Objective and Subjective Comparison
of Transurethral Resection,
Transurethral Incision and Balloon
Dilatation of the Prostate

Saporta, L; Aridogan, Ibrahim Atilla; Erlich, Nahum; Yachia, Daniel

doi:10.1159/000473793

Cited by 31 publications

(45 citation statements)

References 24 publications

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“…Data for other follow-up times (2 and 3 years) were also reported by Christensen and colleagues, 135 Jahnson and colleagues, 181 Riehmann and colleagues 152 and Saporta and colleagues. 184 These can be seen in Appendix 8.5 and the respective forest plots in Appendix 9.5, comparison 05:02.…”

Section: Longer-term Follow-upmentioning

confidence: 99%

“…A total of 871 participants were randomised across 11 eligible RCTs and reported in 14 papers. 135,149,152,157,[180][181][182][183][184][185][186][238][239][240] The total number of people allocated to TUIP was 430 and the total allocated to TURP was 441. 135,152,180,181 Of the studies reporting IPSS/AUA scores, 50 participants allocated to TUIP had moderate symptoms of BPE and 20 had severe symptoms compared with 21 with severe and 50 with moderate symptoms among those allocated to TURP.…”

Section: Transurethral Incision Of the Prostate (Tuip) Versus Turp Chmentioning

confidence: 99%

“…All six studies 135,180,181,[183][184][185] that provided information on the mean or median peak urine flow rate for patients 12 months after surgery reported lower mean or median peak urine flow rates following TUIP (Appendix 8.5, Table 65). Only one study 184 reported data that were suitable for analysis (Appendix 9.5, comparison 05:05:03: MD -2.71 ml/s, 95% CI -5.77 to 0.35, p = 0.08).…”

Section: At 12 Monthsmentioning

confidence: 99%

“…135,149,152,157,[180][181][182][183][184][185][186] These are tabulated in Appendix 8.5, Table 65. Only peak urine flow rate is presented in this section.…”

Section: Urodynamic Outcomesmentioning

confidence: 99%

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Systematic review and economic modelling of effectiveness and cost utility of surgical treatments for men with benign prostatic enlargement

Lourenço

Armstrong²,

N’Dow³

et al. 2008

Health Technol Assess

117

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Systematic review and economic modelling of effectiveness and cost utility of surgical treatments for men with benign prostatic enlargement. Lourenco, T.; Armstrong, N.; N'Dow, J.; Nabi, G.; Deverill, M.; Pickard, R.; Vale, L.; MacLennan, G.; Fraser, C.; McClinton, S.; Wong, S.; Coutts, A.; Mowatt, G.; Grant, A. Published in: Health Technology Assessment Publication date: 2008 Document VersionPublisher's PDF, also known as Version of record Link to publication in Discovery Research Portal Citation for published version (APA):Lourenco, T., Armstrong, N., N'Dow, J., Nabi, G., Deverill, M., Pickard, R., ... Grant, A. (2008). Systematic review and economic modelling of effectiveness and cost utility of surgical treatments for men with benign prostatic enlargement. Health Technology Assessment, 12(35). General rightsCopyright and moral rights for the publications made accessible in Discovery Research Portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from Discovery Research Portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain.• You may freely distribute the URL identifying the publication in the public portal. Take down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Download date: 12. May. 2018 Health Technology Assessment 2008; Vol. 12: No. 35 Health Technology Assessment NIHR HTA Programme www.hta.ac.uk November 2008 Systematic review and economic modelling of effectiveness and cost utility of surgical treatments for men with benign prostatic enlargement How to obtain copies of this and other HTA Programme reports. An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £3...

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Section: Longer-term Follow-upmentioning

confidence: 99%

Section: Transurethral Incision Of the Prostate (Tuip) Versus Turp Chmentioning

confidence: 99%

Section: At 12 Monthsmentioning

confidence: 99%

“…135,149,152,157,[180][181][182][183][184][185][186] These are tabulated in Appendix 8.5, Table 65. Only peak urine flow rate is presented in this section.…”

Section: Urodynamic Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review and economic modelling of effectiveness and cost utility of surgical treatments for men with benign prostatic enlargement

Lourenço

Armstrong²,

N’Dow³

et al. 2008

Health Technol Assess

117

View full text Add to dashboard Cite

show abstract

“…2 However, TUIP has significantly shorter operative time and hospital stay than TURP. [11][12][13][14] Nevertheless, there is little evidence on long-term effectiveness and there is no clear cutoff prostate size that achieves long-term favourable outcomes after TUIP. Prostate size was found to correlate with BOO Prostate size and long-term outcome in patients with a prostate volume ≥30 g, a finding which was not seen in patients with smaller prostates.…”

Section: Discussionmentioning

confidence: 99%

Holmium laser transurethral incision of the prostate: Can prostate size predict the long-term outcome?

