{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:14:14Z","timestamp":1790612054199,"version":"4.1.0"},"reference-count":15,"publisher":"S. Karger AG","issue":"7","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p>Introduction:  Holmium laser enucleation of the prostate (HoLEP) is considered a size-independent gold standard for benign prostatic hyperplasia (BPH), and there is no upper limit of prostate weight that can be treated. Tissue retrieval can be time-consuming in cases of significant prostatic enlargement, which may lead to intraoperative hypothermia. As there are few studies on perioperative hypothermia in HoLEP, we conducted a retrospective study of patients who underwent HoLEP at our hospital.   Methods:  The data of 147 patients who underwent HoLEP at our hospital were retrospectively collected and analyzed for the occurrence of intraoperative hypothermia (temperature &lt;36\u00b0C); age, body mass index (BMI), anesthesia method, body temperature, total fluid infusion, operation time, and irrigation fluid were the explanatory variables.   Results:  Intraoperative hypothermia was observed in 46 of 147 patients (31.3%). Simple logistic regression analysis showed that age (odds ratio [OR]: 1.07, 95% confidence interval [CI]: 1.01\u20131.13, p = 0.021), BMI (OR: 0.84, 95% CI: 0.72\u20130.96, p = 0.017), spinal anesthesia (OR: 4.92, 95% CI: 1.86\u201314.99, p = 0.002), and surgical time (OR: 1.04, 95% CI: 1.01\u20131.06, p = 0.006) were predictors of hypothermia. The decrease in body temperature was more pronounced with longer-duration surgery and reached 0.58\u00b0C at 180 min.   Conclusion:  General anesthesia, instead of spinal anesthesia, is recommended in high-risk patients with advanced age or low BMI to avoid intraoperative hypothermia during HoLEP. Two-stage morcellation may be considered for large adenomas, when a prolonged operative time and hypothermia are anticipated. <\/jats:p>","DOI":"10.1159\/000528721","type":"journal-article","created":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T21:00:37Z","timestamp":1680210037000},"page":"672-677","source":"Crossref","is-referenced-by-count":10,"title":["Risk Factors for Intraoperative Hypothermia during Holmium Laser Enucleation of the Prostate"],"prefix":"10.1159","volume":"107","author":[{"given":"Sae","family":"Morishige","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiro","family":"Ohyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuko","family":"Fujita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megumi","family":"Kameda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuuki","family":"Yonekura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumiyasu","family":"Endo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiki","family":"Abe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2023,3,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-020-03156-5"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2021.12.010"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-018-0668-4"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31816bbe04"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)06071-8"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004022"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/iju.13344"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200002000-00042"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000002099"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/s0090-4295(01)00993-1"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.4103\/0259-1162.134508"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2490-7-15"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajur.2018.07.001"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1177\/0391560318758937"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-199503000-00023"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/uin\/article-pdf\/107\/7\/672\/3980970\/000528721.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/uin\/article-pdf\/107\/7\/672\/3980970\/000528721.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:05:59Z","timestamp":1745420759000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000528721"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":15,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023,8,7]]},"published-print":{"date-parts":[[2023,8,15]]}},"URL":"https:\/\/doi.org\/10.1159\/000528721","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"value":"0042-1138","type":"print"},{"value":"1423-0399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023]]}}}