{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:08:56Z","timestamp":1790813336838,"version":"4.1.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T00:00:00Z","timestamp":1697760000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T00:00:00Z","timestamp":1697760000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Urol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To identify the urodynamic parameters affecting the clinical outcomes of transurethral resection of the prostate(TURP) surgery for patients with benign prostatic hyperplasia(BPH) by multifactor analysis and establish a regression model with diagnostic values.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The medical records of patients who underwent TURP surgery for BPH between December 2018 and September 2021 were collected from the urology department of the Second Affiliated Hospital of Kunming Medical University, Kunming, China. The patients\u2019 clinical data and urodynamic parameters were collected before surgery. The urodynamic parameters affecting surgical efficacy were identified by multifactor analysis, and a regression model with diagnostic values was established and evaluated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 201 patients underwent TURP, of whom 144 had complete preoperative urodynamic data. Each urodynamic factor was subjected to multifactor analysis, and the bladder contractility index (BCI), bladder outflow obstruction index (BOOI), bladder residual urine, and bladder compliance (BC) were found to be independent influence factors on the efficacy of TURP in patients with BPH. The diagnostic value of the regression model was analyzed by receiver operating characteristics (ROC) analysis, and it was found that the AUC\u2009=\u20090.939 (95% CI 0.886\u20130.972), for which the sensitivity and specificity were 95.19% and 80%, respectively.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The regression model had high diagnostic sensitivity and specificity in predicting the efficacy of surgery, and the diagnostic value was higher than that of individual urodynamic factors. Therefore, BCI, BOOI, bladder residual urine, and BC should be considered as independent influence factors on the efficacy of TURP surgery for BPH.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00345-023-04656-w","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T08:01:58Z","timestamp":1697788918000},"page":"3679-3685","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The influence of preoperative urodynamic parameters on clinical results in patients with benign prostatic hyperplasia after transurethral resection of the prostate"],"prefix":"10.1007","volume":"41","author":[{"given":"Jiyao","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongde","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6544-2008","authenticated-orcid":false,"given":"Hui","family":"Zhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingxia","family":"Ding","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Luan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hairong","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiansong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,10,20]]},"reference":[{"key":"4656_CR1","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1056\/NEJM199501123320202","volume":"332","author":"JH Wasson","year":"1995","unstructured":"Wasson JH, Reda DJ, Bruskewitz RC, Elinson J, Keller AM, Henderson WG (1995) A comparison of transurethral surgery with watchful waiting for moderate symptoms of benign prostatic hyperplasia. The veterans affairs cooperative study group on transurethral resection of the Prostate. N Engl J Med 332:75\u201379. https:\/\/doi.org\/10.1056\/NEJM199501123320202","journal-title":"N Engl J Med"},{"key":"4656_CR2","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1016\/s0022-5347(01)61979-7","volume":"160","author":"RC Flanigan","year":"1998","unstructured":"Flanigan RC, Reda DJ, Wasson JH, Anderson RJ, Abdellatif M, Bruskewitz RC (1998) 5-year outcome of surgical resection and watchful waiting for men with moderately symptomatic benign prostatic hyperplasia: A department of veterans affairs cooperative study. J Urol 160:12\u201317. https:\/\/doi.org\/10.1016\/s0022-5347(01)61979-7","journal-title":"J Urol"},{"key":"4656_CR3","unstructured":"Gravas S, Cornu JN, Gacci M, Gratzke C, Herrmann TRW, Mamoulakis C et al (2022) EAU guidelines on management of non-neurogenic male lower urinary tract symptoms (LUTS), incl. benign prostatic obstruction (BPO), European Association of Urology.1\u2013112"},{"key":"4656_CR4","doi-asserted-by":"publisher","first-page":"868","DOI":"10.1002\/nau.24637","volume":"40","author":"P Mauricio","year":"2021","unstructured":"Mauricio P, Jessica S, Carlos