{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T21:39:24Z","timestamp":1785101964074,"version":"3.55.0"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"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":["The Prostate"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The necessity of routinely combining bladder stone removal with surgical treatment for BPH remains debated. We compared the efficacy and safety of bladder stone removal with and without concomitant outlet surgery in patients with BPH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a multicenter ambispective cohort study comparing bladder stone removal alone vs. removal with concomitant holmium laser enucleation of the prostate (HoLEP). BPH patients with bladder stones &gt;\u20091\u2009cm were included. Exclusion criteria ruled out alternative causes of bladder stones. The \u201cstone removal\u2010only\u201d group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200963) underwent endoscopic removal at Mount Sinai, while the \u201cHoLEP\u201d group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200942) underwent a combined procedure at Sourasky Medical Center. Outcomes included 90\u2010day complications, stone recurrence, IPSS scores, and decisional regret.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At baseline, HoLEP patients had higher PVR, greater use of 5\u2010ARI, and more frequent preoperative catheterization, while the stone removal\u2010only group had greater stone burden. Compared to HoLEP, stone removal alone was associated with higher bladder stone recurrence (14% vs. 0%) and a slightly higher symptom burden (median IPSS: 8 vs. 4), but lower overall (13% vs. 31%) and major complication rates (0% vs. 5%). Despite these differences, 77% of patients managed by stone removal alone remained free of BPH surgery at 3 years and reported higher long\u2010term satisfaction. Based on the results, we developed a shared decision\u2010making tool and user\u2010friendly app for clinical use (PreOp Decision).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bladder stone removal alone is a viable option for selected patients, and BPH surgery should be guided by obstruction severity, not stone presence. Shared decision\u2010making is essential, and our proposed questionnaire may help guide treatment selection pending future validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pros.70155","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T10:01:45Z","timestamp":1772964105000},"page":"831-838","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Personalizing BPH Management: Bladder Stone Removal Alone vs. With Concomitant Laser Enucleation\u2014A Multicenter Perspective With Patient Reported Outcomes and Decisional Regret Analysis"],"prefix":"10.1002","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5012-7312","authenticated-orcid":false,"given":"Ziv","family":"Savin","sequence":"first","affiliation":[{"name":"Department of Urology Icahn School of Medicine at Mount Sinai New York New York United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomer","family":"Mendelson","sequence":"additional","affiliation":[{"name":"Department of Urology, Tel Aviv Sourasky Medical Center Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda Dayan","family":"Rahmani","sequence":"additional","affiliation":[{"name":"Department of Urology Icahn School of Medicine at Mount Sinai New York New York United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yotam","family":"Veredgorn","sequence":"additional","affiliation":[{"name":"Department of Urology, Tel Aviv Sourasky Medical Center Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eve","family":"Frangopoulos","sequence":"additional","affiliation":[{"name":"Department of Urology Icahn School of Medicine at Mount Sinai New York New York United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shrinkhala","family":"Kaphle","sequence":"additional","affiliation":[{"name":"Department of Urology Icahn School of Medicine at Mount Sinai New York New York United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Huynh","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai New York New York United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Hamlani","sequence":"additional","affiliation":[{"name":"Department of Urology Icahn School of Medicine at Mount Sinai New York New York United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Goldmann","sequence":"additional","affiliation":[{"name":"Department of Urology, Tel Aviv Sourasky Medical Center Tel Aviv University Tel Aviv 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