Complications of GreenLight Laser vs Transurethral Resection of the Prostate for Treatment of Lower Urinary Tract Symptoms: Meta-analysis of Randomized Trials.
Urology
; 184: 259-265, 2024 02.
Article
em En
| MEDLINE
| ID: mdl-38176618
ABSTRACT
OBJECTIVE:
To compare perioperative outcomes and complications between GreenLight and transurethral resection of the prostate (TURP) for benign prostatic hyperplasia.METHODS:
A systematic review and random effects meta-analysis of randomized trials comparing GreenLight with TURP was completed. Primary outcomes included periprocedural milestones, 12 predefined complications, Clavien-Dindo class III-V complications, reoperations (all-cause), and a composite of reoperations and readmissions. Metaregression assessed the relationship between patient- and study-level factors with periprocedural outcomes and reoperation rates.RESULTS:
The review included 13 randomized trials with 1757 patients (839 GreenLight; 918 TURP). Procedure time was 10 minutes (95% CI 5 to 15; P < .001) longer with GreenLight, while catheterization time (mean difference=-1.3days; 95% CI -1.7 to -0.9; P<.001) and hospital stay (mean difference=-2.1days; 95% CI -2.5 to -1.7; P<.001) were shorter. Bleeding-related complications, including clot retention (risk ratio [RR]=0.12; 95% CI 0.05 to 0.32; P<.001) and transfusion (RR=0.26; 95% CI 0.12 to 0.58; P = .001), as well as sexual dysfunction (RR=0.66; 95% CI 0.45 to 0.98; P = .04), were less frequent with GreenLight. All other complications occurred at similar frequencies between groups. The risks of reoperation (RR 1.17; 95% CI 0.82 to 1.66; P = .38) and reoperation or readmission (RR 1.05; 95% CI 0.76 to 1.44; P = .79) did not differ.CONCLUSION:
GreenLight achieved shorter catheterization times and hospital stays with lower rates of sexual dysfunction and bleeding-related complications compared to TURP.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ressecção Transuretral da Próstata
/
Sintomas do Trato Urinário Inferior
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Systematic_reviews
Limite:
Humans
/
Male
Idioma:
En
Revista:
Urology
Ano de publicação:
2024
Tipo de documento:
Article