{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T13:31:44Z","timestamp":1787232704103,"version":"build-2736575974"},"reference-count":23,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"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":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop and internally validate an anesthesia-integrated prediction model for postoperative urinary retention after transurethral resection of the prostate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 183 male patients who underwent elective transurethral resection of the prostate between January 2021 and December 2024. The primary endpoint was postoperative urinary retention occurrence within 24\u2005h following catheter removal. Thirty-five candidate predictors spanning four domains were evaluated. Variable selection was performed using least absolute shrinkage and selection operator regression, followed by multivariable logistic regression. Model performance was assessed using the area under the receiver operating characteristic curve, calibration analysis, Brier score, bootstrap internal validation with 1000 resamples, and decision curve analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 183 patients, 39 (21.3%) developed postoperative urinary retention. Seven least absolute shrinkage and selection operator\u2013selected predictors were retained in the final model, including preoperative postvoid residual volume, history of acute urinary retention, prostate volume, high spinal block level, intraoperative opioid dose (morphine equivalent), catheter indwelling duration, and diabetes mellitus. The model achieved an area under the receiver operating characteristic curve of 0.813 in the training set and a mean bootstrap-validated area under the receiver operating characteristic curve of 0.749 (95% confidence interval: 0.625, 0.860; optimism-corrected area under the receiver operating characteristic curve: 0.731). The Brier score was 0.1287, and the calibration curve demonstrated satisfactory agreement between predicted and observed probabilities. Decision curve analysis suggested the model's clinical net benefit across a broad range of threshold probabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The proposed anesthesia-integrated model may help identify transurethral resection of the prostate patients at increased risk of postoperative urinary retention and guide individualized perioperative bladder management. Prospective, multicenter external validation is warranted prior to clinical implementation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261477855","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T18:12:45Z","timestamp":1787076765000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An anesthesia-integrated model for predicting postoperative urinary retention after transurethral resection of the prostate: A retrospective cohort study"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3180-2235","authenticated-orcid":false,"given":"Pengcheng","family":"Zhu","sequence":"first","affiliation":[{"name":"The Second People's Hospital of Hefei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3825-3679","authenticated-orcid":false,"given":"Yan","family":"Yang","sequence":"additional","affiliation":[{"name":"The Second People's Hospital of Hefei"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2005.12.042"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.06.005"},{"key":"e_1_3_3_4_2","volume-title":"StatPearls","author":"Pomajzl AJ","year":"2023","unstructured":"Pomajzl AJ, Siref LE. Postoperative urinary retention. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2023."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/sja.sja_88_24"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.02.2378"},{"key":"e_1_3_3_7_2","first-page":"1464","article-title":"Analysis of risk factors for complications following transurethral resection of the prostate","volume":"28","author":"Meng R","year":"2024","unstructured":"Meng R, Zhai ZP, Zuo C, et al. Analysis of risk factors for complications following transurethral resection of the prostate. Eur Rev Med Pharmacol Sci 2024; 28: 1464\u20131470.","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-018-0709-3"},{"key":"e_1_3_3_9_2","first-page":"752","article-title":"Risk factors for perioperative complications in transurethral prostate resection in patients at a Colombian institution","volume":"74","author":"Suaza-Mart\u00ednez LR","year":"2021","unstructured":"Suaza-Mart\u00ednez LR, Garc\u00eda-Valencia J, Estrada G\u00f3mez D, et al. Risk factors for perioperative complications in transurethral prostate resection in patients at a Colombian institution. 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