OUTCOMES ANALYSIS OF TRANSURETHRAL RESECTION OF THE PROSTATE (TURP) AND TRANSURETHRAL VAPORIZATION OF THE PROSTATE (TUVP) IN PATIENT WITH BENIGN PROSTATE HYPERPLASIA: SYSTEMATIC REVIEW

Rafael Otniel Kestito, A. S. Rahaju, Tarmono, A. Purba
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Abstract

Objective: This systematic review aims to compare IPSS score and Uroflowmetry (Qmax) results between Transurethral Resection of The Prostate (monopolar and bipolar TURP) and Transurethral Vaporization of The Prostate (PVP, ThuVARP, Biolitec, TUEVP, BPV). Material & Methods: Articles were obtained through online searches using Medline, Google Scholar, and Cochrane Library using keywords Transurethral Resection of The Prostate (TURP) dan Transurethral Vaporization of The Prostate (TUVP) and IPSS or Qmax. Results: A total of 6 RCTs and 3 Cohort consisted of 1212 BPH patients treated with TURP (B-TURP and B-TURP) or TUVP (TUVP, BPV, Biolitec, ThuVARP, GLVP(PVP)). There is a significant difference result of IPSS score and Qmax at the third month of follow-up after both therapies. Conclusion: The post-operative IPSS score and Qmax results at the third month of follow-up in BPH patients treated with TURP or TUVP presents varied results. TURP has a better post-operative IPSS score compared to Biolitec Laser, but not superior when compared with TUEVP, BPV, ThuVARP, and PVP. Notably, TURP has better post-operative Qmax results than BPV, TUEVP, and ThuVARP, but not when compared with PVP.  
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经尿道前列腺切除术(turp)和经尿道前列腺汽化术(tuvp)治疗良性前列腺增生的疗效分析:系统综述
目的:本系统综述旨在比较经尿道前列腺切除术(单极和双极TURP)和经尿道前列腺汽化术(PVP, ThuVARP, Biolitec, TUEVP, BPV)的IPSS评分和尿流测定(Qmax)结果。材料与方法:通过Medline、谷歌Scholar和Cochrane Library等在线检索,检索关键词为经尿道前列腺切除术(Transurethral Resection of Prostate, TURP)、经尿道前列腺汽化(Transurethral Vaporization of The Prostate, TUVP)和IPSS或Qmax。结果:共有6项随机对照试验和3个队列,包括1212名接受TURP (B-TURP和B-TURP)或TUVP (TUVP, BPV, Biolitec, ThuVARP, GLVP(PVP))治疗的BPH患者。两种治疗后随访第3个月IPSS评分和Qmax结果差异有统计学意义。结论:经TURP或TUVP治疗的BPH患者,随访第3个月IPSS评分和Qmax结果存在差异。与Biolitec Laser相比,TURP的术后IPSS评分更高,但与TUEVP、BPV、ThuVARP和PVP相比并不优越。值得注意的是,TURP的术后Qmax结果优于BPV、TUEVP和ThuVARP,但与PVP相比则不同。
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