Risk Factors for Transient Urinary Incontinence after Holmium Laser Enucleation of the Prostate

The World Journal of Men's Health
Jong Kil NamSung-Woo Park

Abstract

To investigate the factors associated with the occurrence of and recovery from transient urinary incontinence (TUI) after holmium laser enucleation of the prostate (HoLEP). From March 2009 to December 2012, 391 consecutive patients treated with HoLEP for benign prostatic hyperplasia were enrolled. Information regarding age, prostate volume, International Prostate Symptom Score, Overactive Bladder Symptom Score, peak urinary flow rate, postvoid residual urine, and operation time was collected. TUI was defined as a patient complaint of urine leakage, regardless of type. Logistic regression was used to investigate the factors associated with the occurrence of TUI, and the Kaplan-Meier test was used to analyze the TUI recovery period. TUI after HoLEP occurred in 65 patients (16.6%), 52 patients of whom (80.0%) showed recovery within three months. Stress and urge urinary incontinence and postvoid dribbling occurred in 16 patients (4.1%), 29 patients (7.4%), and 33 patients (8.4%), respectively. Age (odds ratio [OR]=3.494; 95% confidence interval [CI]=1.565~7.803; p=0.002) and total operation time (OR=3.849; 95% CI=1.613~9.185; p=0.002) were factors that significantly affected the occurrence of TUI. TUI, defined as any type of urine ...Continue Reading

References

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Citations

May 21, 2016·Journal of Endourology·Benjamin V StoneAlexis E Te
Mar 15, 2018·Current Opinion in Urology·Tim Large, Amy E Krambeck
Dec 6, 2017·International Journal of Urology : Official Journal of the Japanese Urological Association·Katsumi Shigemura, Masato Fujisawa
Oct 20, 2017·Current Urology Reports·Joseph M Kuebker, Nicole L Miller
Nov 23, 2017·The World Journal of Men's Health·Sejun ParkKyung Hyun Moon
May 14, 2020·Andrologia·Hsiang Ying LeeJeremy Yuen-Chun Teoh
May 7, 2020·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Akhil K DasPatrick J Shenot
Jul 10, 2020·Andrologia·Seung-June Oh, Toshiya Shitara
Jul 28, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Hideto UekiMasuo Yamashita
Nov 17, 2016·Investigative and Clinical Urology·Young Ju LeeHwancheol Son
Oct 5, 2017·International Journal of Urology : Official Journal of the Japanese Urological Association·Yosuke HirasawaKiichiro Fujita
Jan 25, 2021·World Journal of Urology·Frank RückerJens Hansen

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Methods Mentioned

BETA
biopsy
urine leak
dissection
urine trapping

Software Mentioned

HoLEP
PASW Statistics

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