{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T20:24:12Z","timestamp":1783974252296,"version":"3.55.0"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,4,11]],"date-time":"2021-04-11T00:00:00Z","timestamp":1618099200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,4,11]],"date-time":"2021-04-11T00:00:00Z","timestamp":1618099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Urol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Backgrounds<\/jats:title>\n                    <jats:p>The aim of the present study was to investigate the perioperative parameters associated with bladder neck contracture (BNC) after transurethral surgery of the prostate and to compare the incidence of BNC after transurethral resection of the prostate (TURP) or Thulium vaporesection (resection group) versus Thulium vapoenucleation or enucleation of the prostate (enucleation group).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between March 2008 and March 2020, 2363 patients received TURP and 1656 patients received transurethral surgery of the prostate with Thulium laser (ThuP) at Mackay Memorial Hospital. A total of 62 patients developed BNC. These BNC patients were age-and operation-matched to 124 randomly sampled TURP\/ThuP controls without BNC. A 1:1 propensity score matching model was used to evaluate the difference in incidence of BNC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our study demonstrated that a greater proportion of BNC patients had history of cerebrovascular accidents (11\/62 vs. 7\/124, p\u2009=\u20090.009), coronary artery disease (14\/48 vs. 16\/108, p\u2009=\u20090.03), chronic kidney disease (14\/62 vs. 11\/124, p\u2009=\u20090.01), and two or more comorbidities (29\/62 vs. 27\/124, p\u2009=\u20090.001) compared with NBNC patients. Multivariate analysis showed that smaller prostate volume (OR 0.96 (0.94\u20130.99), p\u2009=\u20090.008) and recatherization (OR 5.6 (1.02\u201330.6), p\u2009=\u20090.047) were significantly associated with BNC. A ROC curve predicted that a prostate volume &lt;\u200942.9\u00a0cm\n                      <jats:sup>3<\/jats:sup>\n                      was associated with a notably higher rate of BNC. The propensity score matching model reported there was no difference in incidence between resection and enucleation groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrated that incidence of BNC was the same in different surgical techniques and that low prostate volume, recatherization and \u2265\u20092 comorbidities were positively correlated with the development of BNC after TURP or ThuP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12894-021-00831-6","type":"journal-article","created":{"date-parts":[[2021,4,11]],"date-time":"2021-04-11T07:02:43Z","timestamp":1618124563000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Analysis of risk factors of bladder neck contracture following transurethral surgery of prostate"],"prefix":"10.1186","volume":"21","author":[{"given":"Yi-Zhong","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wun-Rong","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yung-Chiong","family":"Chow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Kung","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen W.","family":"Chiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,11]]},"reference":[{"issue":"2","key":"831_CR1","first-page":"133","volume":"69","author":"L Cindolo","year":"2017","unstructured":"Cindolo L, Marchioni M, Emiliani E, et al. 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All methods were performed in accordance with the\u00a0relevant guidelines and regulations and approved by the Institutional Review Board of Mackay Memorial Hospital. In view of the retrospective nature of the study, obtaining patients\u2019 informed consent was waived by the Institutional Review Board of Mackay Memorial Hospital.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"59"}}