Randomized Comparison of Balloon Dilation and Transurethral Incision for Treatment of Symptomatic Benign Prostatic Hyperplasia*

Chiou, Rei K.; Binard, Joseph E.; Ebersole, Mary E.; Horan, John J.; Chiou, Yahn K.; Lynch, Barlow

doi:10.1089/end.1994.8.221

Cited by 15 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results are consistent with a previous meta‐analysis, which assessed EjD of five of the seven TUIP studies we included . The reported RE rate was strongly in favor of TUIP, with 21% ( n = 14/67) versus TURP 73% ( n = 52/72, P < 0.0001).…”

Section: Evidence Synthesissupporting

confidence: 90%

“…6,52 Our results are consistent with a previous meta-analysis, 53 which assessed EjD of five of the seven TUIP studies we included. 6,7,15,[50][51][52] The reported RE rate was strongly in favor of TUIP, with 21% (n = 14/67) versus TURP 73% (n = 52/72, P < 0.0001). By adding the evidence of Abd-El Kader, RE remains significantly lower for TUIP, with an overall 21.1% (n = 24/114) RE versus as much as 64.6% (n = 73/113) in the TURP group.…”

Section: Tuna Versus Turpsupporting

confidence: 89%

“…Two RCTs also compared balloon dilation with TUIP and/or TURP . Clinical improvement was greater in those undergoing TUIP.…”

Section: Evidence Synthesismentioning

confidence: 99%

“…RE was absent in the balloon group ( n = 0/19). Unfortunately, lack of statistical values and the low number of patients included in the trials provide significant limitations …”

Section: Evidence Synthesismentioning

confidence: 99%

See 3 more Smart Citations

Systematic review of lower urinary tract symptoms/benign prostatic hyperplasia surgical treatments on men's ejaculatory function: Time for a bespoke approach?

et al. 2015

View full text Add to dashboard Cite

Although ejaculatory dysfunction is common for patients undergoing benign prostatic hyperplasia surgery, no clear evidence is present to counsel men seeking to preserve ejaculation. Our aim was to evaluate ejaculatory dysfunction in relation to benign prostatic hyperplasia surgery. We carried out a web and manual search using MEDLINE and Embase including randomized controlled trials reporting ejaculatory dysfunction after benign prostatic hyperplasia surgery: 42 randomized controlled trials comprising a total of 3857 patients were included. Only one study had ejaculatory dysfunction as a primary outcome, and just 10 evaluated ejaculatory dysfunction before and after surgery. The definition of ejaculatory dysfunction was not standardized. Similarly, just seven studies used internationally validated questionnaires to address ejaculatory dysfunction. The reported rates of ejaculatory dysfunction after resectional elecrosurgery, laser procedures, coagulation, ablation and implant techniques were assessed and compared. Transurethral resection of the prostate and recent laser procedures including holmium, thulium and GreenLight cause similar rates of ejaculatory dysfunction, occurring in almost three out of four to five men. Although providing less symptomatic benefit compared with transurethral resection of the prostate, transurethral incision of the prostate, transurethral needle ablation and transurethral microwave thermotherapy should be considered for men aiming to maintain normal ejaculation. UroLift is also a recent promising option for this category of patients. The vast majority of studies reporting ejaculatory dysfunction after benign prostatic hyperplasia surgery used poor methodology to investigate this complication. Future studies able to address clear hypothesis and considering ejaculatory dysfunction anatomical and pathophysiological features are required to develop ejaculation preserving techniques and to increase the evidence to counsel men aiming to preserve ejaculation.

show abstract

Section: Evidence Synthesissupporting

confidence: 90%

Section: Tuna Versus Turpsupporting

confidence: 89%

“…Two RCTs also compared balloon dilation with TUIP and/or TURP . Clinical improvement was greater in those undergoing TUIP.…”

Section: Evidence Synthesismentioning

confidence: 99%

“…RE was absent in the balloon group ( n = 0/19). Unfortunately, lack of statistical values and the low number of patients included in the trials provide significant limitations …”

Section: Evidence Synthesismentioning

confidence: 99%

See 2 more Smart Citations

Systematic review of lower urinary tract symptoms/benign prostatic hyperplasia surgical treatments on men's ejaculatory function: Time for a bespoke approach?

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Tears or splits are produced through the stroma along the length of the prostate but not through the bladder neck. It produces good short‐term results with symptom reduction comparable to TUIP, but studies show the results to be short lived, with symptoms recurring in most men after 6 weeks to 2 years 87 . In view of this evidence it is not recommended by most urologists.…”

Section: Managementmentioning

confidence: 99%

Assessment, Diagnosis and Management of Lower Urinary Tract Symptoms in Men

Brown

Das

2002

Int J Clinical Practice

View full text Add to dashboard Cite

SUMMARYLower urinary tract symptoms are very common and the approach to assessment and management has changed dramatically over the past few years. Previously referred to as prostatism, benign prostatic hyperplasia and bladder outflow obstruction, it is now recognised that in most men symptoms are due to a combination of benign prostatic enlargement and age‐related bladder dysfunction. Most men require only simple tests for a diagnosis, with the more complex investigations reserved for when the diagnosis is not clear. Symptom bothersomeness and effect on quality of life are the critical factors when deciding how to treat a man. A cascade of treatments exists, including conservative management, medical therapy and surgery. A man moves up the cascade when the present management strategy fails to control symptoms. Traditional surgical techniques such as transurethral resection of the prostate are still appropriate for some men, although with improved medical treatments available the number of men undergoing surgery is declining.

show abstract