MP09-08 COMPARISON OF VAPORIZATION AND ENUCLEATION TECHNIQUES BASED ON THE FUNCTIONAL OUTCOMES AND COMPLICATIONS OF PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA: SYSTEMATIC REVIEW AND META-ANALYSIS

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology II (MP09)1 Sep 2021MP09-08 COMPARISON OF VAPORIZATION AND ENUCLEATION TECHNIQUES BASED ON THE FUNCTIONAL OUTCOMES AND COMPLICATIONS OF PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA: SYSTEMATIC REVIEW AND META-ANALYSIS Anastasia Shpikina, Andrey Morozov, Mark Taratkin, Alexey Novikov, and Dmitry Enikeev Anastasia ShpikinaAnastasia Shpikina More articles by this author , Andrey MorozovAndrey Morozov More articles by this author , Mark TaratkinMark Taratkin More articles by this author , Alexey NovikovAlexey Novikov More articles by this author , and Dmitry EnikeevDmitry Enikeev More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001982.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Nowadays the most commonly used methods of BPH surgical treatment are vaporization (PVP) and enucleation of the prostate (EEP). We aimed to compare intra- and perioperative results of the patients who underwent PVP and EEP. METHODS: A systematic literature search was performed in 3 databases (MEDLINE, Web of Science and Scopus) on a search query: (EEP OR «prostate enucleation» OR «BPH enucleation») AND (PVP OR prostate AND vaporization) according to PRISMA guidelines. The detailed search strategy is available at Prospero, CRD42020204739. The scope of the review according to PICO process is as follows: P - patients with BPH. I - any types of EEP or PVP C - preoperative data, operation characteristics, outcomes of different types of EEP and PVP O - functional outcomes, effectiveness of the procedures, safety. Primary outcomes were functional results (IPSS, QoL, PVR, Qmax). Secondary outcomes were intraoperative results, postoperative PSA and prostate volume, complications, and recurrence rate. RESULTS: The search identified 436 articles, and the final sample contained 15 articles covering a period 2011-2020 years. Functional outcomes (IPSS, QoL и Qmax) were comparable at 12 months follow-up (figure 1). Elkoushy et al. showed benefit of EEP over PVP at 36 months follow-up, IPSS 7.2±8.4 vs 3.1±4.6, p=0.01, and Qmax 24.3±16.2 ml/s vs 28.1±10.2 ml/s, p=0.001. While EEP and PVP duration did not differ significantly in BPH <80 cm3, higher BPH volume was associated with longer operative time. Complication rate (Clavien-Dindo I and II) was higher in the EEP group (13–42%) comparing to PVP (10.3–21.7%), especially the percentage of blood transfusion and transient urinary incontinence. But the rate of complications grade IIIa and higher was similar (3–6%). Reoperation rate was significantly higher in the PVP group at 60 mo. follow-up, 2.7% vs 0%, p <0.05. Postoperative prostate volume and PSA level were also higher in the PVP group. CONCLUSIONS: Short-term outcomes of the patients were comparable in both enucleation and vaporization groups. Long-term results including the percentage of relapse were better in patients who underwent enucleation of the prostate. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e162-e162 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Anastasia Shpikina More articles by this author Andrey Morozov More articles by this author Mark Taratkin More articles by this author Alexey Novikov More articles by this author Dmitry Enikeev More articles by this author Expand All Advertisement Loading ...