Table 53: Objective Outcome Measures of Effectiveness. Transurethral Needle Ablation (TUNA) Versus TURP.
| Study, Year | Peak urinary flow (Qmax), Mean (SD), mL/s | Postvoid residual urine, Mean (SD), mL | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Baseline | 3 months | 6 months | 1 year | > 1 year | Baseline | 3 months | 6 months | 1 year | > 1 year | |
| Hill et al. 2004 (80) TUNA TURP |
8.8 (0.3) 8.8 (0.3) P =.99 |
NR | NR |
14.6 (1) 21.1 (1.3) P <.0001 |
2 years 12.5 (0.7) 21.3 (1.4) P <.0001 3 years 13 (1.3) 19.1 (2) P = .0106 4 years 11.7 (1.4) 18.9 (2.5) P = .0142 5 years 11.4 (1.2) 18.6 (2.3) P = .0143 |
91.8 (10) 81.9 (9.3) P =.47 |
NR | NR |
80.3 (11) 47.1 (7) P =.0173 |
2 years 74.1 (12.6) 34.6 (5.6) P =.0114 3 years 78.2 (13.7) 50.7 (10.4) P = .1285 4 years 138.2 (45.7) 39.5 (13.1) P = .0564 5 years 60.4 (21.8) 27.4 (7.9) P = .1281 |
| Cimentepe et al. 2003 (81) TUNA TURP |
9.8 (3.6) 9.2 (3.4) P =.656 |
16.7 (4.5) 23.1 (5.3) P =.002 |
NR | NR |
1.5 years 17.7 (4.2) 23.3 (4.9) P = .004 |
67.4 (29.4) 76.1 (50.1) P = .576 |
45.3 (16.7) 32.4 (17.4) P = .065 |
NR | NR | 46.4 (17.5) 30.3 (18.8) P = .031 |
NR refers to not reported; Qmax, maximum flow rate; SD, standard deviation; TUNA; transurethral needle ablation; TURP transurethral resection of the prostate