Impact of Diabetes Mellitus on Urinary Continence After Holmium Laser Enucleation of the Prostate Due to Lower Urinary Tract Symptoms: a Retrospective Study

Overview

Journal Cent European J Urol

Specialty Urology

Date 2022 Jan 27

PMID 35083073

Authors

Onur Acikgoz

Mehmet Yilmaz

Halil Cagri Aybal

Sercan Yilmaz

Eymen Gazel

Serdar Yalcin

Mehmet Duvarci

Engin Kaya

Arkadiusz Miernik

Lutfi Tunc

Affiliations

Soon will be listed here.

Abstract

Introduction: Diabetes mellitus (DM) is known as a risk factor of stress urinary incontinence after Holmium laser enucleation of the prostate (HoLEP). We aimed to compare the postoperative continence status of patients with and without DM, after HoLEP surgery.

Material And Methods: A total of 214 patients who underwent HoLEP between January 2017 and January 2020 were retrospectively assessed. Functional outcomes, perioperative total operation time (TOT)(min), enucleation time (ET)(min), enucleation efficiency (EE)(g/min), enucleated tissue weight (ETW)(g), morcellation efficiency (ME)(g/min), morcellation time (MT)(min), continence status, intraoperative and postoperative complications according to Clavien-Dindo classification were recorded.

Results: A total of 96 patients had DM additional to benign prostate hyperplasia (BPH) (Group 1), while 118 patients had only benign prostate hyperplasia without DM (Group 2). When comparing preoperative and postoperative functional outcomes, a statistically significant improvement was observed in both groups from baseline to the 1 and 6 month follow-up (p ≤0.001). There were no statistically significant differences between groups in postoperative stress urinary incontinence at postoperative months 1 and 6 (1.7% vs 2.1%, p = 1 and 0.8% vs 1%, p = 1; respectively). There was no significant difference between groups in intraoperative and postoperative complications (p >0.05).

Conclusions: HoLEP is safe to perform in patients with DM at low complication and urinary incontinence rates.

Citing Articles

Predictive factors of post-HoLEP incontinence: differences between stress and urgency urinary incontinence.

Agreda-Castaneda F, Freixa-Sala R, Franco M, Bulto-Gonzalvo R, Areal-Calama J World J Urol. 2024; 42(1):281.

PMID: 38695948 DOI: 10.1007/s00345-024-04984-5.

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