{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T03:51:29Z","timestamp":1791604289095,"version":"4.3.4"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"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":[[2026,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To compare symptomatic improvement after photoselective vaporization of the prostate (PVP) between patients with and without detrusor underactivity (DU), together with objective changes in urodynamic parameters assessed by pressure\u2010flow study (PFS).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This single\u2010center retrospective study evaluated 136 benign prostatic hyperplasia (BPH) patients treated with a 180\u2009W PVP\u2010XPS system from 2020 through 2025. The patients were divided into DU and non\u2010DU groups based on the bladder contractility index (BCI), with DU defined as BCI\u2009<\u2009100. We retrospectively analyzed selected patients with BPH and clinically or urodynamically relevant bladder outlet obstruction (BOO) who underwent PVP and completed PFS before and 6\u2009months after surgery. Propensity score matching (PSM) was applied to adjust for age and the baseline BOO index (BOOI).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 105 patients were included in the final analysis and 53 were in the DU group. The DU group had a significantly lower BOOI (48.6\u2009\u00b1\u200917.5 vs. 71.4\u2009\u00b1\u200932.3,\n p<\/jats:italic>\n \u2009<\u20090.01) than the non\u2010DU group. After PSM, age and baseline BOOI were well balanced, but BCI remained significantly different. No significant differences between the two groups were observed in questionnaire scores or uroflowmetry findings at 6\u2009months after surgery. The BOOI at 6\u2009months after surgery was not significantly different between the DU group (13.4\u2009\u00b1\u200913.7) and the non\u2010DU group (13.7\u2009\u00b1\u200919.3) (\n p<\/jats:italic>\n \u2009=\u20090.93). BOOI reduction was also not significantly different between the DU group (\u221237.0\u2009\u00b1\u200924.1) and the non\u2010DU group (\u221236.2\u2009\u00b1\u200924.5) (\n p<\/jats:italic>\n \u2009=\u20090.90).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n In selected patients with clinically or urodynamically relevant BOO, significant improvements in BOOI and LUTS were observed in patients with DU after PVP, with no statistically significant between\u2010group differences detected at 6\u2009months.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/luts.70100","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T03:05:36Z","timestamp":1791601536000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Changes in Bladder Outlet Obstruction After Photoselective Vaporization of the Prostate in Men With and Without Detrusor Underactivity: A Retrospective Propensity Score\u2010Matched Study"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7967-4495","authenticated-orcid":false,"given":"Jurai","family":"Shibuya","sequence":"first","affiliation":[{"name":"Department of Urology Sapporo Medical University School of Medicine Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2046-5051","authenticated-orcid":false,"given":"Yuki","family":"Kyoda","sequence":"additional","affiliation":[{"name":"Department of Urology Sapporo Medical University School of Medicine Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0873-4642","authenticated-orcid":false,"given":"Kohei","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Urology Sapporo Medical University School of Medicine Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6995-6930","authenticated-orcid":false,"given":"Ko","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Urology Sapporo Medical University School of Medicine Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1199-9302","authenticated-orcid":false,"given":"Toshiaki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Urology Sapporo Medical University School of Medicine Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6324-0739","authenticated-orcid":false,"given":"Naoya","family":"Masumori","sequence":"additional","affiliation":[{"name":"Department of Urology Sapporo Medical University School of Medicine Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/S0022-5347(17)49698-4","article-title":"The Development of Human Benign Prostatic Hyperplasia With Age","volume":"132","author":"Berry S. 