1. Baseline characteristics of included studies.
Study name | Trial period | Country | Description of participants | Intervention(s) and comparator(s) |
Duration of follow‐up |
Age* | IPSS* | Prostate volume* |
Convective radiofrequency water vapor therapy (CRFWVT) | ||||||||
McVary 2016 | 2013‐2014 | USA | Men ≥ 50 years; symptomatic BPH with IPSS ≥ 13; Qmax 5‐15 mL/s voided volume ≥ 125 mL; prostate volume 30‐80 g | CRFWVT | 3 months | 63 ± 7.1 | 22 ± 4.8 | 45.8 ± 13.0 |
Sham | 62.9 ± 7.0 | 21.9 ± 4.7 | 44.5 ± 13.3 | |||||
Prostatic arterial embolization (PAE) | ||||||||
Abt 2018 | 2014‐2017 | Switzerland | Men ≥ 40 years, refractory symptoms, prostate 25‐80 mL, with IPSS ≥ 8, IPSS‐QoL ≥ 3, with Qmax < 12 mL/s or urinary retention | PAE | 24 months | 65.7 ± 9.3 | 19.38 ± 6.37 | 52.8 ± 32.0 |
TURP | 66.1 ± 9.8 | 17.59 ± 6.17 | 56.5 ± 31.1 | |||||
Carnevale 2016 | 2010‐2012 | Brazil | Men > 45 years; IPSS > 19; refractory symptoms > 6 months; prostate 30‐90 mL; bladder outlet obstruction (urodynamic examination) | PAE | 12 months | 63.5 ± 8.7 | 25.3 ± 3.6 | 63.0 ± 17.8 |
TURP | 66.4 ± 5.6 | 27.6 ± 3.2 | 56.6 ± 21.5 | |||||
Gao 2014 | 2007‐2012 | China | Men with IPSS > 7 after failed medical therapy, prostate volume 20‐100 mL, Qmax < 15 mL/sec | PAE | 24 months | 67.7 ± 8.7 | 22.8 ± 5.9 | 64.7 ± 19.7 |
TURP | 66.4 ± 7.8 | 23.1 ± 5.8 | 63.5 ± 18.6 | |||||
Insausti 2020 | 2014‐2017 | Spain | Men > 60 years; LUTS refractory to medical treatment >6 months; IPSS ≥ 8; IPSS‐QoL ≥ 3; Qmax ≤ 10 mL/s or urinary retention | PAE |
12 months | 72.4 ± 6.2 |
25.8 ± 4.64 |
60.0 ± 21.6 |
TURP | 71.8 ± 5.5 |
26.0 ± 7.29 |
62.8 ± 23.8 | |||||
Pisco 2020 | 2014‐2018 | Portugal | Men > 45 years; severe LUTS; IPSS ≥ 20 and IPSS‐QoL ≥ 3 > 6 months' treatment with alpha‐blockers; Qmax < 12 mL/s; prostate volume 40 mL | PAE | 6 months | 64 | 25.5 | 63.5 |
Sham | 64 | 27.5 | 66 | |||||
Radwan 2020 | 2016‐2018 | Egypt | Men with LUTS with an IPSS score of 8 to 35, Qmax ≤ 10 mL/s; prostate volume < 100 mL | PAE | 6 months | 63.0 ± 7.2 | 27.0 ± 5.0 | 58.7 ± 23.4 |
TURP | 62.0 ± 9.0 | 26.5 ± 4.0 | 60.1 ± 21.5 | |||||
Zhu 2018 | 2016 | China | Men with comprehensive diagnosis of BPH through ultrasound prostate examination, digital rectal examination, IPSS, etc.; no absolute contraindication for surgery; no previous history of surgery; not taking 5‐alpha reductase inhibitors | PAE | 12 months | 61.1 ± 4.4 | 25.63 ± 4.28 | 81.21 ± 6.34 |
TURP | 62.4 ± 4.9 | 26.22 ± 4.35 | 82.09 ± 6.47 | |||||
