{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T09:54:45Z","timestamp":1781862885639,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"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":[[2026,5]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To evaluate clinical and ejaculatory outcomes following ejaculation\u2010sparing bladder neck incision (ESBNI) in young men with primary bladder neck obstruction (PBNO).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Retrospective cohort study with prospective outcome assessment of men \u2264\u200940\u2009years who underwent ESBNI between 2022 and 2025 for videourodynamically confirmed PBNO. All patients underwent a single bladder neck incision at the 6 o'clock position using standard electrocautery, with distal extent limited to approximately 10\u2009mm proximal to the verumontanum. Ejaculatory outcomes were assessed using the Male Sexual Health Questionnaire\u2013Ejaculatory Dysfunction Short Form (MSHQ\u2010EjD\u2010SF). The primary outcome was preservation of the ability to ejaculate (score \u2265\u20094 on Question 1). Secondary outcomes included ejaculatory function (sum of Questions 1\u20133), postoperative maximum flow rate (Q\n max<\/jats:sub>\n ), and other key clinical outcomes including complications. Non\u2010parametric statistical tests were used.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n At a median follow\u2010up of 13\u2009months, antegrade ejaculation was preserved in 100% of patients with available data (51\/53), and 90% demonstrated normal ejaculatory function. Median postoperative Q\n max<\/jats:sub>\n was 17\u2009mL\/s, with 67% and 27% achieving normal (\u2265\u200915\u2009mL\/s) and borderline flow (12\u201314\u2009mL\/s), respectively. Among catheter\u2010dependent patients, 18\/19 became catheter\u2010free. In catheter\u2010independent patients, median improvement in Q\n max<\/jats:sub>\n was 9\u2009mL\/s. Higher Bladder Outflow Obstruction Index and Detrusor Contraction Index (ICS\u2010DCI) were associated with improved postoperative flow, while ejaculatory function was positively associated with DCI. Three patients required redo surgery. Complications were minimal.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Ejaculation\u2010sparing bladder neck incision is a safe and effective surgical option for young men with videourodynamically\u2010confirmed PBNO, providing meaningful improvement in urinary flow with reliable preservation of ejaculation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/iju.70478","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:24:52Z","timestamp":1777379092000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ejaculation Sparing Bladder Neck Incision for Young Men With Primary Bladder Neck Obstruction"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7090-2091","authenticated-orcid":false,"given":"Sanjay","family":"Sinha","sequence":"first","affiliation":[{"name":"Department of Urology Apollo Hospital Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daxay","family":"Lakhani","sequence":"additional","affiliation":[{"name":"Department of Urology Apollo Hospital Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ch Ram","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Urology Apollo Hospital Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.09.019"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/iju.iju_429_24"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/iju.iju_160_22"},{"key":"e_1_2_12_5_1","volume-title":"Non\u2010Neurogenic Male LUTS. European Association of Urology Guidelines","author":"Cornu J. 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