{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:00:45Z","timestamp":1777726845746,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study explored the impact of preoperative fasting duration on patients who underwent transurethral enucleation of the prostate and analyzed the risk factors for postoperative bleeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted among 51 patients who underwent transurethral enucleation of the prostate for benign prostatic hyperplasia between December 2021 and March 2024. Baseline and perioperative data were collected. The impact of long versus short preoperative fasting was compared. Univariate and multivariate logistic regression analyses were used to identify risk factors for bleeding complications after transurethral enucleation of the prostate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean hemoglobin difference in the short fasting group was 14.43\u2009\u00b1\u200911.23\u2009g\/L, while that in the long fasting group was 17.21\u2009\u00b1\u200912.21\u2009g\/L, showing a statistically significant difference (p\u2009=\u20090.048). The mean postoperative hospital stay was 3.39\u2009\u00b1\u20091.05 days in the short fasting group and 4.21\u2009\u00b1\u20091.68 days in the long fasting group, showing a statistically significant difference (p\u2009=\u20090.047). Univariate and multivariate regression analyses identified prostate mass (p\u2009=\u20090.045) and preoperative fasting duration (p\u2009=\u20090.033) as independent risk factors for postoperative bleeding in patients who had undergone transurethral enucleation of the prostate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients who had undergone transurethral enucleation of the prostate after longer preoperative fasting experienced a more significant decline in hemoglobin levels and required longer postoperative hospitalization. Prostate mass and preoperative fasting duration were identified as independent risk factors for postoperative bleeding after transurethral enucleation of the prostate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605251369111","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T09:51:08Z","timestamp":1756115468000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of preoperative fasting duration and prostate mass on postoperative bleeding after transurethral enucleation of the prostate: A risk factor analysis"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8101-2112","authenticated-orcid":false,"given":"Zihui","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Urology, Peking University First Hospital-MiYun Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiazhao","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Urology, Peking University First Hospital-MiYun Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8338-0710","authenticated-orcid":false,"given":"Chunji","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology, Peking University First Hospital-MiYun Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/srep13546"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/srep14542"},{"key":"e_1_3_7_4_2","first-page":"56683","article-title":"Surgical treatment for benign prostatic hyperplasia: holmium laser enucleation of the prostate (HoLEP)","volume":"133","author":"Xu H","year":"2018","unstructured":"Xu H, Wan X, Gu M, et\u00a0al. Surgical treatment for benign prostatic hyperplasia: holmium laser enucleation of the prostate (HoLEP). J Vis Exp 2018; 133: 56683.","journal-title":"J Vis Exp"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.06.005"},{"key":"e_1_3_7_6_2","first-page":"6","article-title":"HoLEP: the new gold standard for surgical treatment of benign prostatic hyperplasia","volume":"28","author":"Shvero A","year":"2021","unstructured":"Shvero A, Calio B, Humphreys MR, et\u00a0al. HoLEP: the new gold standard for surgical treatment of benign prostatic hyperplasia. Can J Urol 2021; 28: 6\u201310.","journal-title":"Can J Urol"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.0605"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/19386400231169367"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10245817"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/01455613221078344"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.4103\/joacp.JOACP_382_19"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2018.0693"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.21037\/gs.2019.02.03"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.11.062"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/089277904322959851"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.17085\/apm.21025"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000017434"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005250"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S329468"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2021.0911"},{"key":"e_1_3_7_21_2","first-page":"11629","article-title":"Evaluation of bipolar transurethral enucleation and resection of the prostate in terms of efficiency and patient satisfaction compared to retropubic open prostatectomy in prostates larger than 80 cc. a prospective randomized study","volume":"95","author":"Tagreda I","year":"2023","unstructured":"Tagreda I, Heikal M, Elatreisy A, et\u00a0al. Evaluation of bipolar transurethral enucleation and resection of the prostate in terms of efficiency and patient satisfaction compared to retropubic open prostatectomy in prostates larger than 80 cc. a prospective randomized study. Arch Ital Urol Androl 2023; 95: 11629.","journal-title":"Arch Ital Urol Androl"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kjms.2018.03.001"},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2019.01.004"},{"key":"e_1_3_7_24_2","first-page":"919","article-title":"Is duration of postoperative fasting associated with infection and prolonged length of stay in surgical patients?","volume":"30","author":"De Assis MC","year":"2014","unstructured":"De Assis MC, Silveira CR, Beghetto MG, et\u00a0al. Is duration of postoperative fasting associated with infection and prolonged length of stay in surgical patients? 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