{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T07:57:05Z","timestamp":1790582225326,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Outcomes after prostatic urethral lift (PUL) may vary depending on implant position and bladder neck remodeling strategy. We evaluated the impact of bladder\u2010neck\u2010focused implant density using a four\u2010bladder neck implant technique on early postoperative urinary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this prospective study, 220 consecutive patients undergoing PUL were analyzed. Patients were divided into a conventional technique group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009110) and a four\u2010bladder neck implant technique group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009110). The primary outcome was postoperative transient urinary retention within 30\u2009days after PUL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline characteristics were generally comparable between groups. Postoperative transient urinary retention occurred significantly less frequently in the four\u2010bladder neck implant group than in the conventional group (13.6% vs. 25.5%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.026). IPSS was significantly lower at 1\u2009month (9.9 vs. 11.9,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009) and 3\u2009months (9.4 vs. 11.7,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007) and Qmax was significantly higher at 1\u2009month (14.6 vs. 12.7\u2009mL\/s,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.039) and 3\u2009months (14.7 vs. 12.8\u2009mL\/s,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.034) in the four\u2010bladder neck implant group than in the conventional group. In multivariable analysis, the four\u2010bladder neck implant technique was independently associated with a reduced risk of postoperative urinary retention, whereas implant number was not.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The four\u2010bladder neck implant technique was associated with improved early outcomes and a lower incidence of postoperative urinary retention. Implant distribution, particularly bladder\u2010neck\u2010focused density, may represent a key determinant of early outcomes after PUL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70601","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:52:30Z","timestamp":1787809950000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Four\u2010Bladder Neck Implant Technique on Early Outcomes After Prostatic Urethral Lift: A Japanese Prospective Single\u2010Center Study"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8325-2606","authenticated-orcid":false,"given":"Go","family":"Anan","sequence":"first","affiliation":[{"name":"Department of Urology Yotsuya Medical Cube  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4987-0368","authenticated-orcid":false,"given":"Yosuke","family":"Fujishima","sequence":"additional","affiliation":[{"name":"Department of Urology Iwate Prefectural Iwai Hospital  Iwate Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidero","family":"Minami","sequence":"additional","affiliation":[{"name":"Department of Urology Hanyu General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7411-3919","authenticated-orcid":false,"given":"Takuro","family":"Ishii","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Engineering, Tohoku University  Sendai 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"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)49698-4"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2013.05.116"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12333"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.04.024"},{"key":"e_1_2_11_6_1","first-page":"8802","article-title":"Five\u2010Year Results of the Prospective Randomized Controlled Prostatic Urethral LIFT Study","volume":"24","author":"Roehrborn C. 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