{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T16:44:31Z","timestamp":1791045871882,"version":"4.1.0"},"reference-count":72,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"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":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Lower urinary tract symptoms (LUTS) persist in up to 50% of patients after bladder outflow resistance reduction surgery (BORRS) in men. Our think tank aims to address the predictive factors for persistent LUTS after BORRS and to propose the recommendations for future research to enable improved better patient counseling and selection by more accurate prediction of treatment outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A think tank of ICI\u2010RS gathered in 2023, Bristol, UK, to discuss the pre and postsurgical clinical and urodynamic evaluation of men undergoing BORRS and whether it is possible to predict which men will have persistent LUTS after BORRS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our think tank agrees that due to the multifactorial, and still not fully understood, etiology of male LUTS it is not possible to precisely predict in many men who will have persistent LUTS after BORRS. However, severe storage symptoms (overactive bladder, OAB) in association with low volume and high amplitude detrusor overactivity and low bladder capacity in preoperative urodynamics, increase the likelihood of persistent OAB\/storage symptoms after BORRS. Furthermore, patients who are clearly obstructed and have good bladder contractility on preoperative pressure flow studies do better postoperatively compared to their counterparts. However, the benefit of pressure flow studies is decreased in patients who do not acceptably void during the study. Poor voiding after BORRS may occur due to persistent obstruction or detrusor underactivity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Future research is needed to increase our understanding of why male LUTS persist after surgery, and to enable better patient selection and more precise patient counseling before BORRS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25435","type":"journal-article","created":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T11:14:06Z","timestamp":1710328446000},"page":"1447-1457","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Can we predict and manage persistent storage and voiding LUTS following bladder outflow resistance reduction surgery in men? ICI\u2010RS 2023"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3387-3524","authenticated-orcid":false,"given":"Tufan","family":"Tarcan","sequence":"first","affiliation":[{"name":"Department of Urology Marmara University School of Medicine Istanbul Turkey"},{"name":"Department of Urology Koc University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2467-407X","authenticated-orcid":false,"given":"Hashim","family":"Hashim","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute Southmead Hospital Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin","family":"Malde","sequence":"additional","affiliation":[{"name":"Department of Urology Guy's and St Thomas' NHS Foundation Trust &amp; King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7090-2091","authenticated-orcid":false,"given":"Sanjay","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Urology Apollo Hospital Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Sahai","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute Southmead Hospital Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6094-9264","authenticated-orcid":false,"given":"Omer","family":"Acar","sequence":"additional","affiliation":[{"name":"Department of Urology Koc University School of Medicine Istanbul Turkey"},{"name":"College of Medicine, Department of Urology University of Illinois at Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Selai","sequence":"additional","affiliation":[{"name":"University College London \u2013 Queen Square Institute of Neurology and The National Hospital for Neurology and Neurosurgery\/UCLH NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0308-8824","authenticated-orcid":false,"given":"Enrico Finazzi","family":"Agro","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences University of Rome Tor Vergata and Urology Unit, Policlinico Tor Vergata University Hospital Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2776-2200","authenticated-orcid":false,"given":"Paul","family":"Abrams","sequence":"additional","affiliation":[{"name":"Bristol Urological Institute Southmead Hospital Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6910-8656","authenticated-orcid":false,"given":"Alan","family":"Wein","sequence":"additional","affiliation":[{"name":"Desai Sethi Urology Institute University of Miami, Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"e_1_2_15_2_1","article-title":"Non\u2010neurogenic male LUTS","author":"Cornu JN","year":"2023","journal-title":"Eur Assoc Urol Guidelines"},{"key":"e_1_2_15_3_1","doi-asserted-by":"crossref","DOI":"10.1002\/nau.25399","article-title":"Safety and efficacy of an \u03b11 \u2010blocker plus mirabegron compared with an \u03b11 \u2010blocker plus antimuscarinic in men with lower urinary tract symptoms secondary to benign prostatic hyperplasia and overactive bladder: a systematic review and network meta\u2010analysis","author":"Herschorn S","year":"2024","journal-title":"Neurourol Urodyn"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25345"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)56918-9"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.12482"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65214-5"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)44991-3"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)37628-0"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.09.065"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.02.026"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.05.003"},{"key":"e_1_2_15_13_1","article-title":"Can we predict whether a man with acute or chronic urinary retention will void after bladder outflow resistance reduction surgery? ICI\u2010RS 2023","author":"Tarcan T","year":"2024","journal-title":"Neurourol