THE IMPACT OF BENIGN PROSTATE HYPERPLASIA TREATMENT MODALITIES ON THE INCIDENCE AND PROGRESSION OF URETHRAL STRICTURE: A COMPREHENSIVE SYSTEMATIC REVIEW
DOI:
https://doi.org/10.61841/w1pmyb36Keywords:
BPH, urethral stricture, treatment, complication.Abstract
Background: Urinary tract symptoms in elderly men are frequently caused by BPH, which frequently results in urethral stricture. Perioperative morbidity might result from surgical methods such as simple open prostatectomy and transurethral resection. Several techniques, such as HoLEP, have surfaced as novel therapies.
Methods: Following PRISMA 2020 guidelines, this systematic review concentrated on full-text English literature published between 2014 and 2024. Editorials and review articles that appeared in the same journal as the submission were not accepted without a DOI. The literature was assembled using a variety of online databases, including ScienceDirect, PubMed, and SagePub.
Result: The study utilized reliable sources like Science Direct, SagePub, and PubMed for screening over 500 publications. Six papers were identified as relevant for systematic analysis, followed by further study and examination of the complete document.
Conclusion: The treatment of BPH patients using the TURis system and TUEP is effective in preventing postoperative complications like urethral strictures. However, further large-scale multicentre RCTs are needed to confirm these findings. BMA is suitable for short proximal bulbar urethral strictures, and the inverted omega En-bloc HoLEP technique is safe and effective for all prostate sizes.
References
Ng M, Leslie SW, Baradhi KM. Benign Prostatic Hyperplasia. [Updated 2024 Jan 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK558920/
2. Asseldonk, B. Van, Barkin, J., Elterman, D. S., Czerniak, B., Dinney, C., McConkey, D., Hilton, S., Jones, L. P., Ghosh, M., Brancato, S. J., Agarwal, P. K., Apolo, A. B., Lin-tsai, O., Taylor, J. A., Clark, P. E., & Adam, R. M. (2014). Medical therapy for benign prostatic hyperplasia: a review. Current Opinion in Oncology, 23(4), 863– 910. http://www.ncbi.nlm.nih.gov /pubmed/24685646%5 Cnhttp://linkinghub.
elsevier.com/retrieve/pii/S1055320714000519%5
Cnhttp://www.annualreviews.org/doi/pdf/10.1146/annurev-pathol-012513-
%5Cnhttp://www.ncbi.nlm.nih.gov/pubmed/26907529
3. Gratzke, C., Bachmann, A., Descazeaud, A., Drake, M. J., Madersbacher, S., Mamoulakis, C., Oelke, M., Tikkinen, K. A. O., & Gravas, S. (2015). EAU guidelines on the assessment of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction. European Urology, 67(6), 1099–1109. https://doi.org/10.1016/j.eururo.2014.12.038
4. Homma, Y., Gotoh, M., Kawauchi, A., Kojima, Y., Masumori, N., Nagai, A., Saitoh, T., Sakai, H., Takahashi, S., Ukimura, O., Yamanishi, T., Yokoyama, O., Yoshida, M., & Maeda, K. (2017). Clinical guidelines for male lower urinary tract symptoms and benign prostatic hyperplasia. International Journal of Urology, 24(10), 716–
https://doi.org/10.1111/iju.13401
5. Endo, Y., Shimizu, H., Akatsuka, J., Minaguchi, S., Hasegawa, H., Toyama, Y., Suzuki, Y., Hamasaki, T., Oki, M., Hasegawa, J., & Kondo, Y. (2022). Efficacy and Safety of Transurethral Enucleation with Bipolar
Energy for Treatment of Benign Prostatic Hyperplasia: Does Prostate Volume Matter? Journal of Nippon Medical School, 89(4), 436–442. https://doi.org/10.1272/jnms.JNMS.2022_89-411
6. Hirasawa, Y., Ide, H., Yasumizu, Y., Hoshino, K., Ito, Y., & Masuda, T. (2012). Comparison of transurethral enucleation with bipolar and transurethral resection in saline for managing benign prostatic hyperplasia. BJU International, 110(11 C), 1–6. https://doi.org/10.1111/j.1464-410X.2012.11381.x
7. Pirola, G. M., Saredi, G., Duarter, R. C., Bernard, L., & Pacchetti, A. (2018). Holmium laser versus thulium laser enucleation of the prostate: a matched- pair analysis from two centers. Therapeutic Advances in Vaccines, 9(6), 259–261. https://doi.org/10.1177/https
8. Oh, S. J. (2019). Current surgical techniques of enucleation in holmium laser enucleation of the prostate. Investigative and Clinical Urology, 60(5), 333–342. https://doi.org/10.4111/icu.2019.60.5.333
9. Rücker, F., Lehrich, K., Böhme, A., Zacharias, M., Ahyai, S. A., & Hansen, J. (2021). A call for HoLEP: enbloc vs. two-lobe vs. three-lobe. World Journal of Urology, 39(7), 2337–2345. https://doi.org/10.1007/s00345021-03598-5
10. Saitta, G., Becerra, J. E. A., del Álamo, J. F., González, L. L., Elbers, J. R., Suardi, N., & Gómez-Sancha, F. (2019). ‘En Bloc’ HoLEP with early apical release in men with benign prostatic hyperplasia. World Journal of Urology, 37(11), 2451–2458. https://doi.org/10.1007/s00345-019-02671-4
11. Kim, D. H., Kang, C. S., Choi, J. W., Jeh, S. U., Choi, S. M., Lee, C. W., Kam, S. C., Hwa, J. S., & Hyun, J. S. (2023). The Efficacy and Safety of “Inverted Omega En-bloc” Holmium Laser Enucleation of the Prostate (HoLEP) for Benign Prostatic Hyperplasia: A Size-Independent Technique for the Surgical Treatment of LUTS.
