{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T22:57:43Z","timestamp":1767135463660,"version":"build-2238731810"},"reference-count":17,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T00:00:00Z","timestamp":1717632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81902581"],"award-info":[{"award-number":["81902581"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["12174192"],"award-info":[{"award-number":["12174192"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002858","name":"China Postdoctoral Science Foundation","doi-asserted-by":"publisher","award":["2019M660111"],"award-info":[{"award-number":["2019M660111"]}],"id":[{"id":"10.13039\/501100002858","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To detail a novel technique of robotic\u2010assisted simple prostatectomy that makes handling the gland protruding into the bladder neck easier and can preserve the urethra and retain ejaculation function as much as possible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>This is a prospective case series. Clinical data of 17 male patients who had large volume (&gt;80\u2009mL) benign prostatic hyperplasia (BPH) were enrolled to undergo trans\u2010rectovesical pouch urethral\u2010sparing robotic\u2010assisted simple prostatectomy (usRASP). We adopted the approach through the space between the bladder neck and seminal vesicle to perform a usRASP that can avoid the detrusor skirt and fibrous matrix area of the retropubic prostate. Between the transitional zone and the peripheral zone of the large prostate, the hyperplastic prostatic gland tissue can be enucleated under direct vision while preserving the prostatic urethra and retaining the ejaculatory duct and bladder neck intact. All preoperative, perioperative and postoperative clinical data were collected, and descriptive analysis was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median intravesical prostatic protrusion was 19.3\u2009mm (8.5\u201332.2). The median operative time was 100\u2009min (75\u2013140), and the median estimated blood loss was 100\u2009mL (10\u2013500). The median time to catheter removal was 7\u2009days (5\u20137), with a median postoperative hospital stay of 2\u2009days (2\u20134). After at least 6\u2010month follow\u2010up, the median maximum urine flow rate and postvoid residual volume were 40.1\u2009mL\/s (12.7\u201352.4) and 15\u2009mL (5\u201323), respectively; the median International Prostate Symptom Score and Quality of Life score were 0 (0\u20136.3) and 1 (0\u20133), respectively; and the median total prostate\u2010specific antigen was 0.84\u2009ng\/mL (0.15\u20131.01). All patients successfully underwent usRASP. Fifty\u2010eight percent of patients with normal ejaculation function before surgery can still retain normal ejaculation function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We described a new approach to performing usRASP. This new method remarkably improved the voiding function, maintained antegrade ejaculation and did not increase the post\u2010operative complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.389","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T02:49:47Z","timestamp":1717728587000},"page":"890-896","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trans\u2010rectovesical pouch urethral\u2010sparing robotic\u2010assisted simple prostatectomy: A case series"],"prefix":"10.1002","volume":"5","author":[{"given":"Xinnan","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Urology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School Nanjing University  Nanjing Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kangkang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Urology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School Nanjing University  Nanjing Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School Nanjing University  Nanjing Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengwei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School Nanjing University  Nanjing Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Urology The First People's Hospital of Yancheng  Yancheng Jiangsu 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