{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:57:25Z","timestamp":1790621845117,"version":"4.1.0"},"reference-count":39,"publisher":"Korean Continence Society","issue":"1","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["einj.org"],"crossmark-restriction":true},"short-container-title":["Int Neurourol J"],"published-print":{"date-parts":[[2026,3,31]]},"abstract":"<jats:p>Purpose: To systematically review the outcomes of endoscopic surgery in men with benign prostatic hyperplasia (BPH) associated with preoperative overactive bladder (OAB) symptoms.Methods: Literature search was conducted on 12th May 2025 including PubMed, MEDLINE, Embase, and Scopus database. Complication rates were assessed using the Cochran-Mantel-Haenszel Method with the random effect model and reported as odds ratio, 95% confidence interval (CI), and P-values. Analyses were 2-tailed and the significance was set at P&lt;0.05. Continuous variables were pooled using the inverse variance of the mean difference with a random effect, 95% CI, and P-values.Results: Thirteen studies were included. Overall, there were 1,436 patients, with 672 in the OAB group and 820 patients in the No OAB group. At 6 months postoperatively, the storage symptoms - International Prostate Symptom Score (IPSS) favored the OAB group (mean difference [MD], 1.06; 95% CI, 0.18\u20131.95; P=0.02); however, changes at 3 and 6 months demonstrated no significant differences. Total-IPSS remained comparable between groups at 3 and 6 months, whereas at 12 months, the No OAB group exhibited significantly better outcomes (MD, 3.66; 95% CI, 1.87\u20135.45; P&lt;0.0001). The quality-of-life (QoL) index shows no significant difference at 3 months, though HoLEP (holmium laser enucleation of the prostate) favored the OAB group at 6 months (MD, -0.36; 95% CI, -0.62 to -0.10; P=0.006), while overall changes beyond this period favored the No OAB group (MD, -0.61; 95% CI, -1.18 to -0.05; P=0.03). Urge urinary incontinence and the need for postoperative anticholinergic therapy did not differ significantly between groups at any time.Conclusions: This meta-analysis reveals that BPH patients with preoperative OAB experienced persistently higher postoperative storage symptoms despite comparable overall symptom improvement, with a more pronounced QoL enhancement over time. These findings emphasize the need for comprehensive preoperative assessment to guide patient counseling, refine surgical expectations, and improve postoperative management.<\/jats:p>","DOI":"10.5213\/inj.2550188.094","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T04:32:18Z","timestamp":1774585938000},"page":"44-56","update-policy":"https:\/\/doi.org\/10.5213\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Efficacy and Safety of Endourological Surgery for Managing Overactive Bladder Symptoms in Benign Prostatic Hyperplasia: A Systematic Review and Meta-Analysis"],"prefix":"10.5213","volume":"30","author":[{"given":"Carlo","family":"Giulioni","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Cafarelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6740-534X","authenticated-orcid":true,"given":"Pietro","family":"Piazza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Spinozzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9621-3059","authenticated-orcid":true,"given":"Savio Domenico","family":"Pandolfo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Sicignano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4209-8670","authenticated-orcid":true,"given":"Giacomo Maria","family":"Pirola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Scarcella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Maurizi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9361-2342","authenticated-orcid":true,"given":"Jeremy Yuen-Chun","family":"Teoh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineet","family":"Gauhar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7354-9190","authenticated-orcid":true,"given":"Daniele","family":"Castellani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3166","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.21.2381"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.4111\/icu.20210297"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-025-05699-x"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/luts.70039"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2025.03.050"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-445x.1999.tb00078.x"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.02.017"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.05.034"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2024.04.006"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14103410"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-05136-5"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10057"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2005.08.015"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.02.020"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2006.01589.x"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410x.2009.08978.x"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.09.065"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1111\/iju.12482"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2015.03.033"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2014.06.027"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.5213\/inj.2015.19.4.278"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1111\/luts.12168"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.kjms.2017.06.010"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.4081\/aiua.2022.2.174"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-019-0880-8"},{"key":"ref28","first-page":"674","volume-title":"To stop or not to stop. 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