{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:21:28Z","timestamp":1787772088057,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Transurethral resection of the prostate (TURP) is the standard treatment for benign prostatic hyperplasia (BPH). The incidence of postoperative urethral stricture (US) and urinary incontinence remains clinically important, and their predictors are not fully established. This study aimed to determine the incidence of these complications and identify associated risk factors.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n This retrospective cohort study was conducted at Al-Zahra Hospital, Isfahan, Iran, between 2020 and 2023. A total of 110 male patients with BPH who underwent TURP and completed 6 months of postoperative follow-up were included. Baseline variables (age, prostate volume, and operative duration) were extracted from medical records. Complications were assessed at 6 months, specifically the occurrence of US, urinary incontinence, and the composite outcome defined as either stricture or incontinence. An independent samples\n t<\/jats:italic>\n -test compared mean values between groups, and logistic regression was used to identify predictors.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The mean age of patients was 68.2 \u00b1 11.6 years, the mean prostate volume was 38.9 \u00b1 10.3 mL, and the mean operative duration was 96.8 \u00b1 17.4 min. The incidence of US was 9.1% (18.2 cases per 100 person-years), urinary incontinence 6.4% (12.7 cases per 100 person-years), and the composite outcome 15.5% (30.9 cases per 100 person-years). Patients with US had slightly lower age and smaller prostate volume but longer operative duration; none of these differences were statistically significant. Patients with urinary incontinence were significantly older (78.1 \u00b1 9.4 vs. 67.5 \u00b1 11.4 years,\n P<\/jats:italic>\n = 0.018). Logistic regression confirmed age as an independent predictor of incontinence (odds ratio = 1.095, 95% confidence interval: 1.011\u20131.186,\n P<\/jats:italic>\n = 0.025). No significant predictors were identified for stricture or the composite outcome.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The incidence of US and urinary incontinence after TURP was modest, with age emerging as a significant predictor of incontinence. Elderly patients undergoing TURP should be counseled about the increased risk of postoperative incontinence, and perioperative strategies may be needed to mitigate this risk.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jrms.jrms_962_25","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T16:00:34Z","timestamp":1772121634000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Incidence of urethral stricture and urinary incontinence after transurethral resection of the prostate"],"prefix":"10.4103","volume":"31","author":[{"given":"Reza","family":"Kazemi","sequence":"first","affiliation":[{"name":"Department of Urology, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran"},{"name":"Reproductive Sciences and Sexual Health, Research Center, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammadjavad","family":"Nazarpour","sequence":"additional","affiliation":[{"name":"Department of Urology, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narges","family":"Hashemzadeh","sequence":"additional","affiliation":[{"name":"Department of Urology, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2]]},"reference":[{"key":"R1-20260226","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1089\/end.2014.0188","article-title":"Bipolar transurethral resection versus monopolar transurethral resection for benign prostatic hypertrophy: A systematic review and meta-analysis","volume":"28","author":"Tang","year":"2014","journal-title":"J Endourol"},{"key":"R2-20260226","first-page":"90","article-title":"Urethral strictures and stenoses caused by prostate therapy","volume":"18","author":"Chen","year":"2016","journal-title":"Rev Urol"},{"key":"R3-20260226","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1007\/BF02552117","article-title":"Development of urethral stricture after transurethral prostatectomy: A retrospective study","volume":"24","author":"Balbay","year":"1992","journal-title":"Int Urol Nephrol"},{"key":"R4-20260226","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1177\/0391560318758195","article-title":"Risk factors for urethral stricture and\/or bladder neck contracture after monopolar transurethral resection of the prostate for benign prostatic hyperplasia","volume":"85","author":"Grechenkov","year":"2018","journal-title":"Urologia"},{"key":"R7-20260226","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1111\/j.1464-410X.1989.tb05226.x","article-title":"Urethral strictures following transurethral resection of the prostate. The role of the catheter","volume":"63","author":"Hammarsten","year":"1989","journal-title":"Br J Urol"},{"key":"R8-20260226","first-page":"E35","article-title":"The incidence of urethral stricture and bladder neck contracture with transurethral resection versus holmium laser enucleation of prostate: A matched, dual-center study","volume":"17","author":"Elsaqa","year":"2023","journal-title":"Can Urol Assoc J"},{"key":"R9-20260226","doi-asserted-by":"crossref","first-page":"186","DOI":"10.4111\/icu.2017.58.3.186","article-title":"Urethral strictures after bipolar transurethral resection of prostate may be linked to slow resection rate","volume":"58","author":"Tan","year":"2017","journal-title":"Investig Clin Urol"},{"key":"R10-20260226","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1590\/S1677-5538.IBJU.2014.0500","article-title":"Analysis of risk factors leading to postoperative urethral stricture and bladder neck contracture following transurethral resection of prostate","volume":"42","author":"Tao","year":"2016","journal-title":"Int Braz J Urol"},{"key":"R11-20260226","doi-asserted-by":"crossref","first-page":"68","DOI":"10.23950\/jcmk\/12690","article-title":"The factors affecting occurrence of urethral stricture after transurethral resection of the prostate","volume":"19","author":"Durmus","year":"2022","journal-title":"J Clin Med Kazakhstan"},{"key":"R12-20260226","first-page":"e19663","article-title":"Risk factors for early urethral stricture after mono-polar transurethral prostate resection: A single-center experience","volume":"13","author":"G\u00fcr","year":"2021","journal-title":"Cureus"},{"key":"R13-20260226","doi-asserted-by":"crossref","first-page":"4073","DOI":"10.1007\/s00345-021-03718-1","article-title":"Bladder neck stenosis after transurethral prostate surgery: A systematic review and meta-analysis","volume":"39","author":"Castellani","year":"2021","journal-title":"World J Urol"},{"key":"R14-20260226","doi-asserted-by":"crossref","first-page":"140","DOI":"10.4103\/aja.aja_126_19","article-title":"Transurethral resection of the prostate stricture management","volume":"22","author":"Wang","year":"2020","journal-title":"Asian J Androl"},{"key":"R15-20260226","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.1089\/end.2020.0847","article-title":"Factors associated with urethral and bladder neck stricture after transurethral resection of the prostate","volume":"35","author":"Garza-Mont\u00fafar","year":"2021","journal-title":"J Endourol"},{"key":"R16-20260226","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1002\/pros.24543","article-title":"Risk factors for bladder neck contracture after transurethral resection of the prostate","volume":"83","author":"Go\u00dfler","year":"2023","journal-title":"Prostate"},{"key":"R17-20260226","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1590\/1806-9282.20210550","article-title":"Factors predicting the development of urethral stricture after bipolar transurethral resection of the prostate","volume":"68","author":"Afandiyev","year":"2022","journal-title":"Rev Assoc Med Bras (1992)"}],"container-title":["Journal of Research in Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jrms.jrms_962_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:29:33Z","timestamp":1787768973000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jrms.jrms_962_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":15,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jrms.jrms_962_25","relation":{},"ISSN":["1735-1995","1735-7136"],"issn-type":[{"value":"1735-1995","type":"print"},{"value":"1735-7136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"2025-09-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}