{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:57:12Z","timestamp":1790621832480,"version":"4.1.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"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":["Urologia"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>\n            This study aimed to evaluate functional outcomes and anterograde ejaculation rates in patients undergoing monopolar, unilateral transurethral incision of the prostate (TUIP) with \u201cZ\u201d shaped incision with ejaculatory sphincter sparing for primary bladder neck obstruction (PBNO) in a case series performed by a single surgeon. Between December 2018 and July 2023, data from patients who underwent monopolar, unilateral TUIP were prospectively collected. Patients with a prostate volume of less than 30\u2009mL were included. Functional outcomes, including maximum flow rate (Qmax, mL\/s), post-void residual volume (PVR, mL), International Prostate Symptom Score (IPSS), and IPSS Quality of Life (IPSS QoL) score, were assessed preoperatively and at 1, 6, and 12\u2009months postoperatively. A total of 106 patients met the inclusion criteria, with a median age of 42\u2009years (range: 37\u201357) and a median prostate volume of 27\u2009mL (range: 20\u201329). The median hospital stay was 1\u2009day, and the median catheterization time was 3\u2009days. At 1-month follow-up, the mean Qmax increased from 10.2\u2009\u00b1\u20092.5\u2009mL\/s to 22.8\u2009\u00b1\u20093.9\u2009mL\/s, while the mean IPSS score and IPSS QoL score decreased from 16\u2009\u00b1\u20092.7 to 6.9\u2009\u00b1\u20091.5 and from 4.3\u2009\u00b1\u20090.9 to 1.9\u2009\u00b1\u20091.6, respectively (\n            <jats:italic>p<\/jats:italic>\n            \u2009&lt;\u20090.001). The mean PVR volume decreased from 125.5\u2009\u00b1\u200916.1\u2009mL to 27.7\u2009\u00b1\u20097.3\u2009mL (\n            <jats:italic>p<\/jats:italic>\n            \u2009&lt;\u20090.001). Uroflowmetry results remained statistically significant at 12\u2009months of follow-up (each\n            <jats:italic>p<\/jats:italic>\n            \u2009&lt;\u20090.001). Anterograde ejaculation was preserved in all cases. Unilateral monopolar TUIP confirms to be a feasible and safe procedure for the treatment of BNO in young and sexually active patients.\n          <\/jats:p>","DOI":"10.1177\/03915603251334084","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T12:04:39Z","timestamp":1744891479000},"page":"466-469","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["\u201cZ\u201d Anatomical Needle Cut Leads Ejaculation (ZANCLE): Unilateral incision for bladder neck obstruction with ejaculation-sparing intent: A single-surgeon experience"],"prefix":"10.1177","volume":"92","author":[{"given":"Alessandro","family":"Calarco","sequence":"first","affiliation":[{"name":"Department of Urology, San Carlo di Nancy Hospital, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Viscuso","sequence":"additional","affiliation":[{"name":"Department of Urology, San Carlo di Nancy Hospital, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice","family":"Filippi","sequence":"additional","affiliation":[{"name":"Department of Urology, San Carlo di Nancy Hospital, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosario","family":"Leonardi","sequence":"additional","affiliation":[{"name":"Casa di Cura Musumeci-Gecas, Gravina di Catania, Italy"},{"name":"Department of Medicine and Surgery, University of Enna KORE, Enna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4361-4523","authenticated-orcid":false,"given":"Guglielmo","family":"Mantica","sequence":"additional","affiliation":[{"name":"Department of Urology, Policlinico San Martino Hospital, University of Genoa, Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cosimo","family":"Magazzino","sequence":"additional","affiliation":[{"name":"Department of Political Sciences, Roma Tre University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4223-2216","authenticated-orcid":false,"given":"Antonio","family":"Tufano","sequence":"additional","affiliation":[{"name":"Department of Maternal-Child and Urological Sciences, Policlinico Umberto I Hospital, Sapienza University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)64846-X"},{"key":"e_1_3_3_3_2","volume-title":"Presented at the EAU Annual Congress Milan","author":"EAU Guidelines","year":"2023","unstructured":"EAU Guidelines. Edn. Presented at the EAU Annual Congress Milan, March 2023."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10245788"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65605-2"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)32309-1"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-003-0343-2"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM195903262601304"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)59273-3"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/andr.12095"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.2000.00418.x"},{"issue":"4","key":"e_1_3_3_12_2","first-page":"12003","article-title":"New minimally invasive solutions for benign prostatic obstruction (BPO) management: a position paper from the UrOP (Urologi ospedalit\u00e0 gestione privata)","volume":"95","author":"Leonardi R","year":"2023","unstructured":"Leonardi R, Ambrosini F, Malinaric R, et al. New minimally invasive solutions for benign prostatic obstruction (BPO) management: a position paper from the UrOP (Urologi ospedalit\u00e0 gestione privata). Arch Ital Urol Androl 2023; 95(4): 12003.","journal-title":"Arch Ital Urol Androl"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.4081\/aiua.2022.2.134"},{"issue":"2","key":"e_1_3_3_14_2","first-page":"235","article-title":"Thulium laser transurethral incision of the prostate with ejaculation-sparing intent: 2-year follow-up outcomes from a high-volume centre","volume":"77","author":"Carilli M","year":"2024","unstructured":"Carilli M, Bertolo R, Vittori M, et al. Thulium laser transurethral incision of the prostate with ejaculation-sparing intent: 2-year follow-up outcomes from a high-volume centre. Cent Eur J Urol 2024; 77(2): 235\u2013242.","journal-title":"Cent Eur J Urol"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.2735"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2016.03.042"}],"container-title":["Urologia Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603251334084","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03915603251334084","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603251334084","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T13:35:03Z","timestamp":1753450503000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03915603251334084"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,17]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1177\/03915603251334084"],"URL":"https:\/\/doi.org\/10.1177\/03915603251334084","relation":{},"ISSN":["0391-5603","1724-6075"],"issn-type":[{"value":"0391-5603","type":"print"},{"value":"1724-6075","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,17]]}}}