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W.","year":"2004","journal-title":"BJU International"},{"key":"e_1_2_11_8_1","first-page":"E34","article-title":"Effect of Preoperative Detrusor Underactivity on Long\u2010Term Surgical Outcomes of Photovaporization and Holmium Laser Enucleation in Men With Benign Prostatic Hyperplasia: A Lesson From 5\u2010Year Serial Follow\u2010Up Data","volume":"123","author":"Cho M. C.","year":"2019","journal-title":"BJU International"},{"key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"824","DOI":"10.4111\/kju.2011.52.12.824","article-title":"120 W Greenlight HPS Laser Photoselective Vaporization of the Prostate for Treatment of Benign Prostatic Hyperplasia in Men With Detrusor Underactivity","volume":"52","author":"Choi S. W.","year":"2011","journal-title":"Korean Journal of Urology"},{"key":"e_1_2_11_10_1","first-page":"5918","article-title":"How I Do It: GreenLight XPS 180W Photoselective Vaporization of the Prostate","volume":"18","author":"Elterman D. S.","year":"2011","journal-title":"Canadian Journal of Urology"},{"key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1002\/nau.23124","article-title":"International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, Uroflowmetry, Cystometry, and Pressure\u2010Flow Study","volume":"36","author":"Rosier P. F. W. M.","year":"2017","journal-title":"Neurourology and Urodynamics"},{"key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1002\/nau.25336","article-title":"Functional and Safety Outcomes After Benign Prostatic Enlargement Surgeries in Men With Detrusor Underactivity Compared With Normal Detrusor Contractility: Systematic Review and Meta\u2010Analysis","volume":"43","author":"Wroclawski M. L.","year":"2024","journal-title":"Neurourology and Urodynamics"},{"key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1186\/s13643-024-02514-3","article-title":"Transurethral Surgical Treatment for Benign Prostatic Hyperplasia With Detrusor Underactivity: A Systematic Review and Meta\u2010Analysis","volume":"13","author":"Zou P.","year":"2024","journal-title":"Systematic Reviews"},{"key":"e_1_2_11_14_1","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1016\/S0022-5347(17)65057-2","article-title":"The Pressure\u2010Flow Study: A Method for Measuring Bladder Neck Resistance","volume":"87","author":"Gleason D. M.","year":"1962","journal-title":"Journal of Urology"},{"key":"e_1_2_11_15_1","doi-asserted-by":"crossref","first-page":"1800709","DOI":"10.1109\/JTEHM.2014.2316148","article-title":"Urine Flow Dynamics Through Prostatic Urethra With Tubular Organ Modeling Using Endoscopic Imagery","volume":"2","author":"Ishii T.","year":"2014","journal-title":"IEEE Journal of Translational Engineering in Health and Medicine"},{"key":"e_1_2_11_16_1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/S0022-5347(17)36527-8","article-title":"Improved Indication and Follow Up in Transurethral Resection of the Prostate Using the Computer Program CLIM: A Prospective Study","volume":"148","author":"Rollema H. J.","year":"1992","journal-title":"Journal of Urology"},{"key":"e_1_2_11_17_1","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/S0022-5347(01)66435-8","article-title":"Conventional Urodynamics and Ambulatory Monitoring in the Definition and Management of Bladder Outflow Obstruction","volume":"155","author":"Robertson A. S.","year":"1996","journal-title":"Journal of Urology"},{"key":"e_1_2_11_18_1","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.1111\/j.1442-2042.2006.01589.x","article-title":"Is the Short\u2010Term Outcome of Transurethral Resection of the Prostate Affected by Preoperative Degree of Bladder Outlet Obstruction, Status of Detrusor Contractility or Detrusor Overactivity?","volume":"13","author":"Tanaka Y.","year":"2006","journal-title":"International Journal of Urology"},{"key":"e_1_2_11_19_1","doi-asserted-by":"crossref","first-page":"131","DOI":"10.4103\/UA.UA_115_16","article-title":"Transurethral Resection of Prostate in Benign Prostatic Enlargement With Underactive Bladder: A Retrospective Outcome Analysis","volume":"9","author":"Sokhal A. K.","year":"2017","journal-title":"Urology Annals"},{"key":"e_1_2_11_20_1","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1111\/j.1464-410X.2009.08978.x","article-title":"The 12\u2010Year Symptomatic Outcome of Transurethral Resection of the Prostate for Patients With Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Obstruction Compared to the Urodynamic Findings Before Surgery","volume":"105","author":"Masumori N.","year":"2010","journal-title":"BJU International"},{"key":"e_1_2_11_21_1","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1002\/nau.70149","article-title":"Impact of Prostatic Urethral Lift and Water Vapor Energy Therapy on Bladder Outlet Obstruction in Elderly or Comorbid Patients With Benign Prostatic Hyperplasia in Real\u2010World Clinical Practice","volume":"45","author":"Kyoda Y.","year":"2026","journal-title":"Neurourology and Urodynamics"}],"container-title":["LUTS: Lower Urinary Tract Symptoms"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/luts.70100","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/luts.70100","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/luts.70100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T03:05:48Z","timestamp":1791601548000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/luts.70100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,9]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/luts.70100"],"URL":"https:\/\/doi.org\/10.1111\/luts.70100","archive":["Portico"],"relation":{},"ISSN":["1757-5664","1757-5672"],"issn-type":[{"value":"1757-5664","type":"print"},{"value":"1757-5672","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,9]]},"assertion":[{"value":"2026-06-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70100"}}