Diode laser vaporization of prostate versus transurethral resesction of prostate in treating benign prostatic hyperplasia: a Meta-analysis
10.3969/j.issn.1007-1989.2017.07.004
- VernacularTitle:激光汽化术与前列腺电切术治疗良性前列腺增生疗效的Meta分析
- Author:
Xiaobo ZHANG
;
Mingquan CHEN
;
Xiong CHEN
;
Yuanqing DAI
;
Guannan QI
;
Chao DONG
;
Yao BAI
;
Xinji TAN
;
Jie GU
;
Sheng HU
;
Dongjie LI
- Keywords:
benign prostate hyperplasia (BPH);
980 nm diode laser vaporization of prostate;
transurethral resesction of prostate (TURP)
- From:
China Journal of Endoscopy
2017;23(7):16-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically review and evaluate the perioperative indicators and surgical curative effect of 980 nm diode laser vaporization of prostate and transurethral resesction of prostate (TURP) in treating benign prostatic hyperplasia (BPH). Methods Retrieved published comparative studies 980 nm diode laser vaporization of prostate versus transurethral resesction of prostate in treating benign prostatic hyperplasia, and pooled the data from eligible studies. The statistical analysis was performed using Revman 5.3 software. Results Six trials including 839 patients were eligible to the criteria (450 in 980 nm diode laser group and 389 in TURP group). The baseline of patients characteristics were comparable in all the studies. Meta analysis showed that: the operative time was not significantly different between the 980 nm diode laser group and TURP group [SMD = 0.11, 95 ~ CI (-0.52,0.74), P > 0.05]; Compared with TURP group, 980 nm diode laser group has shorter hospital stays [SMD = -1.95, 95%CI (-3.42, -0.48), P < 0.05], and shorter catheterization time [SMD = -2.64, 95%CI (-3.92, -1.36), P < 0.05]. There was no significant difference between IPSS [WMD = 0.12, 95%CI (-0.27, 0.51), P > 0.05], QOL [SMD = 0.00, 95%CI (-0.57, 0.57), P > 0.05] and Qmax [SMD = 0.06, 95%CI (-0.26, 0.37), P > 0.05]. Conclusion 980 nm diode laser vaporization of prostate is safe and effective in treating benign prostatic hyperplasia, and compared with TURP, it has advantages in shorter hospital stays and shorter catheterization time.
