{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T22:04:10Z","timestamp":1792015450805,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To prospectively assess the incidence, characteristics, and perioperative impact of Bladder Injury Classification for Endoscopic Procedures (BICEP)\u2010classified bladder injuries during anatomical endoscopic enucleation of the prostate (AEEP) and morcellation across European centres.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>A prospective observational study (ClinicalTrials.gov identifier: NCT06469125) was conducted at 12 European centres between May 2024 and June 2025 following ethics approval. Data were collected prospectively through a Research Electronic Data Capture. A total of 725 men undergoing AEEP for benign prostatic obstruction were included. Intraoperative bladder injuries were identified and classified by the surgeon according to the BICEP. The primary endpoint was the incidence and distribution of BICEP\u2010classified injuries. Secondary endpoints included associations between BICEP category and perioperative parameters, as well as the influence of enucleation technique and morcellator type. Reporting adhered to the Strengthening the Reporting of Observational Studies in Epidemiology statement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean (SD) age was 68.4\u2009(8.2)\u2009years and mean (SD) prostate volume 82.5\u2009(41.1)\u2009mL. Bladder injury of any grade (BICEP \u22651) occurred in 25.0%. Most injuries were minor BICEP 1 (15.9%) and BICEP 2a (6.1%). Severe injuries (BICEP \u22652c) were rare (0.5%). Increasing BICEP category correlated significantly with longer operative time, irrigation duration, catheterisation, and hospital stay, but not with baseline parameters or 1\u2010month functional outcomes. Neither enucleation technique nor morcellator type independently predicted higher BICEP categories, although\n                      <jats:italic>en bloc<\/jats:italic>\n                      procedures showed shorter operative and hospital times overall.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Intraoperative bladder injury occurred in AEEP procedures, most being low\u2010grade and self\u2010limiting. Higher BICEP categories were associated with increased operative complexity and perioperative morbidity, supporting its value as a standardised reporting tool. The BICEP system enables objective, comparable documentation of bladder injuries across endoscopic urological procedures and may facilitate improved safety monitoring and quality benchmarks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70170","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T11:40:28Z","timestamp":1770982828000},"page":"797-804","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Bladder injury in anatomical endoscopic enucleation of the prostate and morcellation using the Bladder Injury Classification for Endoscopic Procedures: a European Association of Urology endourology prospective study"],"prefix":"10.1111","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7237-0966","authenticated-orcid":false,"given":"Selim","family":"Soyt\u00fcrk","sequence":"first","affiliation":[{"name":"Department of Urology, Faculty of Medicine Necmettin Erbakan University  Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando Lista","family":"Mateos","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital HM Montepr\u00edncipe, HM Hospitales  Madrid Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria HM Hospitales  Madrid Spain"},{"name":"ROC Clinic  Madrid Spain"},{"name":"School of Medicine Universidad Camilo Jos\u00e9 Cela  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8391-1050","authenticated-orcid":false,"given":"G\u00f6khan","family":"S\u00f6nmez","sequence":"additional","affiliation":[{"name":"Department of Urology Erciyes University Faculty of Medicine  Kayseri Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gernot","family":"Ortner","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology General Hospital Hall in Tirol  Hall in Tirol Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Torres","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital HM Montepr\u00edncipe, HM Hospitales  Madrid Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria HM Hospitales  Madrid Spain"},{"name":"ROC Clinic  Madrid Spain"},{"name":"School of Medicine Universidad Camilo Jos\u00e9 Cela  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"At\u0131n\u00e7","family":"Tozsin","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Trakya University  Edirne Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irfan \u015eafak","family":"Barlas","sequence":"additional","affiliation":[{"name":"Department of Urology Ac\u0131badem Ankara Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Turan","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Health Sciences T\u00fcrkiye Erzurum Regional Training and Research Hospital  Erzurum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Rechner","sequence":"additional","affiliation":[{"name":"Department of Urology Kantonsspital Frauenfeld, Spital Thurgau AG  Frauenfeld Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Ferretti","sequence":"additional","affiliation":[{"name":"Urology Unit University Hospital of Parma  Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00fclent","family":"Erkurt","sequence":"additional","affiliation":[{"name":"International School of Medicine Istanbul Medipol University  Istanbul Turkey"},{"name":"Department of Urology, Faculty of Medicine, Ko\u015fuyolu Medipol Hospital Istanbul Medipol University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Karabulut","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Health Sciences T\u00fcrkiye Erzurum Regional Training and Research Hospital  Erzurum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Giray","family":"S\u00f6nmez","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Necmettin Erbakan University  Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet \u00c7a\u011fr\u0131","family":"Ka\u00e7tan","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Istanbul Medipol University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hakan","family":"Akdere","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Trakya University  Edirne Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Balasar","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Necmettin Erbakan University  Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nariman","family":"Gadzhiev","sequence":"additional","affiliation":[{"name":"Department of Urology Saint Petersburg State University Hospital  Saint Petersburg Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhaskar","family":"Somani","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Southampton NHS Foundation Trust  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lutfi","family":"Tunc","sequence":"additional","affiliation":[{"name":"Department of Urology Ac\u0131badem Ankara Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier Romero","family":"Otero","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital HM Montepr\u00edncipe, HM Hospitales  Madrid Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria HM Hospitales  Madrid Spain"},{"name":"ROC Clinic  Madrid Spain"},{"name":"School of Medicine Universidad Camilo Jos\u00e9 Cela  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Herrmann","sequence":"additional","affiliation":[{"name":"Department of Urology Kantonsspital Frauenfeld, Spital Thurgau AG  Frauenfeld Switzerland"},{"name":"Department of Urology Stellenbosch University  Stellenbosch Western Cape South Africa"},{"name":"Department of Urology Hannover Medical School (MHH)  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5009-8435","authenticated-orcid":false,"given":"Sel\u00e7uk","family":"G\u00fcven","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Necmettin Erbakan University  Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-020-00985-0"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.03.004"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.11.062"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.03.058"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2019.0306"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.03.034"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajur.2022.02.011"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-024-01517-5"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0000000000000498"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2011.12.018"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.01.006"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2004.07.028"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m2917"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2024.09.004"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.3035"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.11.048"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.10.059"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.08.078"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.2003.04426.x"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1442-2042.2002.00457.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-019-02802-x"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)01812-5"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.21050"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/08927790251360022"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.08.024"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-019-02259-2"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2018.05.024"},{"key":"e_1_2_8_30_1","first-page":"266","article-title":"DrillCut\u2122 vs VersaCut\u2122 prostate tissue morcellation devices after holmium laser enucleation: a prospective, randomized controlled trial","volume":"13","author":"Ibrahim A","year":"2019","journal-title":"Can Urol Assoc J"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2011.0536"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.70170","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/bju.70170","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.70170","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T08:00:32Z","timestamp":1776067232000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.70170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,13]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/bju.70170"],"URL":"https:\/\/doi.org\/10.1111\/bju.70170","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,13]]},"assertion":[{"value":"2026-02-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}