Prostatic Surgery With Preservation of the Supramonticular Tissue Versus Standard Surgery for Benign Prostatic Hyperplasia: A Systematic Review
Background Benign prostatic surgery is a common intervention for the treatment of benign prostatic hyperplasia (BPH). Preservation of the supramonticular tissue during surgery has been proposed as a technique that could minimize complications and improve functional outcomes, such as sexual function...
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| Lenguaje: | inglés |
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John Wiley and Sons Inc
2026
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| author | Mendoza-Chuctaya, Giuston Rodrigo-Ramos, Kevin Aycachi Centeno, Lucely del Pilar Taype-Rondán, Álvaro Renzo |
| author_browse | Aycachi Centeno, Lucely del Pilar Mendoza-Chuctaya, Giuston Rodrigo-Ramos, Kevin Taype-Rondán, Álvaro Renzo |
| author_facet | Mendoza-Chuctaya, Giuston Rodrigo-Ramos, Kevin Aycachi Centeno, Lucely del Pilar Taype-Rondán, Álvaro Renzo |
| author_sort | Mendoza-Chuctaya, Giuston |
| collection | Producción científica |
| description | Background Benign prostatic surgery is a common intervention for the treatment of benign prostatic hyperplasia (BPH). Preservation of the supramonticular tissue during surgery has been proposed as a technique that could minimize complications and improve functional outcomes, such as sexual function and urinary continence. However, evidence regarding its benefits compared to standard techniques remains limited and contradictory. Objective To compare modified surgery with supramonticular tissue preservation versus standard prostate surgery. Methods For this systematic review, we conducted searches in PubMed, Scopus, Web of Science, and the Cochrane Library. We included randomized controlled trials (RCTs) comparing modified surgery with standard surgery. Two reviewers independently selected the studies. Meta‐analyses were performed using RevMan 5.4, and the GRADE approach was used to assess the certainty of the evidence. Results We found eight RCTs with 573 participants. Meta‐analyses showed that the modified technique probably results in greater preservation of antegrade ejaculation (OR: 3.25; 95% CI: 2.56 to 4.11). However, it may have no effects on IPSS, maximum flow, QoL, post‐void residual volume (PVR), and IIEF, with very low certainty of the evidence. Conclusion In patients undergoing endoscopic surgery for BPH, surgery performed with the modified technique (supramonticular tissue preservation 1 cm above the verumontanum) probably results in increased preservation of antegrade ejaculation, and may have no effect on IPSS, maximum flow, QoL, PVR, and IIEF, with the evidence for these effects being very uncertain. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/2832 |
| institution | UPeU |
| language | English |
| publishDate | 2026 |
| publishDateRange | 2026 |
| publishDateSort | 2026 |
| publisher | John Wiley and Sons Inc |
| publisherStr | John Wiley and Sons Inc |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/28322026-10-30T17:09:35ZProstatic Surgery With Preservation of the Supramonticular Tissue Versus Standard Surgery for Benign Prostatic Hyperplasia: A Systematic ReviewMendoza-Chuctaya, GiustonRodrigo-Ramos, KevinAycachi Centeno, Lucely del PilarTaype-Rondán, Álvaro RenzoEndoscopyEjaculationUrinary Bladder Neck ObstructionMeta‐analysisBackground Benign prostatic surgery is a common intervention for the treatment of benign prostatic hyperplasia (BPH). Preservation of the supramonticular tissue during surgery has been proposed as a technique that could minimize complications and improve functional outcomes, such as sexual function and urinary continence. However, evidence regarding its benefits compared to standard techniques remains limited and contradictory. Objective To compare modified surgery with supramonticular tissue preservation versus standard prostate surgery. Methods For this systematic review, we conducted searches in PubMed, Scopus, Web of Science, and the Cochrane Library. We included randomized controlled trials (RCTs) comparing modified surgery with standard surgery. Two reviewers independently selected the studies. Meta‐analyses were performed using RevMan 5.4, and the GRADE approach was used to assess the certainty of the evidence. Results We found eight RCTs with 573 participants. Meta‐analyses showed that the modified technique probably results in greater preservation of antegrade ejaculation (OR: 3.25; 95% CI: 2.56 to 4.11). However, it may have no effects on IPSS, maximum flow, QoL, post‐void residual volume (PVR), and IIEF, with very low certainty of the evidence. Conclusion In patients undergoing endoscopic surgery for BPH, surgery performed with the modified technique (supramonticular tissue preservation 1 cm above the verumontanum) probably results in increased preservation of antegrade ejaculation, and may have no effect on IPSS, maximum flow, QoL, PVR, and IIEF, with the evidence for these effects being very uncertain.Article10.1002/pros.700962-s2.0-105021518173https://hdl.handle.net/20.500.15037/2832enThe ProstateProstate0270-4137John Wiley and Sons Inc20262026-06-27T02:34:08Z2026-06-27T02:34:08Z |
| spellingShingle | Endoscopy Ejaculation Urinary Bladder Neck Obstruction Meta‐analysis Mendoza-Chuctaya, Giuston Rodrigo-Ramos, Kevin Aycachi Centeno, Lucely del Pilar Taype-Rondán, Álvaro Renzo Prostatic Surgery With Preservation of the Supramonticular Tissue Versus Standard Surgery for Benign Prostatic Hyperplasia: A Systematic Review |
| title | Prostatic Surgery With Preservation of the Supramonticular Tissue Versus Standard Surgery for Benign Prostatic Hyperplasia: A Systematic Review |
| title_full | Prostatic Surgery With Preservation of the Supramonticular Tissue Versus Standard Surgery for Benign Prostatic Hyperplasia: A Systematic Review |
| title_fullStr | Prostatic Surgery With Preservation of the Supramonticular Tissue Versus Standard Surgery for Benign Prostatic Hyperplasia: A Systematic Review |
| title_full_unstemmed | Prostatic Surgery With Preservation of the Supramonticular Tissue Versus Standard Surgery for Benign Prostatic Hyperplasia: A Systematic Review |
| title_short | Prostatic Surgery With Preservation of the Supramonticular Tissue Versus Standard Surgery for Benign Prostatic Hyperplasia: A Systematic Review |
| title_sort | prostatic surgery with preservation of the supramonticular tissue versus standard surgery for benign prostatic hyperplasia a systematic review |
| topic | Endoscopy Ejaculation Urinary Bladder Neck Obstruction Meta‐analysis |
| topic_facet | Endoscopy Ejaculation Urinary Bladder Neck Obstruction Meta‐analysis |
| url | https://hdl.handle.net/20.500.15037/2832 |
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