{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:22:28Z","timestamp":1786119748365,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"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":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Chronic painless urine retention (CUR) with &gt;\u20091 liter of postvoid residual urine (PVR) is a rare but serious complication of benign prostatic obstruction (BPO). This study aims to evaluate the outcomes of HoLEP in men with chronic painless urinary retention and PVR volumes exceeding 1\u2009l.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed data from men who underwent \u201cen\u2010bloc\u201d HoLEP between July 2017 and May 2024. We identified patients with CUR and PVR\u2009&gt;\u20091\u2009l due to BPO (study group). Excluded were those with acute\u2010on\u2010chronic retention, bladder diverticulum or neurogenic bladder. A matched\u2010pair analysis (1:2) was performed with patients having PVR\u2009&lt;\u200950\u2009ml (control group). We compared demographic, perioperative, and postoperative voiding parameters and complications up to 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 660 patients, 20 had baseline PVR\u2009&gt;\u20091\u2009l. Demographic and preoperative parameters were similar, except for a higher catheterization rate in the study group (50% vs. 17.5%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.005). The study group had a higher risk of failing a voiding trial on the first postoperative day (20% vs 5.2%) though the difference was not statistically significant. By 1\u2010month post\u2010HoLEP, all patients in the study group were catheter\u2010free and voiding spontaneously. No significant differences were found in postoperative voiding improvements and complications between the groups. Neither group required medical or surgical retreatment within 1 year.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>HoLEP is effective and safe for patients with CUR and PVR\u2009&gt;\u20091\u2009l due to BPO, although these patients have a higher risk of failing a voiding trial on the first postoperative day.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70248","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T11:49:54Z","timestamp":1771242594000},"page":"486-493","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Holmium Laser Enucleation of the Prostate in Patients with Chronic Painless Urinary Retention and Postvoid Residual Urine \u2265\u20091\u2010l: A Critical Evaluation at the Extreme Ends of the Spectrum"],"prefix":"10.1002","volume":"45","author":[{"given":"Aravindh","family":"Rathinam","sequence":"first","affiliation":[{"name":"Desai Sethi Urology Institute University of Miami Miller School of Medicine Miami Fl USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ansh","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Miller School of Medicine University of Miami Miami FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adele","family":"Raymo","sequence":"additional","affiliation":[{"name":"Desai Sethi Urology Institute University of Miami Miller School of Medicine Miami Fl USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maggie","family":"Meyreles","sequence":"additional","affiliation":[{"name":"Desai Sethi Urology Institute University of Miami Miller School of Medicine Miami Fl USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Katz","sequence":"additional","affiliation":[{"name":"Desai Sethi Urology Institute University of Miami Miller School of Medicine Miami Fl USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Marcovich","sequence":"additional","affiliation":[{"name":"Desai Sethi Urology Institute University of Miami Miller School of Medicine Miami Fl USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemendra Navinchandra","family":"Shah","sequence":"additional","affiliation":[{"name":"Desai Sethi Urology Institute University of Miami Miller School of Medicine Miami Fl USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15286"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12674"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)02243-4"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2012.11101.x"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.07.050"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-017-1539-5"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.03.045"},{"key":"e_1_2_12_9_1","doi-asserted-by":"crossref","unstructured":"A.Elbadawi S.Hailemariam S. 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