{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T12:05:17Z","timestamp":1768046717577,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T00:00:00Z","timestamp":1763251200000},"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":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Benign prostatic surgery is a common intervention for the treatment of benign prostatic hyperplasia (BPH). Preservation of the supramonticular tissue during surgery has been proposed as a technique that could minimize complications and improve functional outcomes, such as sexual function and urinary continence. However, evidence regarding its benefits compared to standard techniques remains limited and contradictory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare modified surgery with supramonticular tissue preservation versus standard prostate surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>For this systematic review, we conducted searches in PubMed, Scopus, Web of Science, and the Cochrane Library. We included randomized controlled trials (RCTs) comparing modified surgery with standard surgery. Two reviewers independently selected the studies. Meta\u2010analyses were performed using RevMan 5.4, and the GRADE approach was used to assess the certainty of the evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We found eight RCTs with 573 participants. Meta\u2010analyses showed that the modified technique probably results in greater preservation of antegrade ejaculation (OR: 3.25; 95% CI: 2.56 to 4.11). However, it may have no effects on IPSS, maximum flow, QoL, post\u2010void residual volume (PVR), and IIEF, with very low certainty of the evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In patients undergoing endoscopic surgery for BPH, surgery performed with the modified technique (supramonticular tissue preservation 1\u2009cm above the verumontanum) probably results in increased preservation of antegrade ejaculation, and may have no effect on IPSS, maximum flow, QoL, PVR, and IIEF, with the evidence for these effects being very uncertain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pros.70096","type":"journal-article","created":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T16:30:18Z","timestamp":1763310618000},"page":"377-386","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prostatic Surgery With Preservation of the Supramonticular Tissue Versus Standard Surgery for Benign Prostatic Hyperplasia: A Systematic Review"],"prefix":"10.1002","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5389-5640","authenticated-orcid":false,"given":"Giuston","family":"Mendoza\u2010Chuctaya","sequence":"first","affiliation":[{"name":"Escuela de Medicina Universidad Nacional de San Antonio Abad del Cusco Cusco Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9183-6281","authenticated-orcid":false,"given":"Kevin","family":"Rodrigo\u2010Ramos","sequence":"additional","affiliation":[{"name":"Escuela de Medicina Universidad Nacional de San Antonio Abad del Cusco Cusco Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2826-0413","authenticated-orcid":false,"given":"Lucely","family":"Aycachi\u2010Centeno","sequence":"additional","affiliation":[{"name":"Universidad Peruana Uni\u00f3n Escuela Profesional de Medicina Humana Lima Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8758-0463","authenticated-orcid":false,"given":"Alvaro","family":"Taype\u2010Rondan","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n para la Generaci\u00f3n y S\u00edntesis de Evidencia en Salud, Vicerrectorado de Investigaci\u00f3n Universidad San Ignacio de Loyola Lima Peru"},{"name":"EviSalud \u2013 Evidencias en Salud Lima Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.01.019"},{"key":"e_1_2_8_3_1","unstructured":"J. N.Cornu EAU Guidelines on Non\u2010neurogenic Male LUTS 2023. In: EAU Guidelines published at the 38th EAU Annual Congress Milan. EAU Guidelines Office Arnhem The Netherlands."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2019.01.046"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-021-03615-7"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.12866"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14656566.2020.1817382"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.04.053"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.07.054"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000333046"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2368-6"},{"issue":"1","key":"e_1_2_8_12_1","first-page":"96","article-title":"Transurethral Resection of the Prostate With Preservation of the Bladder Neck Decreases Postoperative Retrograde Ejaculation","volume":"14","author":"Liao J.","year":"2019","journal-title":"Wideochirurgia i Inne Techniki Maloinwazyjne = Videosurgery and Other Miniinvasive Techniques"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)34871-1"},{"key":"e_1_2_8_14_1","first-page":"305","article-title":"[Human Ejaculation: Physiology, Surgical Conservation of Ejaculation]","volume":"9","author":"Hermabessiere J.","year":"1999","journal-title":"Progres en Urologie: Journal de l\u2032Association Francaise d\u2032urologie et de la Societe Francaise d\u2032urologie"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1994.tb07612.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_8_17_1","unstructured":"J. P. T.HigginsandS.Green(editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration 2011 www.cochrane-handbook.org."},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2012.01.006"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-021-03752-z"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000685"},{"key":"e_1_2_8_21_1","first-page":"292","article-title":"Evaluating Outcomes of Combined Bladder Neck and Supramontanal Sparing Ejaculatory Preserving Transurethral Resection of the Prostate: Results From a Prospective, Randomised Study","volume":"75","author":"Manasa T.","year":"2022","journal-title":"Central European Journal of Urology"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-05276-8"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/20905998.2024.2375677"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.5114\/wiitm.2022.121406"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2024.0460"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-05418-y"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2016.04.001"},{"key":"e_1_2_8_28_1","first-page":"357","article-title":"Complications and Functional Outcomes of Endoscopic Enucleation of the Prostate: A Systematic Review and Meta\u2010Analysis of Randomised\u2010Controlled Studies","volume":"75","author":"Pang K. H.","year":"2022","journal-title":"Central European Journal of Urology"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.23736\/S0393-2249.19.03588-4"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2005.05.017"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23036"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12868"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-023-04660-0"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)66342-2"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2021.07.1199"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2022.12.035"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.07.042"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-009-0496-8"}],"container-title":["The Prostate"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pros.70096","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T08:51:55Z","timestamp":1768035115000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pros.70096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,16]]},"references-count":37,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/pros.70096"],"URL":"https:\/\/doi.org\/10.1002\/pros.70096","archive":["Portico"],"relation":{},"ISSN":["0270-4137","1097-0045"],"issn-type":[{"value":"0270-4137","type":"print"},{"value":"1097-0045","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,16]]},"assertion":[{"value":"2025-03-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}