{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:06:41Z","timestamp":1789344401230,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The postoperative urethral catheter\u2010free has been possible immediately after prostatic urethral lift (PUL) for benign prostatic hyperplasia; however, there are no specific criteria for urethral catheter\u2010free status. This study evaluated the efficacy of the criteria for urethral catheter\u2010free status after PUL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We evaluated the criteria for urethral catheter\u2010free status after PUL on hematuria grade and prospectively reviewed the results. The grade of hematuria was assessed on a scale of five levels. This study was classified as Group A\u2014postoperative urethral catheter\u2010free when hematuria Grade 3 or lower at the end of PUL; and Group B\u2014postoperative urethral catheter insertion when hematuria Grade 4 or higher.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 45 patients were included in the study. The median age was 81, and the prostate volume was 34\u2009mL. There were 36 patients (80%) in Group A and 9 (20%) in Group B. In Group A, 26 patients (72%) achieved postoperative catheter\u2010free immediately after PUL, and in the other 10 patients, the urethral catheter was inserted due to transient urinary retention. In Group B, 7 patients (78%) achieved postoperative urethral catheter\u2010free 1\u2009day after PUL. There was no significant difference in postoperative voiding status between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We evaluated the utility and safety of a protocol using postoperative hematuria grade as a decision\u2010making tool for early urethral catheter removal following PUL. This hematuria\u2010grade\u2013based catheter removal protocol after PUL was generally feasible and safe.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70195","type":"journal-article","created":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T04:44:51Z","timestamp":1755233091000},"page":"1630-1637","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Postoperative Hematuria Is the Key to Achieving No Indwelling Urethral Catheter Immediately After Prostatic Urethral Lift: A Japanese Single\u2010Center Prospective Study"],"prefix":"10.1111","volume":"32","author":[{"given":"Hidero","family":"Minami","sequence":"first","affiliation":[{"name":"Department of Urology Hanyu General Hospital  Saitama Japan"},{"name":"Department of Urology Tsurugi Hospital  Hakusan Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8325-2606","authenticated-orcid":false,"given":"Go","family":"Anan","sequence":"additional","affiliation":[{"name":"Department of Urology Yotsuya Medical Cube  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3183-5428","authenticated-orcid":false,"given":"Kanya","family":"Kaga","sequence":"additional","affiliation":[{"name":"Department of Urology Chiba Prefectural Sawara Hospital  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Fujishima","sequence":"additional","affiliation":[{"name":"Department of Urology Iwate Prefectural Iwai Hospital  Iwate Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2009.07.003"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(01)01506-0"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.2003.04448.x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.0704"},{"key":"e_1_2_10_6_1","first-page":"618","article-title":"Complications of Transurethral Resection of the Prostate (TURP)","volume":"176","author":"Madersbacher S.","year":"2006","journal-title":"Journal of Urology"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000003698"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2013.05.116"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2019.0167"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15621"},{"key":"e_1_2_10_11_1","first-page":"8802","article-title":"Five Year Results of the Prospective Randomized Controlled Prostatic Urethral L.I.F.T. 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