{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T05:59:55Z","timestamp":1778565595941,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,4,23]],"date-time":"2017-04-23T00:00:00Z","timestamp":1492905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003710","name":"Korea Health Industry Development Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003710","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the efficacy of Holmium laser transurethral incision of the prostate (Ho\u2010TUIP) with preoperative characteristics based on urodynamic parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The medical records of 40 consecutive cases of Ho\u2010TUIP in patients unresponsive to medical treatment were retrospectively reviewed. The efficacy of Ho\u2010TUIP was analyzed according to preoperative factors, including urodynamic parameters. Treatment success was confirmed if overall efficacy demonstrated an improvement that was \u201cgood or greater\u201d according to the criteria developed by Homma et al. Predictive factors of treatment success were analyzed using logistic regression analysis with demographics, symptom questionnaires, prostate size, and urodynamic parameters. Postoperative complications and Global Response Assessment (GRA) were investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age was 60.9 years (range 37\u201384), mean follow\u2010up period was 36.6 months (range 6.3\u2013114.8), and mean prostate size was 23.5 mL (range 12.7\u201339.5). All patients underwent medical treatment before Ho\u2010TUIP, and mean medication duration was 50.5 months (range 3.4\u2013140.0). The treatment success rate was 60.0%. Treatment success rates were higher in the bladder outlet obstruction index (BOOI) \u226520 group (<jats:italic>n =<\/jats:italic> 26) than in the BOOI &lt;20 group (<jats:italic>n =<\/jats:italic> 14) (<jats:italic>p =<\/jats:italic> 0.003). In logistic regression analysis, BOOI \u226520 was a predictor of treatment success (OR 7.60, 95% CI 1.60\u201335.90, <jats:italic>P<\/jats:italic> = 0.010). Among patients who maintained an active sex life, 77.8% (14\/18) reported retrograde ejaculation. In terms of GRA, 81.5% (31\/38, two patients expired) of patients improved at the final follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Ho\u2010TUIP is an effective procedure with tolerable complications for the treatment of symptomatic mild\u2010to\u2010moderate BPE in patients with BOOI \u226520 that are unresponsive to medical treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.12168","type":"journal-article","created":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T04:39:29Z","timestamp":1493008769000},"page":"231-236","source":"Crossref","is-referenced-by-count":9,"title":["Efficacy of Holmium Laser Transurethral Incision of the Prostate in Symptomatic Mild\u2010to\u2010Moderate Benign Prostate Enlargement Based on Preoperative Characteristics"],"prefix":"10.1111","volume":"10","author":[{"given":"Yoon Seok","family":"SUH","sequence":"first","affiliation":[{"name":"Department of Urology, Center for Prostate Cancer Research Institute and Hospital of the National Cancer Center  Goyang Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwang Jin","family":"KO","sequence":"additional","affiliation":[{"name":"Department of Urology, Samsung Medical Center Sungkyunkwan University School of Medicine  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Heon","family":"KIM","sequence":"additional","affiliation":[{"name":"Department of Urology Samsung Changwon Hospital, Sungkyunkwan University School of Medicine  Changwon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun Hwan","family":"SUNG","sequence":"additional","affiliation":[{"name":"Department of Urology, Samsung Medical Center Sungkyunkwan University School of Medicine  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0891-2488","authenticated-orcid":false,"given":"Kyu\u2010Sung","family":"LEE","sequence":"additional","affiliation":[{"name":"Department of Urology, Samsung Medical Center Sungkyunkwan University School of Medicine  Seoul Korea"},{"name":"Department of Medical Device Management and Research, SAIHST Sungkyunkwan University  Seoul 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