Programs for Assessment of Technology in Health (PATH) Research Institute, St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada.
Urology. 2010 May;75(5):1015-22. doi: 10.1016/j.urology.2009.08.015. Epub 2009 Oct 24.
Emerging minimally invasive procedures for the treatment of patients with benign prostatic obstruction may have advantages over transurethral resection of the prostate (TURP). We performed a systematic literature review and meta-analysis of randomized trials published upto April 2008 comparing TURP with photoselective vaporization, holmium laser ablation, and bipolar TURP. A total of 38 articles reporting results from 21 trials were included (photoselective vaporization = 3; holmium laser ablation = 1; bipolar TURP = 17). An assessment of perioperative and postoperative outcomes up to 12 months indicates benefits for these procedures. However, long-term follow-up and stronger methodological quality of the evidence is required to assess the long-term durability of the technologies.
新兴的微创治疗良性前列腺梗阻的方法可能优于经尿道前列腺切除术（TURP）。我们对截至 2008 年 4 月发表的比较 TURP 与光选择性汽化、钬激光消融和双极 TURP 的随机试验进行了系统的文献回顾和荟萃分析。共有 38 篇文章报道了 21 项试验的结果（光选择性汽化=3；钬激光消融=1；双极 TURP=17）。对 12 个月内围手术期和术后结果的评估表明，这些方法具有优势。然而，需要长期随访和更高质量的证据来评估这些技术的长期耐久性。
