Clinical practice guideline for transurethral plasmakinetic resection of prostate for benign prostatic hyperplasia (2021 Edition)

作者：Xian‐Tao Zeng, Yinghui Jin, Tong-Zu Liu, Fang‐Ming Chen, Degang Ding, Meng Fu, Xinquan Gu, Bangmin Han, Xing Huang, Zhi Hou, Wanli Hu, Xin-Li Kang, Gonghui Li, Jianxing Li, Peijun Li, Chao-Zhao Liang, Xiuheng Liu, Zhiyu Liu, Chunxiao Liu, Jiumin Liu, Guangheng Luo, Yi Luo, Weijun Qin, Jian-Hong Qiu, Jianxin Qiu, Xue‐Jun Shang, Benkang Shi, Fa Sun, Guoxiang Tian, Ye Tian, Feng Wang, Feng Wang, Yinhuai Wang, Yujie Wang, Zhiping Wang, Zhong Wang, Qiang Wei, Minhui Xiao, Wanhai Xu, Fa-Xian Yi, Chaoyang Zhu, Qianyuan Zhuang, Liqun Zhou, Xiaofeng Zou, Nianzeng Xing, Dalin He, Xing-Huan Wang · 发表于：Military Medical Research · 年份：2022 · DOI：10.1186/s40779-022-00371-6 · 被引用次数：44 · 研究领域：Urinary Bladder and Prostate Research、Urological Disorders and Treatments、Prostate Cancer Diagnosis and Treatment

Benign prostatic hyperplasia (BPH) is highly prevalent among older men, impacting on their quality of life, sexual function, and genitourinary health, and has become an important global burden of disease. Transurethral plasmakinetic resection of prostate (TUPKP) is one of the foremost surgical procedures for the treatment of BPH. It has become well established in clinical practice with good efficacy and safety. In 2018, we issued the guideline "2018 Standard Edition". However much new direct evidence has now emerged and this may change some of previous recommendations. The time is ripe to develop new evidence-based guidelines, so we formed a working group of clinical experts and methodologists. The steering group members posed 31 questions relevant to the management of TUPKP for BPH covering the following areas: questions relevant to the perioperative period (preoperative, intraoperative, and postoperative) of TUPKP in the treatment of BPH, postoperative complications and the level of surgeons' surgical skill. We searched the literature for direct evidence on the management of TUPKP for BPH, and assessed its certainty generated recommendations using the grade criteria by the European Association of Urology. Recommendations were either strong or weak, or in the form of an ungraded consensus-based statement. Finally, we issued 36 statements. Among them, 23 carried strong recommendations, and 13 carried weak recommendations for the stated procedure. They covered questions releva...