{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T05:59:38Z","timestamp":1790315978531,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the impact of preoperative urinary retention on perioperative and early postoperative outcomes following Holmium Laser Enucleation of the Prostate (HoLEP), using a balanced comparison between catheterized and non\u2010catheterized patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included patients who underwent HoLEP for benign prostatic hyperplasia at a tertiary center between January 2024 and July 2025. Patients were stratified into two groups based on the presence of acute or chronic urinary retention requiring preoperative catheterization. Propensity score matching (1:1) was performed using age, BMI, coronary artery disease, PSA, INR, platelet count, anticoagulant\/antiplatelet use, and prostate volume, yielding 57 matched patients per group. Perioperative parameters, complications (Clavien\u2013Dindo), and early functional outcomes were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 114 matched patients were analyzed. Baseline demographic and clinical characteristics were comparable between groups. Catheterized patients demonstrated significantly longer operative (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013) and enucleation times (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012). Postoperative hematocrit decline (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016), catheterization duration (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), and hospitalization time (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012) were all greater in catheterized patients. The overall complication rate was higher in the catheterized group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041), although individual adverse events were infrequent. Despite these differences, one\u2010month functional outcomes (IPSS, Qmax, PVR) were similar between groups (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Preoperative urinary retention is associated with increased operative complexity and higher rate of early complications after HoLEP; however, early functional recovery remains comparable to that of non\u2010catheterized patients. HoLEP remains an effective treatment across varying obstruction severities, though catheter\u2010dependent patients may benefit from optimized perioperative management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/luts.70089","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T23:07:34Z","timestamp":1786662454000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of\n                    <scp>HoLEP<\/scp>\n                    Outcomes Between Catheterized and Non\u2010Catheterized Patients: A Propensity Score\u2013Matched Analysis"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8589-129X","authenticated-orcid":false,"given":"Caglar","family":"Dizdaroglu","sequence":"first","affiliation":[{"name":"Department of Urology Haseki Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4832-9396","authenticated-orcid":false,"given":"Ufuk","family":"Caglar","sequence":"additional","affiliation":[{"name":"Department of Urology Haseki Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2611-2815","authenticated-orcid":false,"given":"Arda","family":"Meric","sequence":"additional","affiliation":[{"name":"Department of Urology Dogubayazit Dr. Yasar Eryilmaz State Hospital  Agri Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5173-7067","authenticated-orcid":false,"given":"Cagri","family":"Yaman","sequence":"additional","affiliation":[{"name":"Department of Urology Haseki Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8712-7458","authenticated-orcid":false,"given":"Faruk","family":"Ozgor","sequence":"additional","affiliation":[{"name":"Department of Urology Haseki Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1273-1084","authenticated-orcid":false,"given":"Omer","family":"Sarilar","sequence":"additional","affiliation":[{"name":"Department of Urology Haseki Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010017\u201006628\u20108"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/luts.70039"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2022.03.036"},{"issue":"2","key":"e_1_2_12_5_1","first-page":"6","article-title":"HoLEP: The New Gold Standard for Surgical Treatment of Benign Prostatic Hyperplasia","volume":"28","author":"Shvero A.","year":"2021","journal-title":"Canadian Journal of 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Lower Urinary Tract 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