{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:13:59Z","timestamp":1791468839269,"version":"4.3.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Aquablation for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) has been adopted to treat a wide range of prostate anatomies including glands up to 150 cc. Patients with recurrence of LUTS after previous BPH procedure often present with variant anatomy, and a paucity of literature exists on the optimal treatment modality for these patients. Herein, we evaluate the safety and feasibility of aquablation in patients with previous BPH surgical history.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>A prospectively managed single institution database of aquablation patients with BPH\/LUTS was queried from August 2020 to December 2022 for patients who failed previous BPH procedures. Patients were divided into two groups: those with and without previous BPH procedure. Primary outcomes were intraoperative and 90-day complications. Secondary outcomes included operative time (OT), number of Aquabeam passes, estimated blood loss, hospital length of stay, and catheter duration. Outcomes were assessed using chi-squared, Wilcoxon rank sum tests, and logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 200 patients with BPH\/LUTS were treated with aquablation. We identified 26 patients with a history of previous BPH procedures. Patients who underwent previous BPH procedures had smaller prostate volumes (60 cc) compared with treatment-na\u00efve (88 cc) patients,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.016. There was no difference in perioperative and 90-day complications (29% for treatment-na\u00efve\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      17% in the retreatment group,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.32). Most secondary outcomes were the same including OT, but the retreatment group had fewer Aquabeam passes (2 [1\u20132]\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      2 [2\u20132] treatment-na\u00efve,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.037) and more additional procedures at follow-up (30%\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      8.3% treatment-na\u00efve,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients with previous BPH interventions remain excellent candidates for aquablation, with similar perioperative and 90-day postoperative outcomes compared with intervention-na\u00efve patients. Aquablation demonstrates efficient tissue ablation without the risk of increased injury or significant blood loss after prior failed BPH procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2024.0370","type":"journal-article","created":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T04:01:31Z","timestamp":1733457691000},"page":"50-55","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["The Safety and Feasibility of Aquablation in Patients with Previous Surgery for Benign Prostatic Hyperplasia"],"prefix":"10.1177","volume":"39","author":[{"given":"Desiree E.","family":"Sanchez","sequence":"first","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alireza","family":"Ghoreifi","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0615-9720","authenticated-orcid":false,"given":"Lorenzo","family":"Storino Ramacciotti","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Cai","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marissa","family":"Maas","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Venkat","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randall","family":"Lee","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre Luis","family":"Abreu","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni E.","family":"Cacciamani","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leo","family":"Doumanian","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inderbir","family":"Gill","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Liu-Chen","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike","family":"Nguyen","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8580-8476","authenticated-orcid":false,"given":"Rene","family":"Sotelo","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihir M.","family":"Desai","sequence":"additional","affiliation":[{"name":"USC Institute of Urology and Catherine &amp; Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,1]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1159\/000517675"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.5616"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2535-9"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14703"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.12.065"},{"issue":"5","key":"e_1_3_5_7_2","first-page":"11650","article-title":"Aquablation versus TURP: 5-year outcomes of the WATER randomized clinical trial for prostate volumes 50-80 mL","volume":"30","author":"Oumedjbeur K","year":"2023","unstructured":"Oumedjbeur K, , Corsi NJ, , Bouhadana D, et al. Aquablation versus TURP: 5-year outcomes of the WATER randomized clinical trial for prostate volumes 50-80 mL. Can J Urol, 2023; 30(5):11650\u201311658.","journal-title":"Can J Urol"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41391-023-00741-8"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001463"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2022.04.013"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9020603"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/END.2017.0489"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.UROLOGY.2015.04.028"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/BJU.14208"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002184"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2023.1287212"}],"container-title":["Journal of Endourology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/end.2024.0370","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/end.2024.0370","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/end.2024.0370","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:16:10Z","timestamp":1777407370000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/end.2024.0370"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1089\/end.2024.0370"],"URL":"https:\/\/doi.org\/10.1089\/end.2024.0370","relation":{},"ISSN":["0892-7790","1557-900X"],"issn-type":[{"value":"0892-7790","type":"print"},{"value":"1557-900X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}