{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:47:00Z","timestamp":1792025220009,"version":"4.4.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T00:00:00Z","timestamp":1698278400000},"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":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Holmium laser enucleation of the prostate (HoLEP) is an effective and safe surgery for patients with benign prostatic hyperplasia. However, some patients exhibit postoperative urinary incontinence. Here, we compared surgical outcomes and incidence of stress urinary incontinence between HoLEP with and without anterior prostatic urethral mucosa preservation (APUMP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients in this study underwent HoLEP with APUMP technique (APUMP group) and without APUMP technique (no\u2010APUMP group). Enucleation weight, enucleation time, max flow rate increase at 3\u2009months, and urinary incontinence rates immediately after catheter removal and at 1\u2009month after surgery were compared between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the APUMP (<jats:italic>n<\/jats:italic>\u2009=\u2009340) and no\u2010APUMP (<jats:italic>n<\/jats:italic>\u2009=\u200975) groups, the median enucleation weights were 34.5 and 35.0\u2009g, respectively (<jats:italic>p<\/jats:italic>\u2009=\u2009.982). The corresponding median enucleation times were 33.0 and 46.5\u2009min (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01), and median max flow rate increases at 1\u2009month were 10.5 and 9.9\u2009mL\/s (<jats:italic>p<\/jats:italic>\u2009=\u2009.89). The urinary incontinence rates immediately after catheter removal were 4.1% and 14.7% (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01), and were 3.8% and 12.0% (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01) at 1\u2009month after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>HoLEP using the APUMP technique could be performed with a shorter operative time while maintaining efficacy. The incidence of postoperative urinary incontinence could be decreased by APUMP, indicating that such preservation facilitates the maintenance of urinary continence after surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.13256","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T06:39:01Z","timestamp":1698388741000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Use of the anterior prostatic urethral mucosa preservation technique during holmium laser enucleation of the prostate can reduce postoperative stress urinary incontinence"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7962-311X","authenticated-orcid":false,"given":"Yukiya","family":"Fujisaki","sequence":"first","affiliation":[{"name":"Department of Urology Miyazaki University  Miyazaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isamu","family":"Otsuka","sequence":"additional","affiliation":[{"name":"Department of Urology Miyazaki University  Miyazaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiko","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Urology Nozaki\u2010Higashi Hospital  Miyazaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nao","family":"Miyake","sequence":"additional","affiliation":[{"name":"Department of Urology Miyazaki University  Miyazaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaoru","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Urology Miyazaki University  Miyazaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Terada","sequence":"additional","affiliation":[{"name":"Department of Urology Miyazaki University  Miyazaki Japan"},{"name":"Department of Urology University of Fukui  Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiyuki","family":"Kamoto","sequence":"additional","affiliation":[{"name":"Department of Urology Miyazaki University  Miyazaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideyasu","family":"Iwamoto","sequence":"additional","affiliation":[{"name":"Department of Urology Nozaki\u2010Higashi Hospital  Miyazaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.1998.12.457"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.08.036"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.11.091"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.5980\/jpnjurol1989.99.543"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000092035.16351.9d"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.12212"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1569-9056(18)30971-0"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-015-1741-y"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2012.244"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.2002.03071.x"},{"key":"e_1_2_9_12_1","first-page":"340","article-title":"A study to standardize \u201cablation of the lateral lobes of the prostate at the 12\u2010o'clock position\u201d with HoLEP (holmium laser enucleation of the prostate)","volume":"24","author":"Iwamoto H","year":"2011","journal-title":"Jpn J Endourol"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.06.063"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.03.071"},{"key":"e_1_2_9_15_1","first-page":"475","article-title":"The prevention of transient urinary incontinence in peri\u2010operative period of modified holmium laser enucleation of the prostate (HoLEP)","volume":"54","author":"Takiuchi H","year":"2008","journal-title":"Hinyokika Kiyo"},{"key":"e_1_2_9_16_1","first-page":"688","article-title":"The learning curve for holmium laser enucleation of the prostate: a single\u2010center experience. Korean","volume":"51","author":"Bae J","year":"2010","journal-title":"J Urol"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.13256","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:33:51Z","timestamp":1732149231000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.13256"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,26]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1111\/ases.13256"],"URL":"https:\/\/doi.org\/10.1111\/ases.13256","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,26]]},"assertion":[{"value":"2023-06-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13256"}}