PMID- 35525691
OWN - NLM
STAT- MEDLINE
DCOM- 20221215
LR  - 20221222
IS  - 0219-3108 (Electronic)
IS  - 1015-9584 (Linking)
VI  - 46
IP  - 1
DP  - 2023 Jan
TI  - Risk factors for the postoperative bladder neck contracture in patients with 
      small-volume prostatic hyperplasia.
PG  - 373-379
LID - S1015-9584(22)00467-5 [pii]
LID - 10.1016/j.asjsur.2022.04.076 [doi]
AB  - OBJECTIVE: This study was to explore the risk factors for postoperative bladder 
      neck contracture (BNC) after transurethral operation of prostate in patients with 
      small-volume prostatic obstruction. METHODS: Clinicopathologic data at our center 
      from February 2016 to January 2020 were retrospectively collected and analyzed. 
      Clinicopathological characteristics between patients with and without BNC were 
      compared. Multivariate logistic regression was used to determine the risk factors 
      for postoperative BNC. RESULTS: There were a total of 39 patients (8.53%) with 
      postoperative BNC. Multivariate logistic regression analysis demonstrated that 
      preoperative bladder neck diameter (BND), intravesical prostatic protrusion 
      (IPP), surgical methods (transurethral resection of prostate (TURP)/anatomical 
      endoscopic enucleation of the prostate (AEEP)), and postoperative urinary tract 
      infection (UTI) were independent risk factors for postoperative BNC in patients 
      with small-volume prostatic obstruction (P < 0.05). The incidence of 
      postoperative BNC in patients undergoing AEEP was significantly decreased 
      compared with those undergoing TURP. The optimal cut-off value of preoperative 
      IPP was 6.10 mm while the optimal cut-off value of preoperative BND was 2.52 cm. 
      CONCLUSIONS: Larger preoperative bladder neck and higher preoperative IPP lead to 
      decreased incidence of postoperative BNC in patients with small-volume prostatic 
      obstruction. Active management of postoperative UTI could effectively prevent the 
      occurrence of postoperative BNC. Compared with TURP, complete AEEP would 
      contribute to reduce BNC in patients with small-volume prostatic obstruction.
CI  - Copyright (c) 2022 Asian Surgical Association and Taiwan Robotic Surgery 
      Association. Published by Elsevier B.V. All rights reserved.
FAU - Chen, Ye-Hui
AU  - Chen YH
AD  - Department of Urology, Urology Research Institute, The First Affiliated Hospital, 
      Fujian Medical University, Fuzhou, 350005, China.
FAU - Li, Xiao-Dong
AU  - Li XD
AD  - Department of Urology, Urology Research Institute, The First Affiliated Hospital, 
      Fujian Medical University, Fuzhou, 350005, China.
FAU - Ke, Zhi-Bin
AU  - Ke ZB
AD  - Department of Urology, Urology Research Institute, The First Affiliated Hospital, 
      Fujian Medical University, Fuzhou, 350005, China.
FAU - Chen, Jia-Yin
AU  - Chen JY
AD  - Department of Urology, Urology Research Institute, The First Affiliated Hospital, 
      Fujian Medical University, Fuzhou, 350005, China.
FAU - Lin, Tian
AU  - Lin T
AD  - Department of Urology, Urology Research Institute, The First Affiliated Hospital, 
      Fujian Medical University, Fuzhou, 350005, China.
FAU - Lin, Ting-Ting
AU  - Lin TT
AD  - Department of Urology, Urology Research Institute, The First Affiliated Hospital, 
      Fujian Medical University, Fuzhou, 350005, China.
FAU - Zhu, Jun-Ming
AU  - Zhu JM
AD  - Department of Urology, Urology Research Institute, The First Affiliated Hospital, 
      Fujian Medical University, Fuzhou, 350005, China.
FAU - Zheng, Qing-Shui
AU  - Zheng QS
AD  - Department of Urology, Urology Research Institute, The First Affiliated Hospital, 
      Fujian Medical University, Fuzhou, 350005, China.
FAU - Xue, Xue-Yi
AU  - Xue XY
AD  - Department of Urology, Urology Research Institute, The First Affiliated Hospital, 
      Fujian Medical University, Fuzhou, 350005, China.
FAU - Wei, Yong
AU  - Wei Y
AD  - Department of Urology, Urology Research Institute, The First Affiliated Hospital, 
      Fujian Medical University, Fuzhou, 350005, China.
FAU - Xu, Ning
AU  - Xu N
AD  - Department of Urology, Urology Research Institute, The First Affiliated Hospital, 
      Fujian Medical University, Fuzhou, 350005, China; Fujian Key Laboratory of 
      Precision Medicine for Cancer, The First Affiliated Hospital, Fujian Medical 
      University, Fuzhou, 350005, China. Electronic address: drxun@fjmu.edu.cn.
LA  - eng
PT  - Journal Article
DEP - 20220504
PL  - Netherlands
TA  - Asian J Surg
JT  - Asian journal of surgery
JID - 8900600
SB  - IM
MH  - Male
MH  - Humans
MH  - *Prostatic Hyperplasia/complications/surgery
MH  - *Transurethral Resection of Prostate/adverse effects/methods
MH  - Urinary Bladder/surgery/pathology
MH  - *Urinary Bladder Neck Obstruction/epidemiology/etiology/surgery
MH  - Retrospective Studies
MH  - *Contracture/epidemiology/etiology/surgery
MH  - Risk Factors
MH  - Postoperative Complications/epidemiology/etiology/surgery
OTO - NOTNLM
OT  - Anatomical endoscopic enucleation of the prostate
OT  - Bladder neck contracture
OT  - Risk factor
OT  - Small-volume prostatic obstruction
OT  - Transurethral resection of prostate
COIS- Declaration of competing interest Not applicable.
EDAT- 2022/05/08 06:00
MHDA- 2022/12/16 06:00
CRDT- 2022/05/07 22:04
PHST- 2022/01/11 00:00 [received]
PHST- 2022/03/29 00:00 [revised]
PHST- 2022/04/21 00:00 [accepted]
PHST- 2022/05/08 06:00 [pubmed]
PHST- 2022/12/16 06:00 [medline]
PHST- 2022/05/07 22:04 [entrez]
AID - S1015-9584(22)00467-5 [pii]
AID - 10.1016/j.asjsur.2022.04.076 [doi]
PST - ppublish
SO  - Asian J Surg. 2023 Jan;46(1):373-379. doi: 10.1016/j.asjsur.2022.04.076. Epub 
      2022 May 4.