{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:43:56Z","timestamp":1790963036186,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:00:00Z","timestamp":1597190400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate recurrence and progression risk after simultaneous endoscopic surgery of bladder cancer and benign prostatic hyperplasia (BPH), as simultaneous surgery is not an unusual scenario and theoretically simultaneous transurethral resection of bladder tumour (TURBT) and transurethral resection of the prostate (TURP) can lead to an increased risk of recurrence in the bladder neck and prostatic urethra (BN\/PU).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a systematic review and meta\u2010analysis to assess the risk of recurrence (i.e. whole bladder and\/or BN\/PU) and tumour progression as outcomes after a simultaneous endoscopic surgery of bladder tumour and BPH, as compared to TURBT alone. We queried PubMed and Web of Science database on 1 January 2020. We used random\u2010 and\/or fixed\u2010effects meta\u2010analytic models in the presence or absence of heterogeneity according to the\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      statistic, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine retrospective and three clinical trial studies were selected after considering inclusion and exclusion criteria. We conducted the meta\u2010analysis on retrospective and randomised controlled trials (RCTs) separately. Eight retrospective and three RCT studies were included to assess the BN\/PU recurrence risk and the summarised risk ratio (RR) was 1.02 (95% confidence interval [CI] 0.74\u20131.41) and 0.93 (95% CI 0.47\u20131.84), respectively. Five retrospective and two RCT studies were included to assess the progression risk and the summarised RR was 0.91 (95% CI 0.56\u20131.48) and 1.16 (95% CI 0.30\u20134.51), respectively. Eight retrospective and three RCT studies were included to assess the whole bladder recurrence risk and the summarised RR was 0.87 (95% CI 0.78\u20130.97) and 0.89 (95% CI 0.65\u20131.21), respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We did not observe any increased risk of total bladder recurrence, BN\/PU recurrence, or progression after a simultaneous endoscopic surgery of bladder tumour and BPH, as compared to TURBT alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15146","type":"journal-article","created":{"date-parts":[[2020,6,21]],"date-time":"2020-06-21T06:35:55Z","timestamp":1592721355000},"page":"143-152","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The recurrence and progression risk after simultaneous endoscopic surgery of urothelial bladder tumour and benign prostatic hyperplasia: a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3819-9911","authenticated-orcid":false,"given":"Reza","family":"Sari Motlagh","sequence":"first","affiliation":[{"name":"Department of Urology Medical University of Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6147-6569","authenticated-orcid":false,"given":"Keiichiro","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Urology Medical University of Vienna Vienna Austria"},{"name":"Department of Urology The Jikei University School of Medicine Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2229-0948","authenticated-orcid":false,"given":"Noriyoshi","family":"Miura","sequence":"additional","affiliation":[{"name":"Department of Urology Medical University of Vienna Vienna Austria"},{"name":"Department of Urology Ehime University Graduate School of Medicine Ehime Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8163-6953","authenticated-orcid":false,"given":"Fahad","family":"Quhal","sequence":"additional","affiliation":[{"name":"Department of Urology Medical University of Vienna Vienna Austria"},{"name":"King Fahad Specialist Hospital Dammam Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulmajeed","family":"Aydh","sequence":"additional","affiliation":[{"name":"Department of Urology Medical University of Vienna Vienna Austria"},{"name":"King Faisal Medical City Abha Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8953-0272","authenticated-orcid":false,"given":"Ekaterina","family":"Laukhtina","sequence":"additional","affiliation":[{"name":"Department of Urology Medical University of Vienna Vienna Austria"},{"name":"Institute for Urology and Reproductive Health Sechenov University Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7768-8558","authenticated-orcid":false,"given":"Benjamin","family":"Pradere","sequence":"additional","affiliation":[{"name":"Department of Urology Medical University of Vienna Vienna Austria"},{"name":"Department of Urology University Hospital of Tours Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre I.","family":"Karakiewicz","sequence":"additional","affiliation":[{"name":"Cancer Prognostics and Health Outcomes Unit University of Montreal Health Center Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7169-2209","authenticated-orcid":false,"given":"Dmitry V.","family":"Enikeev","sequence":"additional","affiliation":[{"name":"Institute for Urology and Reproductive Health Sechenov University Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1219-387X","authenticated-orcid":false,"given":"Marina","family":"Deuker","sequence":"additional","affiliation":[{"name":"Cancer Prognostics and Health Outcomes Unit University of Montreal Health Center Montreal QC Canada"},{"name":"Department of Urology University Hospital Frankfurt Frankfurt am Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6627-6179","authenticated-orcid":false,"given":"Shahrokh F.","family":"Shariat","sequence":"additional","affiliation":[{"name":"Department of Urology Medical University of Vienna Vienna Austria"},{"name":"Institute for Urology and Reproductive Health Sechenov University Moscow Russia"},{"name":"Department of Urology Weil Cornell Medical College New York NY USA"},{"name":"Department of Urology University of Texas Southwestern Dallas TX USA"},{"name":"Karl Landsteiner Institute of Urology and Andrology Vienna 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