP tend to be lower overall (12 per 1000) compared with minimally invasive therapies. Higher retreatment rates were reported with transurethral microwave therapy (TUMT) 910…”

Section: What Is the Evidence Of Uncertainty?mentioning

confidence: 99%

What is the role of minimally invasive surgical treatments for benign prostatic enlargement?

Franco

Jung

Liquitay

et al. 2022

BMJ

Self Cite

View full text Add to dashboard Cite

“…Of note, in the last 5 years, several ultra-minimally invasive surgical techniques (uMISTs) have been added to the armamentarium of the urologist to personalize treatment of patients with LUTS due to BPO (2)(3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

“…Although uMISTs generally provide inferior improvements in functional outcomes as compared to gold standard procedures as transurethral resection of prostate (TURP) or laser enucleative techniques, they allow in most cases to maintain ejaculation while still guaranteeing favourable functional outcomes. Moreover, they can be performed under local anaesthesia and even in an outpatient setting, ensuring short recovery times and reducing hospital loads (1)(2)(3)(4).…”

Section: Introductionmentioning

confidence: 99%

Transperineal laser ablation of the prostate with EchoLaser™ system: perioperative and short-term functional and sexual outcomes

et al. 2022

View full text Add to dashboard Cite

ObjectiveTo date, several ultra-minimally-invasive surgical techniques are available for the treatment of male LUTS due to benign prostatic obstruction (BPO). Herein we report our preliminary experience with SoracteLite™ TPLA for the treatment of carefully selected patients with LUTS due to BPO.MethodsData from all consecutive patients undergoing TPLA at our institution between April 2021 and February 2022 were prospectively collected in a specific database. Data regarding functional and sexual outcomes evaluated by validated questionnaires and uroflowmetry were analyzed. All the procedure were performed in an outpatient setting, under local anesthesia and conscious sedation, using EchoLaser device, a multisource diode laser generator.ResultsOverall, 38 patients underwent TPLA at our institution during the study period. The median prostate volume was 46 ml (IQR 38-71). The median time to complete the procedure was 31 min (IQR 28-37). All patients but one were discharged within 8 hours of hospital stay. No perioperative Clavien-Dindo grade ≥2 complications were recorded. Median improvement in Qmax was 17%, 24% and 32% at 1 month, 3 months and last follow-up after surgery; as a result, the median postoperative IPSS at 1 month, 3 months and at last follow-up decreased by -14%, -36% and -35%, respectively. All patients preserved ejaculatory and sexual function. Two patients (5%), catheter carriers before the procedure, experienced acute urinary retention after TPLA treatment and required replacement of an indwelling catheter.ConclusionsTPLA can be a feasible, safe and effective ultra-minimally-invasive procedure for carefully selected patients with LUTS due to BPO.

show abstract

Minimally invasive treatments for lower urinary tract symptoms in men with benign prostatic hyperplasia: a network meta-analysis

Abstract: Minimally invasive treatments for lower urinary tract symptoms in men with benign prostatic hyperplasia: a network meta-analysis (Review)

Cited by 19 publications

References 224 publications

Efficacy and Safety of Prostatic Artery Embolization in the Treatment of High Risk Benign Prostatic Hyperplasia and its Influence on Postoperative Life Quality of Patients

Efficacy and Safety of Prostatic Artery Embolization in the Treatment of High Risk Benign Prostatic Hyperplasia and its Influence on Postoperative Life Quality of Patients

What is the role of minimally invasive surgical treatments for benign prostatic enlargement?

Transperineal laser ablation of the prostate with EchoLaser™ system: perioperative and short-term functional and sexual outcomes

Contact Info

Product

Resources

About