Intraoperative and postoperative outcomes of thulium laser enucleation versus bipolar resection in the transurethral treatment of benign prostatic hyperplasia: a meta-analysis

被引：0
作者：
Pihong Yan
Yuanshan Cui
Yongjin Huang
Xuanyan Che
Zhongbao Zhou
Fan Feng
机构：
[1] Yantai Affiliated Hospital of Binzhou Medical University,Laboratory Medicine
[2] The Affiliated Yantai Yuhuangding Hospital of Qingdao University,Department of Urology
[3] Beijing Tiantan Hospital,Department of Urology
[4] Capital Medical University,undefined
来源：
Lasers in Medical Science | 2022年 / 37卷
关键词：
Benign prostatic hyperplasia; Thulium laser enucleation of the prostate; Bipolar transurethral resection of the prostate; Meta-analysis; Laser enucleation;
D O I：
暂无
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学科分类号：
摘要：
To compare the intraoperative and postoperative outcomes of thulium laser enucleation of the prostate (ThuLEP) vs bipolar transurethral resection of the prostate (B-TURP) in treating patients with benign prostatic hyperplasia (BPH). Clinical trials of ThuLEP and B-TURP in treating BPH were searched systematically by using PubMed, Cochrane Library databases, and EMBASE (until May 2021). The Preferred Reporting Items for Systematic Reviews and Meta-analyses checklist was followed. The datum was calculated by Review Manager version 5.3.0. Four articles including 782 patients were studied in this analysis. The analysis discovered that there was no significant difference in operative time and percentage of tissue removed between ThuLEP and B-TURP. But the intraoperative irrigated volume and postoperative hemoglobin (Hb) decrease in the ThuLEP group was significantly less compared with the B-TURP group. The catheterization time and hospitalization duration in the B-TURP group was significantly longer than that in the ThuLEP group. Compared with those before treatment, the micturition indexes of the two groups improved significantly. But no significant difference was identified between ThuLEP and B-TURP for the variation of international prostate symptom score, quality of life, maximum flow rate, and post-void residual. By analyzing the postoperative complications, there were no significant discrepancies between ThuLEP and B-TURP in the incidence of blood transfusion, recatheterization, transient incontinence, bladder neck contracture, and urethral stricture. The micturition indexes and clinical symptoms were significantly improved after ThuLEP and B-TURP for patients with BPH. However, ThuLEP was more effective than B-TURP in terms of intraoperative irrigated volume, postoperative Hb decrease, catheterization time, and hospitalization duration.
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页码：2517 / 2525
页数：8
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