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Evidence summaries

Transurethral Resection of the Prostate for Prostatic Hyperplasia

Transurethral resection of the prostate is effective in improving symptom scores in prostatic hyperplasia, and the effect is long-lasting. Level of evidence: "A"

A topic in Clinical Evidence 1 summarizes the results of 2 RCTs with a total of 779 people comparing transurethral resection (TURP) with watchful waiting. In the first RCT, TURP significantly improved symptom scores. At 5 years, the treatment failure rate was 10% with TURP compared with 21% with watchful waiting, and 36% of men assigned to watchful waiting had crossed over to surgery. In the second RCT, TURP significantly improved IPSS scores (difference 10.4 points, 95% CI 8.5 to 12.3).

    References

    • Webber R. Benign prostatic hyperplasia. What are the effects of surgical treatments. Clinical Evidence 2005;13:1101-1105.

Primary/Secondary Keywords