Mechanical and Ablative Minimally Invasive Techniques for Male LUTS due to Benign Prostatic Obstruction: A Systematic Review according to BPH-6 Evaluation.

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  • Additional Information
    • Source:
      Publisher: Karger Country of Publication: Switzerland NLM ID: 0417373 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0399 (Electronic) Linking ISSN: 00421138 NLM ISO Abbreviation: Urol Int Subsets: MEDLINE
    • Publication Information:
      Publication: Basel : Karger
      Original Publication: Basel.
    • Subject Terms:
      Ablation Techniques*/adverse effects ; Ablation Techniques*/instrumentation ; Urologic Surgical Procedures, Male*/adverse effects ; Urologic Surgical Procedures, Male*/instrumentation; Lower Urinary Tract Symptoms/*surgery ; Prostatic Hyperplasia/*surgery; Humans ; Lower Urinary Tract Symptoms/diagnosis ; Lower Urinary Tract Symptoms/physiopathology ; Male ; Minimally Invasive Surgical Procedures ; Postoperative Complications/etiology ; Prostatic Hyperplasia/diagnosis ; Prostatic Hyperplasia/physiopathology ; Recovery of Function ; Treatment Outcome ; Urodynamics
    • Abstract:
      The treatment of male lower urinary tract symptoms (LUTS) due to benign prostatic obstruction represents one of the major interesting aspects in urological clinical practice. Although transurethral resection of the prostate is still considered the surgical gold standard for treatment of benign prostatic hyperplasia with prostate volume <80 mL, various minimally invasive surgical treatments (MITs) have been developed to overcome the limitations of the "conventional" surgery. To date, there are no validated tools to evaluate the surgical outcomes of MITs; however, in the past, BPH-6 has been used for this purpose. In this systematic review, we evaluated the efficacy and safety of MITs according to BPH-6 score system. We focused our attention on MITs based on mechanical devices (prostatic urethral lift and the temporary implantable nitinol device) and techniques for prostate ablation (image guided robotic waterjet ablation and convective water vapor energy ablation). Evidence shows that MITs are capable of leading to an improvement in LUTS without having an overwhelming impact on complications and are a valid alternative to other treatments in patients who wish to preserve their sexual function or in case of inapplicability of conventional surgery. However, comparative studies between these techniques are still missing.
      (© 2021 S. Karger AG, Basel.)
    • Contributed Indexing:
      Keywords: Aquabeam system; Aquablation system; Convective water vapor energy ablation; Prostatic urethral lift; Rezūm system; Robot-assisted aquablation therapy of the prostate; Temporary implantable nitinol device; Urolitf
    • Publication Date:
      Date Created: 20210413 Date Completed: 20220118 Latest Revision: 20220118
    • Publication Date:
      20231215
    • Accession Number:
      10.1159/000514438
    • Accession Number:
      33849045