Elkoushy

Elshal

Elhilali

2015

CUAJ

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Introduction:We determine the impact of prostate size on the long-term outcome of holmium laser transurethral incision of the prostate (Ho-TUIP) for bladder outlet obstruction (BOO) secondary to benign prostate enlargement (BPE). Methods: A retrospective review of prospectively collected data was performed for patients undergoing Ho-TUIP by a single surgeon for patients presenting with lower urinary tract symptoms (LUTS) secondary to BOO. Patients were stratified into 2 groups: Group 1 included patients with prostate ≤30 cc and Group 2 included patients with prostate >30 cc. Demographic, operative and followup data were recorded and analyzed. In addition, intraoperative and long-term adverse events were included. Results: In total, 82 patients underwent surgery between March 1998 and March 2013, including 9 (11%) reoperated patients. Only prostate size independently predicted reoperation after Ho-TUIP (adjusted odds ratio [aOR], 95% confidence interval [CI] 7.12 [2.92-9.14], p = 0.01). The receiver operating characteristic (ROC) analysis showed an optimal cutoff value of prostate volume of 29 cc to characterize long-term reoperation after TUIP, with area under the curve (AUC) of 0.96, sensitivity of 89.7 and specificity of 88.9. Group 1 included 51 patients and Group 2 included 31 patients. The international prostate symptoms score (IPSS) and peak flow rate (Qmax) significantly improved in both groups at different follow-up points. At the 12-month follow-up, the percent change in IPSS and Qmax were comparable between both groups. However, after 12 months, the degree of improvement in all voiding parameters was significantly higher in Group 1 (p < 0.001 at all points of follow-up). After a median follow-up of 5.3 years (range: 1-13), both groups had comparable early and late adverse events with significantly higher reoperation rate in Group 2 (3.9% vs. 22.6%, p = 0.02). Overall retrograde ejaculation was detected in 25.6% of sexually active men and it was comparable between both groups (23.5% vs. 29%, p = 0.61). On multivariable analysis, patients with prostate volume >30 cc were associated with significantly higher reoperation for BOO (aOR 95% CI 5.72 [2.83-8.14], p = 0.02), significantly higher IPSS (aOR 1.72), higher quality of life index (aOR 1.72) and lower Qmax (aOR 0.28). Conclusion: Ho-TUIP is a durable, safe and efficient treatment of BOO secondary to a small-sized prostate. The long-term outcome could be improved and the re-operation rate could be minimized with appropriate selection of cases, with prostate glands no bigger than 30 cc.

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Comparison of long‐term results of transurethral incision of the prostate with transurethral resection of the prostate, in patients with benign prostatic hypertrophy

Tkocz

Prajsner

2002

Neurourology and Urodynamics

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One hundred patients with benign prostatic hypertrophy (BPH) were randomized to transurethral incision (TUIP) or transurethral resection of the prostate (TURP). The average prostate weight before operation was not more than 30.0 g. Indications for the operations were based on the disease history, physical examination, digital rectal examination, laboratory values, and pressure-flow examination. All operations were performed with patients under spinal anesthesia. TUIP was performed with a Collins knife, and TURP was performed with a resectoscope. Follow-up was performed 24 months after the operations. After treatment there were statistically significant daytime and nocturnal reduction in voiding frequencies of 2.9 and 1.7, respectively, after TUIP, and 2.0 and 1.5 after TURP. In both groups, there occurred significantly better maximal flow rate from 7.6 mL/s to 16.9 mL/s in group I and from 6.9 mL/s to 17.6 mL/s in group II. The mean values of linearized passive urethral resistance relation in both groups significantly decreased from 3.6 +/- 0.6 to 1.0 +/- 0.5 after TUIP and from 3.9 +/- 04 to 1.4 +/- 0.5 after TURP. The TUIP procedure is effective and safe for patients with a small number of complications.

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Objective and Subjective Comparison of Transurethral Resection, Transurethral Incision and Balloon Dilatation of the Prostate

Cited by 31 publications

References 24 publications

Systematic review and economic modelling of effectiveness and cost utility of surgical treatments for men with benign prostatic enlargement

Systematic review and economic modelling of effectiveness and cost utility of surgical treatments for men with benign prostatic enlargement

Holmium laser transurethral incision of the prostate: Can prostate size predict the long-term outcome?

Comparison of long‐term results of transurethral incision of the prostate with transurethral resection of the prostate, in patients with benign prostatic hypertrophy

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