{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T09:55:44Z","timestamp":1790589344810,"version":"4.1.0"},"reference-count":58,"publisher":"PAGEPress Publications","issue":"3","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Ital Urol Androl"],"abstract":"<jats:p>Background: Surgery for benign prostatic obstruction (BPO) usually provides substantial relief of lower urinary tract symptoms (LUTS), yet conventional functional measures capture only part of what matters to patients. This scoping review mapped how surgical and minimally invasive treatments influence quality of life (QoL) within a multidimensional, patient-centred framework.\nMethods: A systematic search of PubMed, Scopus, and Google Scholar was performed on July 12, 2026, using predefined keywords. Eligible studies included English-language peer-reviewed articles involving adult patients undergoing surgical treatment for LUTS\/BPO secondary to benign prostatic hyperplasia who were evaluated for QoL and patient-reported outcomes. Case reports, reviews, conference abstracts, and non-English publications were excluded. Screening was performed independently by two reviewers, with disagreements resolved by a third.\nResults: Disease-specific QoL improved after transurethral resection, endoscopic enucleation, vaporization, Aquablation, and minimally invasive treatments. HoLEP\/EEP and GreenLight offered urinary benefit broadly comparable with TURP while differing in selected perioperative outcomes. Aquablation and PUL were more clearly distinguished by ejaculation preservation and recovery, whereas PAE achieved less deobstruction. Persistent storage symptoms or transient incontinence could delay recovery, and long-term evaluation depended on independence from catheter and medication and the need for retreatment.\nConclusions: IPSS-QoL alone cannot adequately describe QoL after BPO surgery. Combining urinary bother with storage function, continence, sexual health, recovery, durability, and satisfaction provides a more meaningful account of treatment success and may support more individualized procedure selection.<\/jats:p>","DOI":"10.4081\/aiua.2026.16176","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T09:04:11Z","timestamp":1790586251000},"source":"Crossref","is-referenced-by-count":0,"title":["Beyond symptom relief: quality of life after surgery for benign prostatic obstruction."],"prefix":"10.4081","volume":"98","author":[{"given":"Angelo","family":"Cafarelli","sequence":"first","affiliation":[{"name":"Urology Unit, Villa Igea Private Hospital, Ancona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9934-4011","authenticated-orcid":false,"given":"Carlo","family":"Giulioni","sequence":"additional","affiliation":[{"name":"Urology Unit, Villa Igea Private Hospital, Ancona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Pecoraro","sequence":"additional","affiliation":[{"name":"NEUROMED, Avellino"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gennaro","family":"Musi","sequence":"additional","affiliation":[{"name":"Department of Urology, IRCCS European Institute of Oncology (IEO), Milan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Calarco","sequence":"additional","affiliation":[{"name":"Urology Unit, San Carlo di Nancy Hospital, Rome"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Ferrari","sequence":"additional","affiliation":[{"name":"Department of Urology, Hesperia Hospital, Modena"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Maruccia","sequence":"additional","affiliation":[{"name":"Istituti Clinici Zucchi, Monza"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmelo","family":"Morana","sequence":"additional","affiliation":[{"name":"Department of Urology, Giovanni XXIII Monastier Hospital, Treviso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Chiara","family":"Sighinolfi","sequence":"additional","affiliation":[{"name":"Department of Urology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guglielmo","family":"Mantica","sequence":"additional","affiliation":[{"name":"Department of Urology, IRCCS Ospedale Policlinico San Martino, Genova"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazzareno","family":"Suardi","sequence":"additional","affiliation":[{"name":"Unit of Urology, Department of Medical and Surgical Specialties, Radiological Science and Public Health, ASST Spedali Civili di Brescia, University of Brescia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renzo","family":"Colombo","sequence":"additional","affiliation":[{"name":"Division of Experimental Oncology\/Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Milan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosario","family":"Leonardi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery University Kore of Enna \u2013 Operative Unit of Urology, Musumeci GECAS Clinic, Gravina of Catania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2549","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"253840","doi-asserted-by":"crossref","unstructured":"1. 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WATER: a double-blind, randomized, controlled trial of Aquablation versus transurethral resection of the prostate in benign prostatic hyperplasia. J Urol 2018;199:1252-61.","DOI":"10.1016\/j.juro.2017.12.065"},{"key":"253864","doi-asserted-by":"crossref","unstructured":"25. Oumedjbeur K, Corsi NJ, Bouhadana D, et al. Aquablation versus transurethral resection of the prostate: 5-year outcomes of the WATER randomized clinical trial. Can J Urol 2023;30:11504-10.","DOI":"10.1016\/S0302-2838(23)01169-7"},{"key":"253865","doi-asserted-by":"crossref","unstructured":"26. Bhojani N, Bidair M, Kramolowsky E, et al. Aquablation therapy in large prostates (80-150 mL) for lower urinary tract symptoms due to benign prostatic hyperplasia: final WATER II 5-year clinical trial results. J Urol 2023;210:143-53.","DOI":"10.1097\/JU.0000000000003483"},{"key":"253866","doi-asserted-by":"crossref","unstructured":"27. Berjaoui MB, Nguyen DD, Almousa S, et al. WATER versus WATER II 5-year update: comparing Aquablation therapy for benign prostatic hyperplasia in 30-80 mL and 80-150 mL prostates. BJUI Compass 2024;5:1125-33.","DOI":"10.1002\/bco2.430"},{"key":"253867","doi-asserted-by":"crossref","unstructured":"28. Pisco JM, Bilhim T, Costa NV, et al. Randomised clinical trial of prostatic artery embolisation versus a sham procedure for benign prostatic hyperplasia. Eur Urol 2020;77:354-62.","DOI":"10.1016\/j.eururo.2019.11.010"},{"key":"253868","doi-asserted-by":"crossref","unstructured":"29. M\u00fcllhaupt G, et al. Prostatic artery embolisation versus transurethral resection of the prostate for benign prostatic hyperplasia: 5-year outcomes of a randomised trial. Eur Urol Focus 2024;10:1025-33.","DOI":"10.1016\/j.euf.2024.03.001"},{"key":"253869","doi-asserted-by":"crossref","unstructured":"30. Gauhar V, G\u00f3mez Sancha F, Enikeev D, et al. 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J Clin Med 2025;14:3410.","DOI":"10.3390\/jcm14103410"},{"key":"253872","doi-asserted-by":"crossref","unstructured":"33. Tall\u00e8 M, Giulioni C, Papaveri A, et al. Influence of preoperative indwelling urinary catheter on outcomes of high-power holmium laser enucleation for very large prostate (\u2265200 mL). World J Urol 2025;43:223.","DOI":"10.1007\/s00345-025-05624-2"},{"key":"253873","doi-asserted-by":"crossref","unstructured":"34. Giulioni C, Falsetti F, Tall\u00e8 M, et al. Impact of preoperative catheter duration on perioperative safety and functional outcomes following holmium laser enucleation of the prostate. Low Urin Tract Symptoms 2025;17:e70039.","DOI":"10.1111\/luts.70039"},{"key":"253874","doi-asserted-by":"crossref","unstructured":"35. Briganti A, Naspro R, Gallina A, et al. Impact on sexual function of holmium laser enucleation versus transurethral resection of the prostate: results of a prospective, 2-center, randomized trial. 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