title: Comparison between thulium laser resection of prostate and transurethral plasmakinetic resection of prostate or transurethral resection of prostate.
abstract: Benign prostatic hyperplasia (BPH) is one of the most common diseases in middle-aged and elderly men. In the present study, we aimed to compare the efficacy and safety of thulium laser resection of the prostate (TMLRP) with either transurethral plasmakinetic resection of the prostate (TUPKP) or transurethral resection of the prostate (TURP). A literature search was performed, eventually, 14 studies involving 1587 patients were included. Forest plots were produced by using Revman 5.2.0 software. Our meta-analysis showed that operation time, decrease in hemoglobin level, length of hospital stay, catheterization time, and development of urethral stricture significantly differed, whereas the transitory urge incontinence rate, urinary tract infection rate, and recatheterization rate did not significantly differ between TMLRP and either TURP or TUPKP. The blood transfusion rate was significantly different between TMLRP and TURP, but not between TMLRP and TUPKP. In addition, the retrograde ejaculation rate between TMLRP and TURP did not significantly differ. At 1, 3, 6, and 12 months of postoperative follow-up, the maximum flow rate, post-void residual, quality of life, and International Prostate Symptom Score did not significantly differ among the procedures. Thus, the findings of this study indicate that TMLRP may be a safe and feasible alternative.
authors.affiliation: Department of Urology, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Hong
authors.initials: H
authors.lastname: DeCao
authors.affiliation: Department of Urology, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Jia
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Urology, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Huang
authors.affiliation: Department of Urology, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Ren
authors.initials: R
authors.lastname: LiangLiu
authors.affiliation: Department of Urology, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Hao
authors.initials: H
authors.lastname: JunLei
authors.affiliation: Department of Urology, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Liang
authors.initials: L
authors.lastname: Gao
authors.affiliation: Department of Urology, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Zhuang
authors.initials: Z
authors.lastname: Tang
authors.affiliation: Department of Geriatrics, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Chun
authors.initials: C
authors.lastname: YingHu
authors.affiliation: Department of Urology, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Xiang
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Urology, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Hong
authors.initials: H
authors.lastname: JiuYuan
authors.affiliation: Department of Urology, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Dong
authors.affiliation: Department of Urology, West China Hospital of Sichuan University, Chengdu, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Wei
mesh_terms: D000368:Aged; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D058626:Plasma Gases / Q000737:chemistry; D011467:Prostate / Q000473:pathology / Q000601:surgery; D011470:Prostatic Hyperplasia / Q000473:pathology / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery*; D011788:Quality of Life / Q000523:psychology*; D013932:Thulium / Q000737:chemistry; D020728:Transurethral Resection of Prostate / Q000009:adverse effects / Q000379:methods* / Q000523:psychology; D014525:Urethral Stricture / Q000209:etiology / Q000503:physiopathology; D053202:Urinary Incontinence, Urge / Q000209:etiology / Q000503:physiopathology; D014552:Urinary Tract Infections / Q000209:etiology / Q000503:physiopathology
chemical_list: D058626:Plasma Gases; D013932:Thulium