Urodyn"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6777(1999)18:3<173::AID-NAU3>3.0.CO;2-M"},{"key":"e_1_2_15_15_1","first-page":"67","article-title":"Prostatic enlargement, symptomatology and pressure\/flow evaluation: interrelations in patients with symptomatic BPH","volume":"157","author":"Poulsen AL","year":"1994","journal-title":"Scand J Urol Nephrol Suppl"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)36527-8"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65478-8"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms232415988"},{"issue":"3","key":"e_1_2_15_19_1","first-page":"S50","article-title":"Is coexistent overactive\u2010underactive bladder (with or without detrusor overactivity and underactivity) a real clinical syndrome? ICI\u2010RS 2019","volume":"39","author":"Mancini V","year":"2020","journal-title":"Neurourol Urodyn"},{"issue":"3","key":"e_1_2_15_20_1","first-page":"S16","article-title":"Are oxidative stress and ischemia significant causes of bladder damage leading to lower urinary tract dysfunction? Report from the ICI\u2010RS 2019","volume":"39","author":"Speich JE","year":"2020","journal-title":"Neurourol Urodyn"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1159\/000496289"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2000.tb16953.x"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)43675-5"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)37092-1"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)40114-5"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-002-0095-3"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)35869-X"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.23736\/S2724-6051.20.03678-4"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2402-8"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.06.004"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0302-2838(23)00084-2"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2021.11.010"},{"key":"e_1_2_15_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2019.02.038"},{"key":"e_1_2_15_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00591-8"},{"key":"e_1_2_15_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00587-6"},{"key":"e_1_2_15_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13714"},{"key":"e_1_2_15_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2023.02.028"},{"key":"e_1_2_15_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-021-03819-x"},{"key":"e_1_2_15_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/bco2.74"},{"key":"e_1_2_15_40_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2021.0050"},{"key":"e_1_2_15_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25076"},{"key":"e_1_2_15_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.01.020"},{"key":"e_1_2_15_43_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.pcan.4500869"},{"key":"e_1_2_15_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.09.001"},{"issue":"3","key":"e_1_2_15_45_1","first-page":"9317","article-title":"Aquablation versus transurethral resection of the prostate: 1 year United States \u2010 cohort outcomes","volume":"25","author":"Kasivisvanathan V","year":"2018","journal-title":"Can J Urol"},{"key":"e_1_2_15_46_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0121265"},{"key":"e_1_2_15_47_1","doi-asserted-by":"publisher","DOI":"10.1159\/000357626"},{"key":"e_1_2_15_48_1","doi-asserted-by":"publisher","DOI":"10.1159\/000048427"},{"key":"e_1_2_15_49_1","first-page":"82","article-title":"Residual lower urinary tract symptoms (LUTS) after transurethral resection of prostate (TURP): the urodynamic studies in chiangmai university hospital","volume":"26","author":"Anutrakulchai S","year":"2005","journal-title":"THAI J Surg"},{"key":"e_1_2_15_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-018-0838-4"},{"key":"e_1_2_15_51_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S365282"},{"key":"e_1_2_15_52_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.1996.88213.x"},{"key":"e_1_2_15_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11884-019-00527-6"},{"key":"e_1_2_15_54_1","doi-asserted-by":"publisher","DOI":"10.3109\/13685530903440408"},{"key":"e_1_2_15_55_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000738"},{"key":"e_1_2_15_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00483-0"},{"key":"e_1_2_15_57_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0170726"},{"key":"e_1_2_15_58_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20586"},{"key":"e_1_2_15_59_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000018802"},{"key":"e_1_2_15_60_1","doi-asserted-by":"publisher","DOI":"10.1177\/1756287217742837"},{"key":"e_1_2_15_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2020.08.015"},{"key":"e_1_2_15_62_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13110"},{"key":"e_1_2_15_63_1","doi-asserted-by":"publisher","DOI":"10.5213\/inj.1836094.047"},{"key":"e_1_2_15_64_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24361"},{"key":"e_1_2_15_65_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2011.02763.x"},{"key":"e_1_2_15_66_1","doi-asserted-by":"publisher","DOI":"10.52965\/001c.81040"},{"key":"e_1_2_15_67_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1091"},{"key":"e_1_2_15_68_1","doi-asserted-by":"publisher","DOI":"10.1159\/000056281"},{"key":"e_1_2_15_69_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-022-05277-4"},{"key":"e_1_2_15_70_1","unstructured":"(DSM\u20105American Psychiatric Association 2013)"},{"key":"e_1_2_15_71_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2005.02.008"},{"key":"e_1_2_15_72_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465816000321"},{"key":"e_1_2_15_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2014.11.019"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.25435","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T06:12:34Z","timestamp":1719900754000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.25435"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,13]]},"references-count":72,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1002\/nau.25435"],"URL":"https:\/\/doi.org\/10.1002\/nau.25435","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,13]]},"assertion":[{"value":"2024-02-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}