Cochrane · systematic review · CD009629

Bipolar versus monopolar transurethral resection of the prostate for lower urinary tract symptoms secondary to benign prostatic obstruction

Alexander, CE, Scullion, MMF, Omar, MI, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

UrologyAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 5 · 71.4%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

BTURP compared to MTURP for lower urinary tract symptoms secondary to benign prostatic obstruction

Population: men with lower urinary tract symptoms secondary to benign prostatic obstruction
7 questions
OutcomeEffectEvidenceStatus / GRADE
Urological symptoms (IPSSa at 12 monthsa)
BTURP vs MTURP
no estimate extracted16 studies · 2531 participantsModerate
Downgraded: risk of bias, imprecision
Bother (HRQoLc at 12 months)
BTURP vs MTURP
no estimate extracted11 studies · 2004 participantsModerate
Downgraded: risk of bias, imprecision
TUR syndrome
BTURP vs MTURP
RR 0.17 [0.09, 0.3]44 studies · 6745 participantsModerate
Downgraded: risk of bias, imprecision
Urinary incontinence at 12 months
BTURP vs MTURP
RR 0.2 [0.01, 4.06]4 studies · 751 participantsLow
Downgraded: risk of bias, imprecision
Blood transfusion
BTURP vs MTURP
RR 0.42 [0.3, 0.59]38 studies · 5727 participantsModerate
Downgraded: risk of bias, imprecision
Re‐TURP
BTURP vs MTURP
RR 1.02 [0.44, 2.4]6 studies · 652 participantsLow
Downgraded: risk of bias, imprecision
Erectile function (IIEF‐5e score at 12 months)
BTURP vs MTURP
no estimate extracted3 studies · 321 participantsModerate
Downgraded: risk of bias, imprecision