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
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