{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:46:36Z","timestamp":1792086396332,"version":"4.4.0"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Bladder neck contracture (BNC) following anatomical endoscopic enucleation of the prostate (AEEP) occurs in approximately 3% of cases and carries high recurrence rates after standard endoscopic management. The Optilume drug-coated balloon (DCB) delivers paclitaxel at dilation but has not been reported for post-enucleation BNC. We describe the first such series following pulsed thulium laser enucleation of the prostate (p-ThuLEP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed 10 consecutive patients with cystoscopically confirmed BNC after p-ThuLEP at a single high-volume center (IRB 2425566-1). All underwent laser enucleation of bladder neck scar followed by Optilume DCB dilation. Data were abstracted from the electronic health record.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Median age was 74 years (range 59\u201389). Median pre-p-ThuLEP prostate volume was 80 cc (range 36\u2013100,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 8). BNC presented at a median of 5.8 months after p-ThuLEP (range 2.7\u201312.0). A 36F balloon was used in nine patients and a 26F balloon in one, at 8 to 11 atm for 5 minutes. At a median follow-up of 5.2 months (range 0.9\u201315.1), no patient required reintervention (0% recurrence). Cystoscopy, performed in 5 of 10 on clinical indication, showed a patent bladder neck in all. Median post-procedure Qmax was 14.1 mL\/s (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 7), and post-void residual was 23.5 mL (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10). Thirty-day complications after Optilume occurred in two patients (20%), both Clavien\u2013Dindo Grade II: gross hematuria with clot retention managed by continuous bladder irrigation and urinary tract infection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Optilume DCB following laser enucleation of post-p-ThuLEP BNC appears safe and feasible with encouraging short-term patency. Median follow-up (5.2 months) is shorter than the median interval to BNC presentation (5.8 months); thus, these short-term data do not establish durability. To the best of the authors\u2019 knowledge, this is the first report of Optilume DCB outcomes for BNC specifically following AEEP. A prospective cohort trial with longer follow-up is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790261497133","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:51:15Z","timestamp":1791805875000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Optilume Drug-Coated Balloon for Bladder Neck Contracture Following Pulsed Thulium:YAG Laser Enucleation of the Prostate: A Single-Institution Retrospective Case Series"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7644-8176","authenticated-orcid":false,"given":"Troy M.","family":"Sofinowski","sequence":"first","affiliation":[{"name":"Division of Urology, Prisma Health Upstate, Greenville, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greyson","family":"Holler","sequence":"additional","affiliation":[{"name":"Division of Urology, Prisma Health Upstate, Greenville, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Fiscus","sequence":"additional","affiliation":[{"name":"Division of Urology, Prisma Health Upstate, Greenville, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Patrick","family":"Springhart","sequence":"additional","affiliation":[{"name":"Division of Urology, Prisma Health Upstate, Greenville, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Large","sequence":"additional","affiliation":[{"name":"Division of Urology, Prisma Health Upstate, Greenville, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.11.034"},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000280"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-025-04648-2"},{"key":"e_1_3_1_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2022.0422"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/pros.70027"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.08.104"},{"key":"e_1_3_1_8_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.6323"},{"key":"e_1_3_1_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002346"},{"key":"e_1_3_1_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/RRU.S359872"},{"key":"e_1_3_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euros.2025.03.002"},{"key":"e_1_3_1_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eucr.2024.102744"},{"key":"e_1_3_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2025.10.025"},{"key":"e_1_3_1_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0001109736.77411.5f.12"},{"key":"e_1_3_1_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MS9.0000000000003930"}],"container-title":["Journal of Endourology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790261497133","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08927790261497133","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790261497133","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:18:36Z","timestamp":1792084716000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08927790261497133"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,12]]},"references-count":14,"alternative-id":["10.1177\/08927790261497133"],"URL":"https:\/\/doi.org\/10.1177\/08927790261497133","relation":{},"ISSN":["0892-7790","1557-900X"],"issn-type":[{"value":"0892-7790","type":"print"},{"value":"1557-900X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,12]]},"article-number":"08927790261497133"}}