{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T03:07:01Z","timestamp":1781838421720,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T00:00:00Z","timestamp":1679356800000},"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":["The Prostate"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction and Objective<\/jats:title><jats:p>Male detrusor underactivity (DUA) definition remains controversial and no effective treatment is consolidated. Transurethral resection of the prostate (TURP) is one of the cornerstones surgical treatments recommended in bladder outlet obstruction (BOO). However, the role of prostatic surgery in male DUA is not clear. The primary endpoint was the clinical and voiding improvement based on IPSS and the maximum flow rate in uroflowmetry (Qmax) within 12 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We analyzed an ongoing prospective database that embraces benign prostata hyperplasia (BPH) male patients with lower urinary tract symptoms who have undergone to TURP. All patients were evaluated pre and postoperatively based on IPSS questionnaires, prostate volume measured by ultrasound, postvoid residual urine volume (PVR), Prostate Specific Antigen measurement and urodynamic study (UDS) before the procedure. After surgery, all patients were evaluated at 1\u2010, 3\u2010, 6\u2010 and 12\u2010months. Patients were categorized in 3 groups: Group 1\u2014Detrusor Underactive (Bladder Contractility Index (BCI) [BCI]\u2009&lt;\u2009100 and BOO index [BOOI]\u2009&lt;\u200940); Group 2\u2014Detrusor Underactive and BOO (BCI\u2009&lt;\u2009100 and BOOI\u2009\u2265\u200940); Group 3\u2014BOO (BCI\u2009\u2265\u2009100 and BOOI\u2009\u2265\u20090).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>It was included 158 patients underwent monopolar or bipolar TURP since November 2015 to March 2021. According to UDS, patients were categorized in: group 1 (<jats:italic>n<\/jats:italic>\u2009=\u200939 patients); group 2 (<jats:italic>n<\/jats:italic>\u2009=\u200941 patients); group 3 (<jats:italic>n<\/jats:italic>\u2009=\u200977 patients). Preoperative IPSS was similar between groups (group 1\u201424.9\u2009\u00b1\u20096.33; group 2\u201424.8\u2009\u00b1\u20097.33; group 3\u201424.5\u2009\u00b1\u20096.23). Qmax was statistically lower in the group 2 (group 1\u20145.43\u2009\u00b1\u20093.69; group 2\u20143.91\u2009\u00b1\u20092.08; group 3\u20146.3\u2009\u00b1\u20093.18) as well as greater PVR. The 3 groups presented similar outcomes regard to IPSS score during the follow\u2010up. There was a significant increase in Qmax in the 3 groups. However, group 1 presented the lowest Qmax improvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There were different objective outcomes depending on the degree of DUA at 12 months follow\u2010up. Patients with DUA had similar IPSS improvement. However, DUA patients had worst Qmax improvement than men with normal bladder contraction.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pros.24526","type":"journal-article","created":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T06:20:07Z","timestamp":1679466007000},"page":"857-862","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["The role of transurethral resection of prostate (TURP) in patients with underactive bladder: 12 months follow\u2010up in different grades of detrusor contractility"],"prefix":"10.1002","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2402-1255","authenticated-orcid":false,"given":"Bruno Rodrigues","family":"Lebani","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Urology, Voiding Dysfunction Section S\u00e3o Paulo Hospital\u2014Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 da Silva","family":"Barcelos","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Voiding Dysfunction Section S\u00e3o Paulo Hospital\u2014Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise Sbrissia e Silva","family":"Gouveia","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Voiding Dysfunction Section S\u00e3o Paulo Hospital\u2014Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia Eli","family":"Girotti","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Voiding Dysfunction Section S\u00e3o Paulo Hospital\u2014Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo Pinto","family":"Remaille","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Voiding Dysfunction Section S\u00e3o Paulo Hospital\u2014Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milton","family":"Skaff","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Voiding Dysfunction Section S\u00e3o Paulo Hospital\u2014Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando Gon\u00e7alves","family":"Almeida","sequence":"additional","affiliation":[{"name":"Department of Surgery, Chief of Division of Urology and Voiding Dysfunction Section S\u00e3o Paulo Hospital\u2014Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.10.015"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2014.04.011"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)64846-X"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.11.019"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.12.038"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2018.07.037"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23124"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1677-5538.ibju.2016.0405"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2003.04719.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000052478"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)68272-9"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s003450050145"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.09.035"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24470"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.11.109"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-011-0010-2"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.07.079"},{"key":"e_1_2_11_20_1","unstructured":"GravasS CornuJN GacciM GratzkeC HerrmannTRW. EAU Guidelines. Edn. presented at the EAU Annual Congress Amsterdam 2020. ISBN 978\u201094\u201092671\u201007\u20103."},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2005.05891.x"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.06.004"}],"container-title":["The Prostate"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pros.24526","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pros.24526","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pros.24526","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T10:58:19Z","timestamp":1697713099000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pros.24526"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,21]]},"references-count":21,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1002\/pros.24526"],"URL":"https:\/\/doi.org\/10.1002\/pros.24526","archive":["Portico"],"relation":{},"ISSN":["0270-4137","1097-0045"],"issn-type":[{"value":"0270-4137","type":"print"},{"value":"1097-0045","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,21]]},"assertion":[{"value":"2022-12-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}