Predictive Risk Factors of Postoperative Urinary Incontinence Following Holmium Laser Enucleation of the Prostate During the Initial Learning Period

Overview

Journal Int Braz J Urol

Specialty Urology

Date 2016 Aug 27

PMID 27564285

Citations 12

Authors

Shuichiro Kobayashi

Masataka Yano

Takayuki Nakayama

Satoshi Kitahara

Affiliations

Soon will be listed here.

Abstract

Purpose: To determine the predictive factors for postoperative urinary incontinence (UI) following holmium laser enucleation of the prostate (HoLEP) during the initial learning period.

Patients And Methods: We evaluated 127 patients with benign prostatic hyperplasia who underwent HoLEP between January 2011 and December 2013. We recorded clinical variables, including blood loss, serum prostate-specific antigen levels, and the presence or absence of UI. Blood loss was estimated as a decline in postoperative hemoglobina levels. The predictive factors for postoperative UI were determined using a multivariable logistic regression analysis.

Results: Postoperative UI occurred in 31 patients (24.4%), but it cured in 29 patients (93.5%) after a mean duration of 12 weeks. Enucleation time >100 min (p=0.043) and blood loss >2.5g/dL (p=0.032) were identified as significant and independent risk factors for postoperative UI.

Conclusions: Longer enucleation time and increased blood loss were independent predictors of postoperative UI in patients who underwent HoLEP during the initial learning period. Surgeons in training should take care to perform speedy enucleation maneuver with hemostasis.

Citing Articles

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Shifting Trends in Prostate Treatment: A Systematic Review Comparing Transurethral Resection of the Prostate and Holmium Laser Enucleation of the Prostate.

Iqbal J, Mashkoor Y, Nadeem A, Tah S, Sharifa M, Ghani S Cureus. 2023; 15(9):e46173.

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Application of En Bloc and Urethral Mucosal Flap Sparing Techniques Improve the Functional Outcomes in Holmium Laser Enucleation of Prostate: A Retrospective Case Control Study.

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