{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:20:46Z","timestamp":1772119246093,"version":"3.50.1"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100024990","name":"National Yang Ming Chiao Tung University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100024990","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Urol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study evaluated the relationship between urethral diverticulum volume (UDv), urethral sphincter complex volume (USCv), clinical and urodynamic characteristics, and surgical outcomes in women with UD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective study was conducted on 53 female patients who underwent diverticulectomy for UD. They were divided into two groups: proximal\/middle UD (pmUD,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200943) and distal UD (dUD,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910). Preoperative assessments included videourodynamic study (VUDS) and magnetic resonance imaging, with a follow-up VUDS 1 month post-surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared to the dUD group, pmUD patients were less likely to present with a vaginal lump (37.2% vs. 80.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.031) but had significantly larger USCv (9.96\u2009\u00b1\u20095.91 cm\n                      <jats:sup>3<\/jats:sup>\n                      vs. 5.23\u2009\u00b1\u20091.19 cm\n                      <jats:sup>3<\/jats:sup>\n                      ,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and UDv (6.27\u2009\u00b1\u20097.40 cm\n                      <jats:sup>3<\/jats:sup>\n                      vs. 0.84\u2009\u00b1\u20090.81 cm\n                      <jats:sup>3<\/jats:sup>\n                      ,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The pmUD patients had longer surgeries and higher recurrence rates (32.6% vs. 0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018). In the pmUD group, 24 patients had bladder outlet obstruction (BOO) and 25 exhibited high-pressure voiding (&gt;\u200920cmH\n                      <jats:sub>2<\/jats:sub>\n                      O). No significant association was found between UDv or USCv and recurrence, unresolved BOO, or high-pressure voiding status. However, a USCv cutoff of \u2265\u20098.2 cm\n                      <jats:sup>3<\/jats:sup>\n                      was identified, predicting unresolved high-pressure voiding status post-surgery (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.023). Additionally, 9.3% pmUD patients developed de novo stress urinary incontinence, correlated with larger UDv (11.5\u2009\u00b1\u200914.3 cm\n                      <jats:sup>3<\/jats:sup>\n                      vs. 5.9\u2009\u00b1\u20096.4 cm\n                      <jats:sup>3<\/jats:sup>\n                      ,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      A USCv cutoff of \u2265\u20098.2 cm\n                      <jats:sup>3<\/jats:sup>\n                      was identified as a predictor for unresolved high-pressure voiding after diverticulectomy.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00345-025-05719-w","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T05:17:18Z","timestamp":1749100638000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictive value of urethral sphincter complex volume for persistent high voiding pressure in female urethral diverticulum patients post-diverticulectomy"],"prefix":"10.1007","volume":"43","author":[{"given":"Jen-Chieh","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Po-Hsun","family":"Pan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih-Chieh","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex T. 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