{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T09:01:32Z","timestamp":1785315692835,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare prostatic urethral lift (PUL) and water vapour thermal therapy (WVTT) for benign prostatic hyperplasia (BPH) in a real\u2010world setting, this study compares clinical management outcomes that are less thoroughly documented in current literature\u2014such as drug\u2010free status, complications and post\u2010procedure readmission rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>BPH patients (age \u226550) with prostate volumes 30\u201380\u2009cc who underwent either PUL or WVTT between January 2021 and December 2024 were identified. Patients were given BPH medications (alpha\u2010blockers and\/or 5\u2010alpha reductase inhibitors) till 3\u2009months postoperatively. The two groups were matched using a 1:3 propensity score matching; multivariable logistic regression analyses were performed on the full unmatched cohort. The primary outcome is drug\u2010free status, defined as the cessation of alpha\u2010blockers and 5\u2010alpha reductase inhibitors at 6\u00a0months post\u2010procedure. Secondary outcomes include unplanned readmission within 30\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 421 eligible patients were analysed (363 WVTT; 58 PUL). In propensity score matched analyses (174 WVTT; 58 PUL), patients were more likely to be drug\u2010free after PUL at 6\u00a0months compared to WVTT (weighted OR: 2.62 [95% CI: 1.22\u20135.61],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013). The association remained significant in multivariable regression analysis (adjusted OR: 2.41 [95% CI: 1.31\u20134.58],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006). No statistically significant difference in 30\u2010day readmission rates was found between the two groups in either the propensity score (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.097) or multivariable analysis (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.123).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this retrospective propensity\u2010score\u2010matched study, PUL was associated with less BPH medication use at 6\u2009months; readmission rates were comparable for PUL and WVTT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.70242","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T05:46:10Z","timestamp":1783143970000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of prostatic urethral lift (PUL) versus water vapour thermal therapy (WVTT): A focus on drug\u2010free status and unplanned admissions"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0740-1598","authenticated-orcid":false,"given":"Athena Y. 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Ho Urology Centre, Department of Surgery, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy M. H.","family":"Ho","sequence":"additional","affiliation":[{"name":"S.H. Ho Urology Centre, Department of Surgery, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne Y. Y.","family":"Chan","sequence":"additional","affiliation":[{"name":"S.H. Ho Urology Centre, Department of Surgery, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9361-2342","authenticated-orcid":false,"given":"Jeremy Y. C.","family":"Teoh","sequence":"additional","affiliation":[{"name":"S.H. 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