{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T08:01:33Z","timestamp":1780128093154,"version":"3.54.0"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"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":["Therapeutic Advances in Urology"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Benign prostatic obstruction negatively affects bladder emptying and, if untreated, may be associated with impaired bladder emptying and related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To compare postoperative outcomes of bipolar transurethral resection of the prostate (bipolar TURP) among different age groups and evaluate the effect of patient age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analyzed 132 male patients who underwent bipolar TURP between May 2022 and January 2024. Patients were grouped by age: Group 1 (50\u201360\u2009years), Group 2 (61\u201370\u2009years), and Group 3 (\u2a7e71\u2009years). Pre- and postoperative parameters\u2014including prostate-specific antigen, prostate volume, uroflowmetry (maximum and average flow rates, voided volume, post-void residual), symptom duration, medication use, and International Index of Erectile Function-5 (IIEF-5) scores\u2014were assessed at 12\u2009months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Group 1 demonstrated significantly greater improvements in peak flow rates, post-void residual volume, and IIEF-5 scores compared with the older cohorts (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). While Group 3 presented with the longest symptom duration and highest medication use at baseline, multivariate regression analysis identified advancing age as an independent predictor of more limited improvement in post-void residual volume (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.008) and IIEF-5 scores (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), while its association with \u2206\n                      <jats:italic toggle=\"yes\">Q<\/jats:italic>\n                      max reached only marginal significance (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.050). Younger patients exhibited better postoperative preservation of erectile function and relatively improved recovery of bladder emptying.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patient age is associated with urinary and sexual outcomes after bipolar TURP. The strongest age-related associations were observed for postoperative recovery of bladder emptying and preservation of erectile function, whereas improvement in peak flow rate was less strongly age-dependent and should be interpreted with caution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration:<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17562872261451290","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T12:37:43Z","timestamp":1779885463000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Age-related differences in bladder function and sexual outcomes following bipolar transurethral resection of the prostate: a retrospective cohort study"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5143-6507","authenticated-orcid":false,"given":"Sezgin","family":"Yeni","sequence":"first","affiliation":[{"name":"Mudanya University, Vocational School, First and Emergency Aid Program, Mudanya 16940, Bursa, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aslan","family":"Demir","sequence":"additional","affiliation":[{"name":"Bezmialem University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayrettin","family":"Sabuncu","sequence":"additional","affiliation":[{"name":"Mudanya State Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halil Emre","family":"Yildiz","sequence":"additional","affiliation":[{"name":"Mudanya State Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatice","family":"Ortac","sequence":"additional","affiliation":[{"name":"Bursa Uludag University, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"e_1_3_4_2_2","first-page":"1","article-title":"Benign prostatic hyperplasia: epidemiology, economics and evaluation","volume":"22","author":"Vuichoud C","year":"2015","unstructured":"Vuichoud C, Loughlin KR. Benign prostatic hyperplasia: epidemiology, economics and evaluation. Can J Urol 2015; 22(Suppl. 1): 1\u20136.","journal-title":"Can J Urol"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2016.168"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.10124"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2005.12.042"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fjurol.2024.102574"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13033"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-020-01016-8"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-020-01311-9"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-017-0720-9"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2008.01001.x"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.07.044"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.02.018"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2007.07320.x"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.4103\/1008-682X.157395"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.08.010"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-008-0050-z"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24122"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.07491.x"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/15579883231205521"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2490-10-18"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-004-0449-1"},{"issue":"1","key":"e_1_3_4_24_2","first-page":"329456","article-title":"Benign prostatic hyperplasia: a new metabolic disease of the aging male and its correlation with sexual dysfunctions","volume":"2014","author":"Corona G","year":"2014","unstructured":"Corona G, et al. Benign prostatic hyperplasia: a new metabolic disease of the aging male and its correlation with sexual dysfunctions. Int J Endocrinol 2014; 2014(1): 329456.","journal-title":"Int J Endocrinol"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002184"},{"key":"e_1_3_4_26_2","article-title":"Side effects of \u03b1-blocker use: retrograde ejaculation","volume":"11","author":"Kaplan SA.","year":"2009","unstructured":"Kaplan SA. Side effects of \u03b1-blocker use: retrograde ejaculation. 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