{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T20:13:16Z","timestamp":1789762396119,"version":"4.0.1"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction and Objective<\/jats:title><jats:p>Previous studies suggest that men with detrusor underactivity (DUA) have less symptomatic improvement after prostate surgery than those with normal contractility, but the available data is controversial. We aim to determine the differences in functional outcomes of patients with or without DUA who underwent photovaporization of the prostate (PVP) with GreenLight\u2122180\u2009W XPS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cohort of patients with lower urinary tract symptoms (LUTS) who underwent PVP between 2012 and 2019 was evaluated. Patients were stratified according to bladder contractility index (BCI). DUA was defined as BCI\u2009&lt;\u2009100. Those with normal contractility (BCI\u2009=\u2009100\u2013150) were included in Group 1, and those with DUA (BCI\u2009&lt;\u2009100) in Group 2. Primary outcomes were symptomatic improvement defined as a reduction\u2009\u2265\u20094 points in the international prostate symptom score (IPSS) and a reduction of at least 1 point in the quality of life (IPSS\u2010QoL). Complications according to the Clavien\u2013Dindo classification were also recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 271 patients who underwent PVP with GreenLight\u2122 and met the inclusion criteria were assessed. Group 1 included 158 patients, while Group 2 included 113 patients. Mean follow\u2010up was 24 months. Patients with normal contractility had a median reduction of 11 points (18.9\u2009\u00b1\u20098.0 to 7.1\u2009\u00b1\u20097.0) while patients with DUA had a median reduction of 10 points (19.3\u2009\u00b1\u20096.9 to 8.6\u2009\u00b1\u20098.4) in IPSS score; these differences were not statistically significant (<jats:italic>p<\/jats:italic>\u2009=\u2009.20). Patients in Group 1 had a 1.92 higher chance of QoL improvement (OR, 1.92; 90% CI, 1.10\u20133.37), compared to those in Group 2. Failure to void after PVP was most frequently reported in DUA patients (OR, 2.36; 90% CI, 1.26\u20134.43). Sociodemographic characteristics, intraoperative complications, conversion rates, hospital stay, and urinary catheterization time were similar between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with LUTS, regardless of their BCI, improved their symptoms after PVP according to the IPSS. However, patients with DUA were more likely not to improve their QoL after the procedure and had a higher chance of failure to void in the immediate postoperative period. An appropriate counseling process with the patient discussing possible outcomes based on these findings should be encouraged.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24637","type":"journal-article","created":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T11:57:14Z","timestamp":1614599834000},"page":"868-875","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Impact of detrusor underactivity on the postoperative outcomes after benign prostatic enlargement surgery"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5137-944X","authenticated-orcid":false,"given":"Mauricio","family":"Plata","sequence":"first","affiliation":[{"name":"Department of Urology Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1 and Universidad de los Andes School of Medicine  Bogot\u00e1 Distrito Capital Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Santander","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1 and Universidad de los Andes School of Medicine  Bogot\u00e1 Distrito Capital Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Gustavo","family":"Trujillo","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1 and Universidad de los Andes School of Medicine  Bogot\u00e1 Distrito Capital Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandra","family":"Bravo\u2010Balado","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1 and Universidad de los Andes School of Medicine  Bogot\u00e1 Distrito Capital Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Robledo","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1 and Universidad de los Andes School of Medicine  Bogot\u00e1 Distrito Capital Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Higuera","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1 and Universidad de los Andes School of Medicine  Bogot\u00e1 Distrito Capital Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Ignacio","family":"Caicedo","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1 and Universidad de los Andes School of Medicine  Bogot\u00e1 Distrito Capital Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23897"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.12.038"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)02243-4"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2018.07.037"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.07.079"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4111\/kju.2012.53.5.342"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.4111\/icu.2017.58.S2.S90"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000434688"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.10.015"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-032795"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)66780-6"},{"issue":"5","key":"e_1_2_9_14_1","first-page":"518","article-title":"Proposed classification of complications of surgery with examples of utility in cholecystectomy","volume":"111","author":"Clavien PA","year":"1992","journal-title":"Surgery"},{"key":"e_1_2_9_15_1","unstructured":"FosterH BarryM GandhiM et al.\u00a0Benign prostatic hyperplasia: surgical management of benign prostatic hyperplasia\/lower urinary tract symptoms (2018 amended 2019). 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