{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:57:12Z","timestamp":1790621832568,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to evaluate the perioperative safety and functional outcomes of high\u2010power holmium laser enucleation of the prostate (HoLEP) in patients with benign prostatic hyperplasia (BPH) and long\u2010term indwelling urinary catheter (IUC) use, with a specific focus on the impact of catheter duration on postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 380 patients who underwent HoLEP between 2016 and 2022, stratified into two groups based on catheter duration: long\u2010term (\u2265\u200928\u2009days; Group 1) and short\u2010term catheterization (Group 2). Demographic, intraoperative, and follow\u2010up data were collected. Functional outcomes, including International Prostate Symptom Score (IPSS), maximum urinary flow rate (Qmax), and post\u2010void residual (PVR), were assessed preoperatively and during follow\u2010up at 3 and 12\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both groups demonstrated significant and sustained improvement in voiding function and symptom scores following HoLEP. Although perioperative metrics, such as operative time, hospital stay, and catheter removal time, were comparable, Group 1 had longer enucleation times (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). No difference in postoperative complication rate was noted. At 3\u2009months, Group 2 exhibited superior symptom relief (IPSS: 10 vs. 12,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01), though Qmax and PVR were similar. No patients in either group required re\u2010catheterization postoperatively. By 12\u2009months, functional outcomes converged between groups. Multivariate analysis showed that catheter duration predicted poorer symptomatic recovery one year after surgery (OR 0.786,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HoLEP is effective and safe for patients with BPH and preoperative catheterization. However, prolonged catheterization negatively impacts early symptom recovery. Early surgical intervention should be considered to optimize long\u2010term outcomes and prevent catheter\u2010related complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/luts.70039","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:11:06Z","timestamp":1762992666000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Impact of Preoperative Catheter Duration on Perioperative Safety and Functional Outcomes Following Holmium Laser Enucleation of the Prostate for Benign Prostatic Hyperplasia: Results From a Single\u2010Center Series"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9934-4011","authenticated-orcid":false,"given":"Carlo","family":"Giulioni","sequence":"first","affiliation":[{"name":"Department of Urology Casa di Cura Villa Igea  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6464-5440","authenticated-orcid":false,"given":"Federico","family":"Falsetti","sequence":"additional","affiliation":[{"name":"Department of Precision and Regenerative Medicine and Ionian Area\u2010Urology, Division of Urology, Andrology and Kidney Transplantation Unit University of Bari Aldo Moro  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Tall\u00e8","sequence":"additional","affiliation":[{"name":"Department of Urology Casa di Cura Villa Igea  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessio","family":"Papaveri","sequence":"additional","affiliation":[{"name":"Department of Urology Casa di Cura Villa Igea  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Mengoni","sequence":"additional","affiliation":[{"name":"Department of Urology Casa di Cura Villa Igea  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Orciani","sequence":"additional","affiliation":[{"name":"Department of Urology Casa di Cura Villa Igea  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Maurizi","sequence":"additional","affiliation":[{"name":"Internal Medicine Unit Jesi  Jesi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4315-7660","authenticated-orcid":false,"given":"Felice","family":"Crocetto","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Reproductive Sciences and Odontostomatology University of Naples Federico II  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7354-9190","authenticated-orcid":false,"given":"Daniele","family":"Castellani","sequence":"additional","affiliation":[{"name":"Urology Unit Azienda Ospedaliero\u2010Universitaria Delle Marche  Ancona Italy"},{"name":"Endourology Section of European Association of Urology, ARNHEM  Arnhem the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3740-7141","authenticated-orcid":false,"given":"Vineet","family":"Gauhar","sequence":"additional","affiliation":[{"name":"Endourology Section of European Association of Urology, ARNHEM  Arnhem the Netherlands"},{"name":"Department of Urology Ng Teng Fong General Hospital  Singapore Singapore"},{"name":"Asian Institute of Nephro\u2010Urology (AINU)  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Cafarelli","sequence":"additional","affiliation":[{"name":"Department of Urology Casa di Cura Villa Igea  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.4111\/icu.20220232"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1677\u20105538.IBJU.2023.0165"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345\u2010025\u201005699\u2010x"},{"key":"e_1_2_10_5_1","volume-title":"Urinary Tract Infection","author":"Hospital harm improvement 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