{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:57:12Z","timestamp":1790621832468,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T00:00:00Z","timestamp":1755561600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T00:00:00Z","timestamp":1755561600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Some patients report persistent\/recurrent lower urinary tract symptoms (LUTS) after benign prostatic enlargement (BPE) surgery. This study aims to systematically assess the incidence of storage symptoms and dysuria after transurethral treatment of BPE in randomized studies comparing transurethral resection of the prostate (TURP) versus Enucleation versus Ablation procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study adhered to the 2020 PRISMA framework. A broad literature search was performed in January 2025, using Embase, PUBMED, and Scopus using a combination of Medical Subject terms and keywords. Only English and randomized studies were accepted. Incidence of postoperative LUTS (storage symptoms and dysuria) was sorted in early (up to 3 months), and persistent (&gt;\u20093 months) and assessed using the Cochran\u2013Mantel\u2013Haenszel Method with the random effect model and reported as odds ratio (OR), 95% confidence interval (CI), and\n                      <jats:italic>p<\/jats:italic>\n                      values. OR\u2009&gt; 1\u2009indicates that TURP decreases the odds of postoperative LUTS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 35 studies were accepted (546 patients in Enucleation, 1678 in Ablation, and 1702 in TURP). Incidence of early postoperative LUTS favors the TURP group compared with Ablation (OR 1.72). Subanalysis demonstrates no difference between monopolar (M)\u2010TURP and Ablation but LUTS favors bipolar (B)\u2010TURP (OR 10.69). Early postoperative LUTS favors the TURP compared with Enucleation (OR 1.71). Persistent postoperative LUTS favors the TURP group compared with Ablation (OR 2.75). Early postoperative storage symptoms favor B\u2010TURP over Ablation (OR 4.00) and Enucleation (OR 1.71). Late postoperative storage symptoms favor TURP over Ablation (OR 2.13). Early postoperative dysuria was similar between TURP versus Enucleation and versus Ablation. Persistent postoperative dysuria favors M\u2010TURP compared with Ablation (OR 6.92).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TURP is associated with a lower odds of early and persistent LUTS compared to Ablation and Enucleation and is a valuable option particularly when minimizing postoperative LUTS is a priority.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70129","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T04:26:16Z","timestamp":1755663976000},"page":"1676-1688","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Incidence of Overactive Bladder Symptoms and Dysuria Following Transurethral Interventions for Benign Prostatic Enlargement: A Systematic Review and Meta\u2010Analysis of Comparative and Randomized Studies"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7354-9190","authenticated-orcid":false,"given":"Daniele","family":"Castellani","sequence":"first","affiliation":[{"name":"Urology Unit Azienda Ospedaliero\u2010Universitaria delle Marche Ancona Italy"},{"name":"Endourology Section of the European Association of Urology Arnhem the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6897-7040","authenticated-orcid":false,"given":"Angelo","family":"Cormio","sequence":"additional","affiliation":[{"name":"Urology Unit Azienda Ospedaliero\u2010Universitaria delle Marche Ancona Italy"},{"name":"Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8988-0133","authenticated-orcid":false,"given":"Andrea","family":"Alberti","sequence":"additional","affiliation":[{"name":"Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital University of Florence Florence Italy"},{"name":"Department of Experimental and Clinical Biomedical Science University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6898-7698","authenticated-orcid":false,"given":"Rossella","family":"Nicoletti","sequence":"additional","affiliation":[{"name":"Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital University of Florence Florence Italy"},{"name":"Department of Experimental and Clinical Biomedical Science University of Florence Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0832-0645","authenticated-orcid":false,"given":"Simone","family":"Scarcella","sequence":"additional","affiliation":[{"name":"Urology Unit Azienda Sanitaria Territoriale Pesaro Urbino Pesaro Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9361-2342","authenticated-orcid":false,"given":"Jeremy Yuen\u2010Chun","family":"Teoh","sequence":"additional","affiliation":[{"name":"Department of Surgery, SH Ho Urology Centre The Chinese University of Hong Kong Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9956-1558","authenticated-orcid":false,"given":"Steffi Kar\u2010Kei","family":"Yuen","sequence":"additional","affiliation":[{"name":"Endourology Section of the European Association of Urology Arnhem the Netherlands"},{"name":"Department of Surgery, SH Ho Urology Centre The Chinese University of Hong Kong Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1483-3268","authenticated-orcid":false,"given":"Marco","family":"Dellabella","sequence":"additional","affiliation":[{"name":"Urology Unit IRCCS INRCA Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3740-7141","authenticated-orcid":false,"given":"Vineet","family":"Gauhar","sequence":"additional","affiliation":[{"name":"Endourology Section of the European Association of Urology Arnhem the Netherlands"},{"name":"Department of Urology Ng Teng Fong General Hospital Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9934-4011","authenticated-orcid":false,"given":"Carlo","family":"Giulioni","sequence":"additional","affiliation":[{"name":"Urology Unit Villa Igea Private Hospital Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,19]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"J. 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