Shim M, et al. - Via retrospectively analyzing the records of 448 patients who had transurethral resection of the prostate (TURP) from January 2006 to December 2018, researchers examined the impact of prostate anatomical factors on the changes in lower urinary tract symptoms (LUTS) and uroflowmetric values after surgery. Changes in the International Prostate Symptom Score (IPSS), maximum flow rate (Qmax), and postvoid residual urine volume (PVR) at 3 months following TURP have been assessed. Among individuals with prostate volume < 50 mL, preoperative IPSS total score (IPSS-t), voiding symptom score (IPSS-vs), and storage symptom score (IPSS-ss) were significantly better in individuals with a smaller PUA (< 51°) compared with those with a larger PUA (≥ 51°). In patients with small prostate, prostatic urethral angulation was significantly linked to postoperative changes in LUTS and had no clinical significance in patients with a large prostate. Surgery should actively be considered in patients with small prostate and large PUA.