Prostatic urethral lift (PUL) | ||||||||
Gratzke 2017 | 2012‐2013 | Europe | Men ≥ 50 years with IPSS > 12, Qmax ≤ 15 mL/second for 125 mL voided volume, PRV < 350 mL, prostate volume ≤ 60 mL, sexually active, Incontinence Severity Index score ≤ 4 | PUL | 24 months | 63 ± 6.8 | 22 ± 5.7 | 38 ± 12 mL |
TURP | 65 ± 6.4 | 23 ± 5.9 | 41 ± 13 mL | |||||
Roehrborn 2013 | 2011 | 19 centres/US, Canada, and Australia | Men ≥ 50 years, AUASI ≥ 13, Qmax ≤ 12 mL/second with a 125 mL voided volume and a 30‐80 mL prostate volume | PUL | 3 months | 67 ± 8.6 | 22.2 ± 5.48 | 44.5 ± 12.4 mL |
Sham | 65 ± 8.0 | 24.4 ± 5.75 | 40.9 ± 10.8 mL | |||||
Temporary implantable nitinol device (TIND) | ||||||||
Chughtai 2020 | 2015‐2018 | USA/Canada | Men ≥ 50 years; symptomatic BPH. IPSS ≥ 10, Qmax < 12 ml/sec; voided volume > 125 mL; prostate volume 25‐75 ml |
TIND | 3 months | 61.5 ± 6.5 | 22.1 ± 6.8 | 43.4 ± 15.5 |
Sham | 60.1 ± 6.3 | 22.8 ± 6.2 | 43.8 ± 13.3 | |||||
Transurethral microwave thermotherapy (TUMT) | ||||||||
Abbou 1995 | N/A | France | Men ≥ 50 years with symptoms > 3 months, prostate 30‐80 g, Qmax < 15 mL/s, PVR < 300 mL | TUMT | 12 months | 65 ± 8 | N/A | 45 ± 15 |
Sham | 66 ± 7 | N/A | 44 ± 11 | |||||
Ahmed 1997 | N/A | UK | Men ≥ 55 years with AUA score >12 > 1‐year, prostate 25‐100 mL, Qmax < 15 mL/s and a PVR < 300 mL | TUMT | 6 months | 69.36 | 18.5 | 36.6 |
TURP | 69.45 | 18.4 | 46.1 | |||||
Albala 2002 | N/A | USA | Men 50‐80 years, AUA index > 13 and a bother score >11, Qmax < 12 mL/sec and PVR > 125 mL; prostate 30‐100 mL without a significant intravesical middle lobe | TUMT | 12 months | 65.2 ± 7.3 | 22.2 ± 5.0 | 50.5 ± 18.6 |
Sham | 64.6 ± 7.1 | 22.7 ± 5.7 | 47.1 ± 17.9 | |||||
Bdesha 1994 | N/A | UK | Men with prostatism (WHO score > 14), PVR > 50 mL, Qmax < 15 ml/s | TUMT | 3 months | 63.7 | 19.2 | N/A |
Sham | 62.6 | 18.8 | N/A | |||||
Blute 1996 | N/A | USA | Men suffering from urinary symptoms (Madsen Symptom score >8), PVR 10000 mL, Qmax < 10 mL/s, prostate length 30 – 50 mm | TUMT | 12 months | 66.9 ± 7.8 | 19.9 ± 7.2 | 37.4 ± 14.2 |
Sham | 66.9 ± 7.1 | 20.8 ± 6.7 | 36.1 ± 13.4 | |||||
Brehmer 1999 | N/A | Sweden | Men suffering from lower urinary tract symptoms and with an enlarged prostate | TUMT | 12 months | 70.4 | N/A | N/A |
Sham | ||||||||
D'Ancona 1998 | 1994‐1995 | Netherlands | Men ≥ 45 years with Madsen score > 8 months, prostate 2.5‐5 cm/30‐100 mL, Qmax < 15 mL/s PRV < 350 mL | TUMT | 24 months | 69.6 ± 8.5 | 16.7 ± 5.6 | 45 ± 15 |
