{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:57:45Z","timestamp":1777867065293,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"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":["Journal of Endourology"],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To perform a systematic review and meta-analysis to assess the incidence of acute urinary retention (AUR)\/failure to void after transurethral surgeries for benign prostatic enlargement, comparing Ablation, Enucleation, and Resection (TURP) techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      A systematic literature search was performed on October 13, 2025 using Cochrane Central Register of Controlled Trials, PubMed, and Scopus. We only included randomized studies comparing monopolar TURP (M-TURP) or bipolar TURP (B-TURP)\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      Ablation\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      Enucleation procedures. Incidence of AUR\/failure to void following the index surgery was evaluated using the Cochran\u2013Mantel\u2013Haenszel method and reported as risk ratio (RR), 95% confidence interval (CI), and\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      values. Statistical significance was set at\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evidence Synthesis:<\/jats:title>\n                    <jats:p>\n                      A total of 61 studies were included, with 1497 patients in the Enucleation, 2512 patients in the Ablation, and 4007 patients in the TURP groups. The pooled incidence of AUR\/failure to void was 3.7% (72\/1944 patients) after M-TURP, 3.0% (47\/1553 patients) after B-TURP, 9.0% (226\/2512 patients) after Ablation, and 2.4% (36\/1497 patients) after Enucleation. Meta-analysis showed no significant difference between Enucleation and TURP (RR 0.90, 95% CI 0.61\u20131.32, p = 0.59;\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 0%) in AUR\/failure to void rate. Conversely, Ablation was associated with a significantly higher incidence of AUR\/failure to void compared with TURP (RR 1.79, 95% CI 1.38\u20132.31,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001;\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 22%). Subgroup analyses revealed that this difference persisted for diode laser (RR 4.53, 95% CI 1.24\u201316.47), monopolar electrovaporization (RR 3.24, 95% CI 1.90\u20135.55), and Neodymium (Nd):YAG laser\/RR 2.61, 95% CI 1.54\u20134.42) ablation techniques. No significant difference was found between M-TURP, B-TURP, and Enucleation, and between B-TURP and Ablation. Conversely, AUR\/failure to void incidence favored M-TURP over Ablation (RR 1.88, 95% CI 1.40\u20132.52,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Enucleation procedures demonstrate comparable safety to TURP regarding postoperative AUR\/failure to void, whereas Ablation procedures are associated with a significantly higher incidence of postoperative retention events, particularly with energy modalities such as monopolar electrocautery, diode, and Nd:YAG lasers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790261416031","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T09:04:17Z","timestamp":1770282257000},"page":"726-745","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Incidence of Acute Urinary Retention\/Failure to Void after Transurethral Interventions for Benign Prostatic Enlargement: Results from a Systematic Review and Meta-Analysis of Comparative Randomized Studies by the FUTURE Collaborative of the Endourological Society"],"prefix":"10.1177","volume":"40","author":[{"given":"Daniele","family":"Castellani","sequence":"first","affiliation":[{"name":"Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Ancona, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Akand","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospitals Leuven, Leuven, Belgium."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Giulioni","sequence":"additional","affiliation":[{"name":"Urology Unit, Villa Igea Private Hospital, Ancona, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelo","family":"Cormio","sequence":"additional","affiliation":[{"name":"Department of Urology and Renal Transplantation, Policlinico Riuniti di Foggia, University of Foggia, Foggia, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Michael","family":"DiBianco","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Florida, Gainesville, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Smita","family":"De","sequence":"additional","affiliation":[{"name":"Glickman Urologic and Kidney Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Hajiha","sequence":"additional","affiliation":[{"name":"Department of Urology, Emory University School of Medicine, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Quarrier","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsiang Ying","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas James","family":"Polascik","sequence":"additional","affiliation":[{"name":"Department of Urology\/Surgery, Duke University Medical Center, Durham, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steffi Kar-Kei","family":"Yuen","sequence":"additional","affiliation":[{"name":"Department of Surgery, S.H. Ho Urology Centre, Chinese University of Hong Kong, Hong Kong, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vineet","family":"Gauhar","sequence":"additional","affiliation":[{"name":"Department of Urology, Ng Teng Fong General Hospital, Singapore, Singapore."},{"name":"Department of Urology, Asian Institute of Nephrology and Urology, Hyderabad, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khurshid R.","family":"Ghani","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Michigan, Ann Arbor, Michigan, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pankaj N.","family":"Maheshwari","sequence":"additional","affiliation":[{"name":"Department of Urology, Fortis Hospital Mulund, Mumbai, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2009.07.003"},{"key":"e_1_3_2_3_2","unstructured":"Gravas S Cornu J Gacci M et al. EAU Guidelines on Management of Non-Neurogenic Male Lower Urinary Tract Symptoms (LUTS) Incl. Benign Prostatic Obstruction (BPO). 2023. Available from: https:\/\/d56bochluxqnz.cloudfront.net\/documents\/full-guideline\/EAU-Guidelines-on-Non-Neurogenic-Male-LUTS-2022.pdf [Last accessed: August12 2023]."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l5919"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.2147\/RRU.S277482"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/cesm.12033"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.2528"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1761"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d4002"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-014-0434-1"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2005.12.042"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2023.0766"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0090-4295(99)80185-x"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1996.81811.x"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0084938"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0940-9602(04)80122-5"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2025.06.018"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(98)00515-9"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2012.11119.x"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-5347(01)64139-9"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.07.050"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009629.pub4"},{"issue":"6","key":"e_1_3_2_27_2","first-page":"693","article-title":"Post-operative acute urinary retention after greenlight laser. Analysis of risk factors from a multicentric database","volume":"18","author":"Campobasso D","year":"2021","unstructured":"Campobasso D, , Acampora A, , De Nunzio C, et al. Post-operative acute urinary retention after greenlight laser. Analysis of risk factors from a multicentric database. Urol J, 2021; 18(6):693\u2013698; doi: 10.22037\/uj.v18i.6489","journal-title":"Urol J"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2015.11.052"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.5213\/inj.1732640.320"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41391-019-0135-4"}],"container-title":["Journal of Endourology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790261416031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08927790261416031","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790261416031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T09:47:17Z","timestamp":1777542437000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08927790261416031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,5]]},"references-count":29,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6,1]]}},"alternative-id":["10.1177\/08927790261416031"],"URL":"https:\/\/doi.org\/10.1177\/08927790261416031","relation":{},"ISSN":["0892-7790","1557-900X"],"issn-type":[{"value":"0892-7790","type":"print"},{"value":"1557-900X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,5]]}}}