Photoselective vaporization of the prostate with GreenLight 120-W laser versus transurethral resection of the prostate for XXXX : a systematic review with meta-analysis of randomized controlled trials.

@entity1 @entity1067 @entity532 @entity12468 @entity811
UNASSIGNED: The aim of this study is to assess the overall efficacy and safety of photoselective vaporization of the prostate ( @entity12468 ) with GreenLight 120-W laser versus transurethral resection of the prostate (TURP) for treating @entity1 of @entity1067 ( @entity1067 ) with lower urinary tract symptoms (LUTS). We performed a literature search of The Cochrane Library and the electronic databases, including Embase, Medline, and Web of Science. Manual searches were conducted of the conference proceedings, including European Association of Urology and American Urological Association (2007 to 2012). Outcomes reviewed included clinical baseline characteristics, perioperative data, complications, and postoperative functional results, such as postvoid residual (PVR), international prostate symptom score (IPSS), quality of life (QoL), and maximum flow rate (Qmax). Six randomized controlled trials (RCTs) were enrolled. Three hundred and forty-seven @entity1 undergone 120-W @entity12468 , and 350 @entity1 were treated with TURP in the RCTs. There were no significant differences for clinical characteristics in these trials. In perioperative data, catheterization time and length of hospital stay were shorter in the @entity12468 group. However, the operation time was shorter in the TURP group. Capsular perforation, blood transfusion, clot retention, and macroscopic @entity811 were markedly less likely in @entity12468 -treated subjects. The other complications between @entity12468 and TURP did not demonstrate a statistic difference. There were no significant differences in QoL, PVR, IPSS, and Qmax in the 1, 3, 6, 12, and 24  months of postoperative follow-up. There was no significant difference at postoperation follow-up of functional outcomes including IPSS, PVR, Qmax, and QoL between the TURP-treated subjects and @entity12468 -treated subjects. Owing to a shorter catheterization time, reduced hospital duration and @entity532 , @entity12468 could be used as an alternative and a promising minimal invasive surgical procedure for the treatment of @entity1067 .
