Long-term patterns of surgical reintervention after various benign prostatic hyperplasia procedures in a…

Cohort studyCanadian Urological Association journal = Journal de l'Association des urologues du Canada· Jul 2026

Long-term patterns of surgical reintervention after various benign prostatic hyperplasia procedures in a large national database.

Benjamin E Rubin, Sarah Kohl, Jake Bleau … Seyer Mohammad Mohaghegh

Benign Prostatic DiseaseCohort studyClinical practiceQ2IF 1.4

7.5% of men needed reoperation within 10 years after benign prostatic hyperplasia surgery.

Long-term patterns of surgical reintervention after various benign prostatic hyperplasia procedures in a large national database.

Benjamin E Rubin … Seyer Mohammad Mohaghegh

Canadian Urological Association journal · Jul 2026 · Q2 in Urology

Background

The surgical management of benign prostatic hyperplasia (benign prostatic hyperplasia) has expanded significantly over the past two decades with the introduction of minimally invasive techniques.

Purpose

This study evaluates long-term surgical reintervention rates following common surgical procedures for benign prostatic hyperplasia using a live national database.

Methods

We conducted a retrospective, observational study using the TriNetX Diamond Network, which aggregates electronic health records from over 120 million patients across 73 U.

n = 019 patients

7.5%

Results

7.5%

1 in about 13 men needed a second surgery within a decade

n = 019 patients

More results

Open simple prostatectomy demonstrated the lowest long-term reoperation rate, followed by holmium laser enucleation of the prostate.

Procedures such as robotic waterjet ablation and water vapor thermal therapy had shorter followup windows due to recent adoption.

More results

Reoperation rates differed significantly across procedures at each interval (p<0.0001).

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Conclusion

This large, real-world study offers long-term data on reintervention patterns between various benign prostatic hyperplasia procedures, and may inform patient counseling regarding the likelihood and timing of additional interventions.

Long-term patterns of surgical reintervention after various benign prostatic hyperplasia procedures in a large national database.

Long-term patterns of surgical reintervention after various benign prostatic hyperplasia procedures in a large national database.

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