3 Committee considerations

3 Committee considerations

The evidence

3.1 To inform the committee, NICE did a rapid review of the published literature on the efficacy and safety of this procedure. This comprised a comprehensive literature search and detailed review of the evidence from 3 sources, which was discussed by the committee. The evidence included 2 prospective case series including 1 that was reported with 1-year and 3-year follow up in 2 publications, and is presented in table 2 of the interventional procedures overview.

3.2 The specialist advisers and the committee considered the key efficacy outcomes to be: improvement in lower urinary tract symptoms, quality of life, improved urinary flow rate and preservation of sexual function.

3.3 The specialist advisers and the committee considered the key safety outcomes to be: bleeding, infection, disorders of sexual function, need for re-intervention and urinary retention.

3.4 Patient commentary was sought but none was received.

Committee comments

3.5 The committee was informed that this procedure does not necessarily prevent the need for later transurethral resection of the prostate or make it more difficult to do.

ISBN: 978-1-4731-3240-5

  • National Institute for Health and Care Excellence (NICE)