{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T01:56:32Z","timestamp":1787622992524,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of this study is investigate the clinical outcomes of men with benign prostatic hyperplasia (BPH) and bladder stones treated concomitantly with Aquablation and bladder stone removal in an international, multi\u2010institutional cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>\n                      We performed a retrospective analysis of men who underwent Aquablation between 2018 and 2024. Patients were divided into two cohorts: men with bladder stones and those without. Outcomes assessed included baseline demographics and variables (medication use, prostate volume, prior BPH surgery), operative characteristics (OR time, transfusion requirement, complications), and functional outcomes were measured by the International Prostate Symptom Score (IPSS), peak urinary flow rate (\n                      <jats:italic>Q<\/jats:italic>\n                      <jats:sub>max<\/jats:sub>\n                      ) and PVR at regular intervals over 24\u2009months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1885 men were analysed, including 60 men with bladder stones and 1825 without. Patients with bladder stones had higher rates of prior BPH surgery (15% vs. 5.5%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015) and pre\u2010operative urinary retention (28.3% vs. 14.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004) as well as larger prostate volumes (98.6\u2009ml vs. 77\u2009ml,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). Total operative time was longer in the bladder stone group (76.5 mins vs. 55.0 mins,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), but there were no significant differences in Aquablation time or bleeding complications including transfusions. There was also no difference in improvements in IPSS,\n                      <jats:italic>Q<\/jats:italic>\n                      <jats:sub>max<\/jats:sub>\n                      and PVR post\u2010operatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates that Aquablation is safe and effective in the management of BPH regardless of concomitant bladder stone treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.70156","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T12:54:36Z","timestamp":1769777676000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of Aquablation in BPH with bladder stones: Analysis of the ICARUS database"],"prefix":"10.1002","volume":"7","author":[{"given":"Joshua D.","family":"Cabral","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Urology University of Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Gannon","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology University of Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Raster","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology University of Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Nusbaum","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology University of Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3716-3447","authenticated-orcid":false,"given":"David","family":"Bouhadana","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel","family":"Arezki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aalya","family":"Hamouda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3761-492X","authenticated-orcid":false,"given":"Anouk","family":"Leathead","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology University of Montreal  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilan","family":"Ohana","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology University Laval  Quebec City Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1796-4592","authenticated-orcid":false,"given":"Rosie","family":"Foucault","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology University of Sherbrooke  Sherbrooke Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iman","family":"Sadri","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A.","family":"Sioufi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division 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