{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:47:54Z","timestamp":1782452874608,"version":"3.54.5"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"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":[[2026,6]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n The prostatic urethral lift (PUL) for benign prostatic hyperplasia (BPH) has been shown to deliver rapid, durable symptom relief with low morbidity. Most studies have been performed in Western populations. The objective was to understand how PUL performs in the real world in Japan among a broad patient population.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A post\u2010market registry study of consecutive PUL subjects across 14 Japanese centers was conducted. International Prostate Symptom Score (IPSS), quality of life (QOL), maximum flow rate (\n Q<\/jats:italic>\n max<\/jats:sub>\n ) and sexual function were evaluated at baseline, 3\u2010 and 12\u2010 months post\u2010procedure. Paired\n t<\/jats:italic>\n \u2010tests compared baseline and follow\u2010up data. Subject demographics, adverse events, BPH medication use, catheterization, and surgical retreatment were reported.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n 210 subjects were included. Baseline characteristics included age 74.3\u2009\u00b1\u20098.5\u2009years, IPSS 18.0\u2009\u00b1\u20097.4, QOL 4.8\u2009\u00b1\u20091.3,\n Q<\/jats:italic>\n max<\/jats:sub>\n 10.3\u2009\u00b1\u20095.5\u2009mL\/s and prostate volume 40.5\u2009\u00b1\u200916.1\u2009cc. Paired analyses indicated IPSS improved 6.6 (36.9%),\n p<\/jats:italic>\n \u2009<\u20090.0001; QOL improved 2.1 (43.3%),\n p<\/jats:italic>\n \u2009<\u20090.0001 and\n Q<\/jats:italic>\n max<\/jats:sub>\n improved 1.5 (14.7%) mL\/s (\n p<\/jats:italic>\n \u2009=\u20090.023) at 12\u2009months. Sexual function measures were unchanged or significantly improved, although results should be interpreted with caution due to a high degree of missing data. BPH medication use decreased from 76.7% to 12.4%; One subject was surgically retreated by 12\u2009months. Adverse events were typically mild\u2013moderate and transient.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This registry study from Japan indicates PUL is safe and effective; results corroborate those of previous studies. The data support the use of PUL in the broader BPH population in Japan.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n Japan Registry of Clinical Trials (jRCT 2032220377)<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/iju.70529","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:42:30Z","timestamp":1781527350000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multi\u2010Center, Real\u2010World Registry Study of the\n UroLift<\/scp>\n Prostatic Urethral Lift (\n PUL<\/scp>\n ) for Benign Prostatic Hyperplasia (\n BPH<\/scp>\n ) in Japan"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6324-0739","authenticated-orcid":false,"given":"Naoya","family":"Masumori","sequence":"first","affiliation":[{"name":"Department of Urology Sapporo Medical University Sapporo Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoru","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Urology Nihon University School of Medicine Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Go","family":"Anan","sequence":"additional","affiliation":[{"name":"Department of Urology Yotsuya Medical Cube Chiyoda\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2879-2727","authenticated-orcid":false,"given":"Fumiyasu","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Urology St. Luke's International Hospital Chuo\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7426-6395","authenticated-orcid":false,"given":"Akira","family":"Furuta","sequence":"additional","affiliation":[{"name":"Department of Urology Jikei University School of Medicine Minato\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7618-6783","authenticated-orcid":false,"given":"Kazunori","family":"Haga","sequence":"additional","affiliation":[{"name":"Department of Urology Sanjukai Urological Hospital Sapporo\u2010shi Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Hatanaka","sequence":"additional","affiliation":[{"name":"Urology, Saitama Sekishinkai Hospital Sayama\u2010shi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinobu","family":"Kato","sequence":"additional","affiliation":[{"name":"Kato Urological Clinic Hiratsuka\u2010shi Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"Komai","sequence":"additional","affiliation":[{"name":"Komai Nephrology and Urology Clinic Osaka\u2010shi Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Kyoda","sequence":"additional","affiliation":[{"name":"Department of Urology Sapporo Medical University Sapporo Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nayuka","family":"Matsuyama","sequence":"additional","affiliation":[{"name":"Department of Urology Inuyama Chuo General Hospital Inuyama\u2010shi Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichiro","family":"Murayama","sequence":"additional","affiliation":[{"name":"Urology Department Tokyo International Ohori Hospital Mitaka\u2010shi Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotaka","family":"Nagamatsu","sequence":"additional","affiliation":[{"name":"Oita Urology Hospital Oita\u2010shi Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8584-4506","authenticated-orcid":false,"given":"Daisuke","family":"Obinata","sequence":"additional","affiliation":[{"name":"Department of Urology Nihon University School of Medicine Itabashi\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zenkichi","family":"Sekiguchi","sequence":"additional","affiliation":[{"name":"Department of Urology St. Marianna University Yokohama Seibu Hospital Yokohama\u2010shi Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuma","family":"Waseda","sequence":"additional","affiliation":[{"name":"Department of Urology Institute of Science Tokyo Bunkyo\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","first-page":"8802","article-title":"Five Year Results of the Prospective Randomized Controlled Prostatic Urethral L.I.F.T. 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