Cochrane · systematic review · CD012867

Prostatic arterial embolization for the treatment of lower urinary tract symptoms in men with benign prostatic hyperplasia

Jung, JH, McCutcheon, KAnn, Borofsky, M, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

Urology2 versionsAMSTAR 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
18
current version
GRADE rated
17
No studies
1
Included studies
NR
No studies 1 · 5.6%Ungraded 0 · 0%Very low 5 · 27.8%Low 8 · 44.4%Moderate 4 · 22.2%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

Show all 2 versions

PAE compared to TURP for the treatment of lower urinary tract symptoms in men with benign prostatic hyperplasia (short term)

Population: men with lower urinary tract symptoms suggesting benign prostatic hyperplasia
6 questions
OutcomeEffectEvidenceStatus / GRADE
Urologic symptom scoresa
PAE vs TURP
no estimate extracted6 studies · 360 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Quality of lifea
PAE vs TURP
no estimate extracted5 studies · 300 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Major adverse events
PAE vs TURP
RR 0.75 [0.19, 2.97]4 studies · 250 participantsVery low
Downgraded: risk of bias, imprecision
Retreatmenta
PAE vs TURP
RR 3.2 [1.41, 7.27]4 studies · 303 participantsModerate
Downgraded: risk of bias
Erectile functiona
PAE vs TURP
no estimate extracted2 studies · 120 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Ejaculatory disordersh
PAE vs TURP
RR 0.51 [0.35, 0.73]260 participantsLow
Downgraded: risk of bias

PAE compared to TURP for the treatment of lower urinary tract symptoms in men with benign prostatic hyperplasia (long term)

6 questions
OutcomeEffectEvidenceStatus / GRADE
Urologic symptom scores
PAE vs TURP
no estimate extracted2 studies · 176 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Quality of life
PAE vs TURP
no estimate extracted2 studies · 176 participantsLow
Downgraded: risk of bias, imprecision
Major adverse events
PAE vs TURP
RR 0.91 [0.2, 4.05]2 studies · 206 participantsVery low
Downgraded: risk of bias, imprecision
Retreatmentf
PAE vs TURP
RR 3.8 [1.32, 10.93]1 study · 81 participantsModerate
Downgraded: risk of bias
Erectile function
PAE vs TURP
no estimate extracted1 study · 81 participantsLow
Downgraded: risk of bias, imprecision
Ejaculatory disorders
PAE vs TURP
RR 0.67 [0.45, 0.98]1 study · 50 participantsLow
Downgraded: risk of bias, imprecision

PAE compared to sham for the treatment of lower urinary tract symptoms in men with benign prostatic hyperplasia (short term)

Population: men with lower urinary tract symptoms suggesting benign prostatic hyperplasia
6 questions
OutcomeEffectEvidenceStatus / GRADE
Urologic symptom scores
PAE vs sham
no estimate extracted1 study · 80 participantsModerate
Downgraded: risk of bias
Quality of life
PAE vs sham
no estimate extracted1 study · 80 participantsModerate
Downgraded: risk of bias
Major adverse events
PAE vs sham
no estimate extracted1 study · 80 participantsVery low
Downgraded: risk of bias, imprecision
Retreatment
PAE vs sham
no estimate extracted1 study · 80 participantsVery low
Downgraded: risk of bias, imprecision
Erectile function
PAE vs sham
no estimate extractedNRNo studies
Ejaculatory disorders
PAE vs sham
no estimate extracted1 study · 80 participantsVery low
Downgraded: risk of bias, imprecision