Medicinal Leech Therapy in Urology: A PRISMA-Compliant Systematic Review
Battin AO, Hobeika N, Zdilla MJ (2023) · African Journal of Urology · n=12
Detalle de evidencia de RCTReferencia del ensayo
Perfil del estudio
- Diseño
- PRISMA-compliant systematic review of 12 unique medicinal leech therapy cases in urological contexts (MEDLINE/PubMed)
- Tamaño de la muestra (n)
- 12
- Intervención
- Medicinal leech therapy across 12 urological cases: 4 post-penile replantation, 2 post-scrotal hematoma, 2 post-neonatal bladder exstrophy repair, 1 refractory priapism, 3 penoscrotal edema in hormone refractory prostate carcinoma
- Comparador
- Within-cohort comparison across diverse urological indications
- Punto final primario
- Clinical improvement and complications across urological leech therapy applications
- Resultado primario
- All 12 cases (100%) reported clinical improvement; venous congestion/hematoma cases noted decreased displaced blood volume; priapism case had decreased pain; penoscrotal edema cases had significant swelling reduction; no complications in 9 adult patients; 3 neonatal patients required blood products
- Duración del seguimiento
- Variable across included cases
- PMID
- 41684506
Hallazgos clave
- First PRISMA-compliant urology-specific leech review
- 100% reported clinical improvement across 12 cases
- Diverse indications: replant, hematoma, exstrophy, priapism, edema
- No complications in 9 adult patients
- 3 neonatal cases required blood products (volume-related)
Limitaciones
- Small case pool (n=12 unique cases)
- Publication bias toward successful outcomes
- Heterogeneous indications limit cross-comparison
- No control groups available
- PRISMA methodology applied to case-level evidence
Implicaciones clínicas
Battin 2023 establishes leech therapy as a viable urologic adjunct across diverse indications with favorable safety profile in adults. For US clinicians under K040187, this PRISMA review extends device application to refractory priapism, penoscrotal edema, and post-bladder exstrophy congestion contexts beyond the traditional flap-salvage indication. The neonatal blood product requirement highlights age-specific considerations.
Estudios relacionados
Prophylactic versus reactive leech therapy for venous congestion after fingertip replantation: A retrospective comparative study and literature review
Kameda Y, Motomiya M, Watanabe N, Ota M, Iwasaki N (2025)
Standardized protocol for artery-only fingertip replantation
Buntic RF, Brooks D (2010)
The Use of Medicinal Leeches for the Treatment of Venous Congestion in Replanted or Revascularized Digits
Arami A, Gurevitz S, Palti R, Menachem S, Berelowitz M, Yaffe B (2018)
Leeching as Salvage Venous Drainage in Ear Reconstruction: Clinical Case and Review of Literature
Facchin F, Lancerotto L, Arnez ZM, Bassetto F, Vindigni V (2018)