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01-11-2021 | Benign Prostatic Hypertrophy | Invited Review

Bladder neck stenosis after transurethral prostate surgery: a systematic review and meta-analysis

Authors: Daniele Castellani, Marcelo Langer Wroclawski, Giacomo Maria Pirola, Vineet Gauhar, Emanuele Rubilotta, Vinson Wai-Shun Chan, Bryan Kwun-Chung Cheng, Marilena Gubbiotti, Andrea Benedetto Galosi, Thomas R. W. Herrmann, Jeremy Yuen-Chun Teoh

Published in: World Journal of Urology | Issue 11/2021

Abstract

Purpose

Bladder neck stenosis (BNS) is a long-term complication of surgical procedures for benign prostatic hyperplasia (BPH). We performed a systematic literature review and a meta-analysis of the incidence of BNS after transurethral procedures for BPH.

Methods

We performed a systemic literature review using MEDLINE, EMBASE, and Cochrane Central Controlled Register of Trials. We accepted only randomized trials comparing transurethral resection of the prostate (TURP) vs. other transurethral surgery for BPH that were grouped in Ablation vs. Enucleation modalities. The incidences of BNS were pooled using the Cochran–Mantel–Haenszel Method with the random effect model and expressed as Risk Ratios, 95% Confidence Intervals, and p values. Study heterogeneity was assessed utilizing the I² value.

Results

72 studies were identified for meta-analysis, 46 comparing TURP vs. Ablation and 26 TURP vs. Enucleation. The pooled incidence of BNS was 1.3% after TURP, 0.66% after enucleation and 1.2% after Ablation. The incidence of BNS was higher after TURP than after Enucleation but the difference was not statistically significant (RR 1.75 95% CI 0.81–3.79, p = 0.16). There was no significant heterogeneity among the studies (I² 0%, Chi² 4.11, p = 0.90). The incidence of BNS was higher after TURP than after Ablation, but the difference was not statistically significant (RR 1.31, 95% CI 0.82–2.11, p = 0.26) with no significant heterogeneity (I² 0%, Chi² 21.1, p = 0.51).

Conclusion

Our study showed no difference in the rate of BNS incidence among randomized trials comparing TURP vs. Ablation vs. Enucleation and can be used as a reference to counsel patients undergoing BPH surgery.

Available only for authorised users

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Title: Bladder neck stenosis after transurethral prostate surgery: a systematic review and meta-analysis
Authors: Daniele Castellani
Marcelo Langer Wroclawski
Giacomo Maria Pirola
Vineet Gauhar
Emanuele Rubilotta
Vinson Wai-Shun Chan
Bryan Kwun-Chung Cheng
Marilena Gubbiotti
Andrea Benedetto Galosi
Thomas R. W. Herrmann
Jeremy Yuen-Chun Teoh
Publication date: 01-11-2021
Publisher: Springer Berlin Heidelberg
Keywords: Benign Prostatic Hypertrophy
Prostatectomy
Benign Prostatic Hypertrophy
Transurethral Prostate Resection
Prostatectomy
Laser
Published in: World Journal of Urology / Issue 11/2021
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-021-03718-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Bladder neck stenosis after transurethral prostate surgery: a systematic review and meta-analysis

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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