Transurethral resection of the prostate across continents: a meta-analysis evaluating quality of gold standard in the twenty-first century - Summary - MDSpire
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Transurethral resection of the prostate across continents: a meta-analysis evaluating quality of gold standard in the twenty-first century
To assess the effectiveness and safety of transurethral resection of the prostate (TURP) and identify specific trends in surgical outcomes and complications that inform best practices.
Key Findings:
102 studies with 8454 patients were included, revealing significant variations in effectiveness and complication rates across continents, highlighting the need for tailored approaches.
Surgeon expertise significantly impacts TURP outcomes, with experienced urologists achieving better results, underscoring the importance of training and experience.
Technical advancements in TURP have reduced complications, although results vary by study, indicating the need for ongoing evaluation of new techniques.
Interpretation:
TURP remains the gold standard for BPH treatment, but its effectiveness is influenced by geographic and surgeon-related factors, necessitating a focus on training and regional best practices.
Limitations:
Variability in study quality and methodologies across included RCTs may affect the reliability of the findings.
The limited number of studies from certain regions, particularly Africa and Others, may skew the understanding of TURP's global effectiveness.
Conclusion:
TURP continues to be a reliable treatment for BPH, but ongoing evaluation and adaptation to new techniques are essential for optimizing patient outcomes.
by Joao G. Porto, Ansh M. Bhatia, Abhishek Bhat, Maria Camila Suarez Arbelaez, Ruben Blachman-Braun, Khushi Shah, Ankur Malpani, Diana Lopategui, Thomas R. W. Herrmann, Robert Marcovich, Hemendra N. Shah