TURP | 69.3 ± 5.9 | 18.3 ± 6.3 | 43 ± 12 | |||||
Dahlstrand 1995 | N/A | Sweden | Men ≥ 45 years with Madsen score > 8 months, prostate 3.5‐5 cm, Qmax < 15 mL/s PRV > 150 mL | TUMT | 24 months | 68 | N/A | 33 |
TURP | 79 | N/A | 37 | |||||
De Wildt 1996 | 1991‐1992 | Netherlands/UK | Men ≥ 45 years with Madsen score > 8 months, Qmax < 15 mL/s PRV > 150 mL | TUMT | 12 months | 63.3 ± 8.1 | N/A | 48.6 ± 16.6 |
Sham | 66.9 ± 6.0 | N/A | 49.0 ± 20.0 | |||||
Floratos 2001 | 1996‐1997 | Netherlands | Men ≥ 45 years, prostate ≥ 30 cm3, prostatic urethral length ≥ 25 mm, a Madsen symptom score ≥ 8, Qmax ≤ 15 ml/s, PVR ≤ 350 ml | TUMT | 36 months | 68 | 21 | 42 |
TURP | 66 | 20 | 48 | |||||
Larson 1998 | 1994‐1996 | USA | Men ≥ 45 years with AUA score > 9, enlarged prostate (3‐5 cm TRUS), Qmax < 12 mL/s without a significantly enlarged middle lobe | TUMT | 12 months | 66 | 20.8 | 38.1 |
Sham | 65.9 | 21.3 | 44.7 | |||||
Nawrocki 1997 | N/A | UK | Men with a Madsen symptom score ≥ 8, Qmax ≤ 15 ml/s, PVR > 150 ml, detrussor pressure > 70 cm H2O | TUMT | 6 months | 70 | 19 | 41.2 ± 14.6 |
Sham | 17.5 | 46.7 ± 16.8 | ||||||
Norby 2002 | 1996‐1997 | Denmark | Men ≥ 50 years, IPSS ≥ 7, Qmax ≤ 12 ml/s | TUMT | 6 months | 66 ± 7 | 20.5 ± 5.7 | 43 |
TURP/TUIP | 68 ± 7 | 21.3 ± 6.6 | 44 | |||||
Roehrborn 1998 | N/A | United States | Men ≥ 55 years, AUA‐SI ≥ 13, Qmax ≤ 12 ml/s, prostate volume 25‐100 mL | TUMT | 6 months | 66.3 ± 6.5 | 23.6 ± 5.6 | 48.1 ± 16.2 |
Sham | 66.0 ± 5.8 | 23.9 ± 5.6 | 50.5 ± 18.1 | |||||
Venn 1995 | N/A | UK | Men with a Madsen symptom score ≥ 8, PVR < 250 ml | TUMT | 6 months | 70.5 | 19.2 | 40.4 |
Sham | 68 | 20.1 | 40.6 | |||||
Wagrell 2002 | 1998‐1999 | Scandinavia/USA | Men IPSS ≥ 13, Qmax ≤ 13 ml/s, prostate volume 30‐100 mL | TUMT | 5 years | 67 ± 8 | 21.0 ± 5.4 | 48.9 ± 15.8 |
TURP | 69 ± 8 | 20.4 ± 5.9 | 52.7 ± 17.3 |
(*) mean/median, ± standard deviation when available. AUA‐SI/IPSS score: American Urological Association Symptom Index/International Prostate Symptom Score; BPH: benign prostatic hyperplasia; CRFWVT: convective radiofrequency water vapor therapy; LUTS: lower urinary tract symptoms; PAE: prostatic arterial embolization; PSA: prostate‐specific antigen; PUL: prostatic urethral lift; PVR: postvoid residual; Qmax: maximum flow rate; TIND: temporary implantable nitinol device; TUMT: transurethral microwave thermotherapy; TURP: transurethral resection of the prostate.