Stress Urinary Incontinence post-Holmium Laser Enucleation of the Prostate: a Single-Surgeon Experience
Autor: | Jenny Guo, Tomy Perez, Thenappan Chandrasekar, Akhil K Das, Joon Yau Leong, Seth Teplitsky, Patrick J. Shenot |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
Aging Epidemiology Urinary Incontinence Stress 030232 urology & nephrology Holmium laser Prostatic Hyperplasia Urinary incontinence Lasers Solid-State lcsh:RC870-923 0302 clinical medicine Prostate 80 and over Medicine Cancer Aged 80 and over Incidence (epidemiology) Prostate Cancer Transurethral Resection of Prostate Solid-State Urology & Nephrology Middle Aged Catheter medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis Original Article Laser Therapy medicine.symptom Urologic Diseases physiopathology [Subheading] medicine.medical_specialty Urology Enucleation Renal and urogenital Stress 03 medical and health sciences Clinical Research Humans Aged Retrospective Studies Surgeons business.industry Lasers lcsh:Diseases of the genitourinary system. Urology Single surgeon Surgery Urinary Incontinence business |
Zdroj: | International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology International braz j urol : official journal of the Brazilian Society of Urology, vol 46, iss 4 International braz j urol v.46 n.4 2020 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International Brazilian Journal of Urology, Vol 46, Iss 4, Pp 624-631 International braz j urol, Volume: 46, Issue: 4, Pages: 624-631, Published: 01 JUN 2020 |
ISSN: | 1677-6119 1677-5538 |
Popis: | Purpose To identify incidence and predictors of stress urinary incontinence (SUI) following Holmium laser enucleation of the prostate (HoLEP). Materials and Methods We performed a retrospective review of 589 HoLEP patients from 2012-2018. Patients were assessed at pre-operative and post-operative visits. Univariate and multivariate regression analyses were performed to identify predictors of SUI. Results 52/589 patients (8.8%) developed transient SUI, while 9/589 (1.5%) developed long-term SUI. tSUI resolved for 46 patients (88.5%) within the first six weeks and in 6 patients (11.5%) between 6 weeks to 3 months. Long-term SUI patients required intervention, achieving continence at 16.4 months on average, 44 men (70.9%) with incontinence were catheter dependent preoperatively. Mean prostatic volume was 148.7mL in tSUI patients, 111.6mL in long-term SUI, and 87.9mL in others (p 100g and catheter dependency are associated with increased risk tSUI. Larger prostate volume is an independent predictor of any SUI, and tSUI. |
Databáze: | OpenAIRE |
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