GT, Alejandra BB, Daniela R, Tatiana H et al (2021) Impact of detrusor underactivity on the postoperative outcomes after benign prostatic enlargement surgery. Neurourol Urodynam 40:868\u2013875. https:\/\/doi.org\/10.1002\/nau.24637","journal-title":"Neurourol Urodynam"},{"key":"4656_CR5","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1007\/s11255-020-02750-1","volume":"53","author":"Y Zhu","year":"2021","unstructured":"Zhu Y, Zhao YR, Zhong P, Qiao BM, Yang ZQ, Niu YJ (2021) Detrusor underactivity influences the efficacy of TURP in patients with BPO. Int Urol and Nephrol 53:835\u2013841. https:\/\/doi.org\/10.1007\/s11255-020-02750-1","journal-title":"Int Urol and Nephrol"},{"key":"4656_CR6","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1002\/nau.10066","volume":"21","author":"S Werner","year":"2022","unstructured":"Werner S, Paul A, Limin L, Anders M, Francesco P, Anders S et al (2022) Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol Urodynam 21:261\u2013274. https:\/\/doi.org\/10.1002\/nau.10066","journal-title":"Neurourol Urodynam"},{"key":"4656_CR7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/nau.23181","volume":"9999","author":"CAL D'Ancona","year":"2016","unstructured":"D\u2019Ancona CAL, Gomes MJ, Rosier PFWM (2016) ICS teaching module: Cystometry (basic module). Neurourol Urodynam 9999:1\u20134. https:\/\/doi.org\/10.1002\/nau.23181","journal-title":"Neurourol Urodynam"},{"key":"4656_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/nau.23124","volume":"9999","author":"PFWM Rosier","year":"2016","unstructured":"Rosier PFWM, Schaefer W, Lose G, Goldman HB, Guralnick M, Eustice S et al (2016) International continence society good urodynamic practices and terms 2016: urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodynam 9999:1\u201318. https:\/\/doi.org\/10.1002\/nau.23124","journal-title":"Neurourol Urodynam"},{"issue":"1","key":"4656_CR9","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1046\/j.1464-410x.1999.00121.x","volume":"84","author":"P Abrams","year":"1999","unstructured":"Abrams P (1999) Bladder outlet obstruction index, bladder contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function. BJU Int 84(1):14\u201315. https:\/\/doi.org\/10.1046\/j.1464-410x.1999.00121.x","journal-title":"BJU Int"},{"key":"4656_CR10","doi-asserted-by":"publisher","unstructured":"Chen X, Man Q, Wei X, Ren X, Li G, Lu Z et al (2020) Predictive value of preoperative comprehensive evaluation on the efficacy of HoLEP. Transl Androl Urol 9(4):1603\u20131610. https:\/\/doi.org\/10.21037\/tau-20-504","DOI":"10.21037\/tau-20-504"},{"issue":"4","key":"4656_CR11","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1159\/000167840","volume":"81","author":"D Milonas","year":"2008","unstructured":"Milonas D, Saferis V, Jievaltas M (2008) Transition zone index and bothersomeness of voiding symptoms as predictors of early unfavorable outcomes after transurethral resection of prostate. Urol Int 81(4):421\u2013426. https:\/\/doi.org\/10.1159\/000167840","journal-title":"Urol Int"},{"issue":"6","key":"4656_CR12","doi-asserted-by":"publisher","first-page":"2028","DOI":"10.1016\/j.juro.2014.12.095","volume":"193","author":"AA Antunes","year":"2015","unstructured":"Antunes AA, Iscaife A, Reis ST, Albertini A, Nunes MA, Lucon AM et al (2015) Can we predict which patients will experience resolution of detrusor overactivity after transurethral resection of the prostate? J Urol 193(6):2028\u20132032. https:\/\/doi.org\/10.1016\/j.juro.2014.12.095","journal-title":"J Urol"},{"key":"4656_CR13","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1002\/nau.10057","volume":"21","author":"M Rintaro","year":"2002","unstructured":"Rintaro M, Hidehiro K, Kaname A, Takashi S, Hiroshi T, Shinobu M et al (2002) Detrusor instabilitywith equivocal obstruction: a predictor of unfavorable symptomatic outcomes after transurethral prostatectomy. Neurourol Urodynam 21:444\u2013449. https:\/\/doi.org\/10.1002\/nau.10057","journal-title":"Neurourol Urodynam"},{"key":"4656_CR14","doi-asserted-by":"publisher","DOI":"10.1159\/000503331","author":"P Zhong","year":"2019","unstructured":"Zhong P, Zhao Y, Qiao B, Yang F, Zhu Y, Yang Z et al (2019) Comparison of two numerical parameters to assess detrusor contractility in prognosing short-term outcome after transurethral resection of the prostate. Urol Int Published Online. https:\/\/doi.org\/10.1159\/000503331","journal-title":"Urol Int Published Online"},{"key":"4656_CR15","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1097\/MOU.0000000000000246","volume":"26","author":"KL Rademakers","year":"2016","unstructured":"Rademakers KL, van Koeveringe GA, Oelke M (2016) Detrusor underactivity in men with lower urinary tract symptoms\/benign prostatic obstruction: characterization and