Prostate artery embolization on lower urinary tract symptoms related to benign prostatic hyperplasia: A systematic review and metaanalysis
作者机构：Department of UrologyBeijing Tiantan HospitalCapital Medical UniversityBeijing 100070China School of Information Science and EngineeringShandong Normal UniversityJinan 250014Shandong ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2022年第10卷第32期
页 面：11812-11826页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Lower urinary tract symptoms Benign prostatic hyperplasia Meta-analysis Prostate artery embolization Transurethral resection of the prostate
摘 要：BACKGROUND Prostate artery embolization(PAE)is a promising minimally invasive therapy that improves lower urinary tract symptoms(LUTS)related to benign prostatic hyperplasia(BPH).Transurethral resection of the prostate(TURP)is the gold standard therapy for LUTS/*** To evaluate the efficacy and safety of PAE vs TURP on LUTS related to *** A literature review was performed to identify all published articles on PAE vs TURP for LUTS/*** included PubMed,Embase,Cochrane library databases,and Chinese databases before June 2022.A systematic review and meta-analysis were *** measurements were combined by calculating the mean difference with a 95%confidence *** analysis was carried out using Review Manager *** Eleven studies involving 1070 participants were *** with the TURP group,the PAE group had a similar effect on the International Index of Erectile Function(IPSS)score,Peak urinary flow rate(Qmax),postvoid residual volume(PVR),Prostate volume(PV),prostatic specific antigen(PSA),The International Index of Erectile Function short form(IIEF-5)scores,and erectile dysfunction during 24 mo *** quality of life(QoL)score,lower rate of retrograde ejaculation and shorter hospital stay in the PAE *** was no participant death in either group.A higher proportion of haematuria,urinary incontinence and urinary stricture was identified in the TURP *** PAE may be an appropriate option for elderly patients,patients who are not candidates for surgery,and patients who do not want to risk the potential adverse effects of *** with large cases and long follow-up time are needed to validate results.
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