{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T18:05:54Z","timestamp":1788285954106,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T00:00:00Z","timestamp":1778284800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"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":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine whether anterior fibromuscular stroma (AFS) preservation within an anteroposterior (AP) HoLEP platform independently reduces ultra\u2010early postoperative incontinence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively analyzed consecutive HoLEP cases (April 2019\u2013June 2025) performed by a single surgeon. Of 719 procedures, 272 consecutive cases using a standardized AP platform were included and classified into conventional AP\u2010HoLEP (CON,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200960), mucosal incision\u2010first AP\u2010HoLEP (MI,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009180), and AFS\u2010preserving AP\u2010HoLEP (AFS,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200932). The primary endpoint was Day\u20101 incontinence, defined as any objective leakage (&gt;\u20090\u2009mL) within 24\u2009h after catheter removal on Postoperative Day 2. Multivariable logistic regression was used to identify independent predictors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Day\u20101 incontinence occurred in 55% (33\/60) of CON, 58% (104\/180) of MI, and 25% (8\/32) of AFS cases (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). In multivariable analysis, AFS preservation was independently associated with lower odds of Day\u20101 incontinence versus CON (odds ratio [OR], 0.30; 95% confidence interval [CI], 0.11\u20130.80;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016), whereas MI was not (OR, 1.14; 95% CI, 0.62\u20132.11;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.680). Perioperative safety outcomes were comparable, with low rates of Clavien\u2013Dindo\u2009\u2265\u2009III events.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Within an AP\u2010HoLEP platform, AFS preservation was associated with improved Day\u20101 continence without compromising safety, supporting ventral\u2010support preservation as a key lever for ultra\u2010early continence recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70492","type":"journal-article","created":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T04:33:53Z","timestamp":1778387633000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Anterior Fibromuscular Stroma\u2010Preserving Anteroposterior Dissection\n                    <scp>HoLEP<\/scp>\n                    Reduces Day\u20101 Incontinence: A Retrospective Cohort Study"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2879-2727","authenticated-orcid":false,"given":"Fumiyasu","family":"Endo","sequence":"first","affiliation":[{"name":"Department of Urology St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Shimbo","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazutaka","family":"Narimoto","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiko","family":"Oguchi","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Sano","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2258-8737","authenticated-orcid":false,"given":"Koki","family":"Tominaga","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeru","family":"Morishige","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takato","family":"Nishino","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Ohwaki","sequence":"additional","affiliation":[{"name":"Teikyo University Graduate School of Public Health  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazunori","family":"Hattori","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke's International Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.06.065"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.08.036"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345\u2010019\u201002671\u20104"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345\u2010022\u201004205\u2010x"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.1189"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.12.065"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001778"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.03.071"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20105347(17)43253\u20108"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345\u2010024\u201005204\u2010w"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.5213\/inj.2040042.021"},{"issue":"2","key":"e_1_2_12_13_1","first-page":"133","article-title":"Comparison of Postoperative Stress Urinary Incontinence Between Anteroposterior Dissection and Modified Gilling Method in Holmium Laser Enucleation of the Prostate (HoLEP)","volume":"21","author":"Shishido T.","year":"2024","journal-title":"Urology Journal"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345\u2010022\u201004270\u20102"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.13256"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/luts.12380"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894\u2010019\u20100570\u20105"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1159\/000282628"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/and.13587"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345\u2010024\u201004984\u20105"}],"container-title":["International Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iju.70492","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/iju.70492","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iju.70492","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T09:23:37Z","timestamp":1781861017000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iju.70492"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/iju.70492"],"URL":"https:\/\/doi.org\/10.1111\/iju.70492","archive":["Portico"],"relation":{},"ISSN":["0919-8172","1442-2042"],"issn-type":[{"value":"0919-8172","type":"print"},{"value":"1442-2042","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2026-01-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70492"}}