World Journal of Men’s Health, 41(4), 951–959. https://doi.org/10.5534/wjmh.220225
12. Das, A. K., Han, T. M., & Hardacker, T. J. (2020). Holmium laser enucleation of the prostate (HoLEP): sizeindependent gold standard for surgical management of benign prostatic hyperplasia. The Canadian Journal of Urology, 27(S3), 44–50.
13. Zhou, J., Hua, Z., Tang, M., Meng, X., & Li, P. (2022). Application of En Bloc and Urethral Mucosal Flap
Sparing Techniques Improve the Functional Outcomes in Holmium Laser Enucleation of Prostate: A Retrospective Case Control Study. American Journal of Men’s Health, 16(5). https://doi.org/10.1177/15579883221131412
14. Abdeen BM, Leslie SW, Badreldin AM. Urethral Strictures. [Updated 2023 Nov 13]. In: StatPearls [Internet].
Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK564297/
15. Komura, K., Inamoto, T., Takai, T., Uchimoto, T., Saito, K., Tanda, N., Minami, K., Oide, R., Uehara, H., Takahara, K., Hirano, H., Nomi, H., Kiyama, S., Watsuji, T., & Azuma, H. (2015). Incidence of urethral stricture after bipolar transurethral resection of the prostate using TURis: Results from a randomised trial. BJU International, 115(4), 644–652. https://doi.org/10.1111/bju.12831
16. Lin, Y., Wu, X., Xu, A., Ren, R., Zhou, X., Wen, Y., Zou, Y., Gong, M., Liu, C., Su, Z., & Herrmann, T. R. W. (2016). Transurethral enucleation of the prostate versus transvesical open prostatectomy for large benign prostatic hyperplasia: a systematic review and meta-analysis of randomized controlled trials. World Journal of Urology, 34(9), 1207–1219. https://doi.org/10.1007/s00345-015-1735-9
17. Favre, G. A., Alfieri, A. G., Gil Villa, S. A., Tobia, I., & Giudice, C. R. (2021). Bulbomembranous Urethral Strictures Repair After Surgical Treatment of Benign Prostatic Hyperplasia. Experience From a Latin American Referral Centre. Urology, 147, 281–286. https://doi.org/10.1016/j.urology.2020.08.085
18. Oelke, M., Bachmann, A., Descazeaud, A., Emberton, M., Gravas, S., Michel, M. C., N’Dow, J., Nordling, J., & De La Rosette, J. J. (2013). EAU guidelines on the treatment and follow-up of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction. European Urology, 64(1), 118–140. https://doi.org/10.1016/j.eururo.2013.03.004
19. Lerner, L. B., Tyson, M. D., & Mendoza, P. J. (2010). Stress incontinence during the learning curve of holmium laser enucleation of the prostate. Journal of Endourology, 24(10), 1655–1658. https://doi.org/10.1089/end.2010.0021
20. Kampantais, S., Dimopoulos, P., Tasleem, A., Acher, P., Gordon, K., & Young, A. (2018). Assessing the Learning Curve of Holmium Laser Enucleation of Prostate (HoLEP). A Systematic Review. In Urology (Vol. 120). Elsevier Inc. https://doi.org/10.1016/j.urology.2018.06.012
21. Fayad, A. S., El Sheikh, M. G., Zakaria, T., Elfottoh, H. A., & Alsergany, R. (2011). Holmium laser
enucleation versus bipolar resection of the prostate: A prospective randomized study. which to choose? Journal of Endourology, 25(8), 1347–1352. https://doi.org/10.1089/end.2011.0059
22. Waxman, S., & Morey, A. (2006). Management of urethral strictures Urethral. Lancet (London, England), 367(April), 1379.
23. Blakely, S., Caza, T., Landas, S., & Nikolavsky, D. (2016). Dorsal onlay urethroplasty for membranous urethral strictures: Urinary and erectile functional outcomes. Journal of Urology, 195(5), 1501–1507.
https://doi.org/10.1016/j.juro.2015.11.028
24. Gomez, R. G., & Scarberry, K. (2018). Anatomy and techniques in posterior urethroplasty. Translational Andrology and Urology, 7(4), 567–579. https://doi.org/10.21037/tau.2018.03.05
25. Enikeev, D., Morozov, A., Taratkin, M., Misrai, V., Rijo, E., Podoinitsin, A., Gabdullina, S., & Herrmann, T. R. W. (2021). Systematic review of the endoscopic enucleation of the prostate learning curve. World Journal of Urology, 39(7), 2427–2438. https://doi.org/10.1007/s00345-020-03451-1
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