Minimally invasive simple prostatectomy in the era of laser enucleation for high-volume prostates: A systematic review and meta-analysis

Autor: Georges Abi Tayeh, Elie Hanna, Julien Sarkis, Josselin Abi Chebel, Albert Semaan, Elie El Helou
Rok vydání: 2021
Předmět:
Zdroj: Arab Journal of Urology
article-version (VoR) Version of Record
ISSN: 2090-598X
Popis: Objective To perform a systematic review and meta-analysis of available prospective and retrospective studies comparing the minimally invasive (laparoscopic or robot-assisted) simple prostatectomy (MISP) and laser enucleation of the prostate for treating male lower urinary tract symptoms in high-volume prostates, as laser enucleation of the prostate is the new trend for treating high-volume prostates (>80 mL) but many urologists now prefer MISP. Methods A systematic search was done using the Medical Literature Analysis and Retrieval System Online (MEDLINE) and Cochrane databases in June 2019, with research terms including: ‘laser’, ‘laparoscopy’, ‘enucleation’, ‘BPH’, ‘simple prostatectomy’, ‘Millins’, and ‘adenomectomy’. The meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results Of 38 screened articles, six were analysed and a total of 975 men were included. The average operative time, length of stay and catheterisation time were significantly shorter in the laser enucleation group (P = 0.006, P
Databáze: OpenAIRE