{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:00:19Z","timestamp":1785416419020,"version":"3.56.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"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":["LUTS"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the feasibility, safety, and short\u2010term functional outcomes of adding bladder neck opening and ventral adenoma vaporization to ejaculatory hood (EH)\u2010sparing photoselective vaporization of the prostate (PVP), aimed at preserving antegrade ejaculation in patients with benign prostatic obstruction (BPO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective, single\u2010center pilot study included 27 patients with BPO who underwent PVP at our institution with the purpose of preserving ejaculatory function. EH was defined as the area within approximately 1\u2009cm proximal and lateral to the verumontanum, which was preserved during bladder neck opening and ventral adenoma vaporization to create an unobstructed cavity from the prostatic apex to the bladder neck. The primary endpoint was the preservation of antegrade ejaculation at 3\u2009months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 3\u2009months postoperatively, 26 (96%) of 27 patients had preserved antegrade ejaculation, and one (4%) patient was suspected of retrograde ejaculation. The median International Prostate Symptom Score decreased from 21 to 7, and the quality\u2010of\u2010life score decreased from 5 to 2. Further, the maximum flow rate increased from 5.4 to 14.3\u2009mL\/s, and the postvoid residual urine volume decreased from 72.5 to 0\u2009mL (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The median prostate volume decreased from 60 to 24\u2009mL, and Clavien\u2010Dindo grade III or higher adverse events were not observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EH\u2010sparing PVP with bladder neck opening and ventral adenoma vaporization was feasible and safe in the short term and was associated with preserved antegrade ejaculation and improved urinary outcomes in patients with BPO. Further prospective studies with validated sexual function assessment and longer follow\u2010up are necessary to confirm these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/luts.70071","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T05:01:42Z","timestamp":1780549302000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ejaculatory Hood\u2010Sparing Photoselective Vaporization of the Prostate: A Retrospective Single\u2010Center Pilot Study Evaluating Ejaculation Preservation With Bladder Neck Opening"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2180-1259","authenticated-orcid":false,"given":"Kazushi","family":"Hanawa","sequence":"first","affiliation":[{"name":"Department of Urology Nagakubo Hospital  Tokyo Japan"},{"name":"Department of Urology, Interdisciplinary Graduate School of Medicine University of Yamanashi  Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nozomu","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Urology Nagakubo Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenzo","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Urology Nagakubo Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuji","family":"Tsukamoto","sequence":"additional","affiliation":[{"name":"Department of Urology Nagakubo Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshitaka","family":"Kuwahara","sequence":"additional","affiliation":[{"name":"Department of Urology Nagakubo Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0408-3678","authenticated-orcid":false,"given":"Takahiko","family":"Mitsui","sequence":"additional","affiliation":[{"name":"Department of Urology, Interdisciplinary Graduate School of Medicine University of Yamanashi  Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894\u2010024\u201001582\u2010w"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000136218.11998.9e"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.4895"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001778"},{"key":"e_1_2_11_6_1","first-page":"8802","article-title":"Five Year Results of the Prospective Randomized Controlled Prostatic Urethral L.I.F.T. 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