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. 2021 Jul 15;2021(7):CD013656. doi: 10.1002/14651858.CD013656.pub2

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.