potential impact on indications for surgical treatment of the prostate. Curr Opin Urol 26:3\u201310. https:\/\/doi.org\/10.1097\/MOU.0000000000000246","journal-title":"Curr Opin Urol"},{"key":"4656_CR16","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1007\/s003450050145","volume":"17","author":"M Gotoh","year":"1999","unstructured":"Gotoh M, Yoshikawa Y, Kondo AS, Kondo A, Ono Y, Ohshima S (1999) Prognostic value of pressure-flow study in surgical treatment of benign prostatic obstruction. World J Urol 17:274\u2013278. https:\/\/doi.org\/10.1007\/s003450050145","journal-title":"World J Urol"},{"key":"4656_CR17","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-020-02669-7","author":"MA Abdelhakim","year":"2020","unstructured":"Abdelhakim MA, Rammah A, Abozamel AH, El-Sheikh MG, Abdelazeem MS, Abdallah SM et al (2020) Does detrusor underactivity affect the results of transurethral resection of prostate? Int Urol Nephrol Published Online. https:\/\/doi.org\/10.1007\/s11255-020-02669-7","journal-title":"Int Urol Nephrol Published Online"},{"key":"4656_CR18","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1016\/j.ajur.2018.12.005","volume":"6","author":"D Thomas","year":"2019","unstructured":"Thomas D, Zorn KC, Zaidi N, Chen SA, Zhang Y, Te A et al (2019) Does urodynamics predict voiding after benign prostatic hyperplasia surgery in patients with detrusor underactivity? Asian J Urol 6:264\u2013269. https:\/\/doi.org\/10.1016\/j.ajur.2018.12.005","journal-title":"Asian J Urol"},{"key":"4656_CR19","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2402-8","author":"M Kim","year":"2018","unstructured":"Kim M, Jeong CW, Oh SJ (2018) Effect of urodynamic preoperative detrusor overactivity on the outcomes of transurethral surgery in patients with male bladder outlet obstruction: a systematic review and meta-analysis. World J Urol Published Online. https:\/\/doi.org\/10.1007\/s00345-018-2402-8","journal-title":"World J Urol Published Online"},{"key":"4656_CR20","doi-asserted-by":"publisher","unstructured":"Wada N, Kikuchi D, Tateoka J, Abe N, Banjo H, Tsuchida M et al (2019) Long-term symptomatic outcome after transurethral resection of the prostate: a urodynamics-based assessment. Int J Uro l26(11):1071\u20131075 https:\/\/doi.org\/10.1111\/iju.14104","DOI":"10.1111\/iju.14104"},{"issue":"8","key":"4656_CR21","doi-asserted-by":"publisher","first-page":"2179","DOI":"10.1002\/nau.24470","volume":"39","author":"E Rubilotta","year":"2020","unstructured":"Rubilotta E, Balzarro M, Gubbiotti M, Antonelli A (2020) Outcomes of transurethral resection of the prostate in unobstructed patients with concomitant detrusor underactivity. Neurourol Urodynam 39(8):2179\u20132185. https:\/\/doi.org\/10.1002\/nau.24470","journal-title":"Neurourol Urodynam"},{"key":"4656_CR22","doi-asserted-by":"publisher","first-page":"3447","DOI":"10.1007\/s00345-021-03592-x","volume":"39","author":"X Li","year":"2021","unstructured":"Li X, He F, Huang C, Zhang L, Liu Q, Jian S (2021) Development and validation of a nomogram for predicting early stress urinary incontinence following endoscopic enucleation of the prostate. World J Urol 39:3447\u20133453. https:\/\/doi.org\/10.1007\/s00345-021-03592-x","journal-title":"World J Urol"},{"key":"4656_CR23","doi-asserted-by":"publisher","first-page":"845","DOI":"10.2147\/CIA.S365282","volume":"17","author":"Y Tian","year":"2022","unstructured":"Tian Y, Zhang H, Cao Y, Yang L, Luo G (2022) The P.R.OS.T.A.T.E Nomogram for the preoperative prediction of clinical efficacy of transurethral resection of the prostate in benign prostatic hyperplasia patients. Clin Interv Aging 17:845\u2013855. https:\/\/doi.org\/10.2147\/CIA.S365282","journal-title":"Clin Interv Aging"}],"container-title":["World Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-023-04656-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00345-023-04656-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-023-04656-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T08:03:55Z","timestamp":1704873835000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00345-023-04656-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,20]]},"references-count":23,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["4656"],"URL":"https:\/\/doi.org\/10.1007\/s00345-023-04656-w","relation":{},"ISSN":["1433-8726"],"issn-type":[{"value":"1433-8726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,20]]},"assertion":[{"value":"2 August 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 September 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 October 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by the Medical Ethics Committee of the Second Affiliated Hospital of Kunming Medical University.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}