Stress incontinence during the learning curve of holmium laser enucleation of the prostate

Journal of Endourology
Lori B LernerPierre J Mendoza

Abstract

Holmium laser enucleation of the prostate (HoLEP) is an excellent surgical treatment for patients with benign prostatic hyperplasia, but surgical complications are not well described. We set out to determine the predictors of stress incontinence (SUI) after HoLEP during the learning curve. A retrospective review of our institution's HoLEP database was performed. Patients were divided into two groups: No pads at 3 months (group 1); SUI and/or mixed incontinence necessitating ≥ one pad at 3 months (group 2). Seventy-seven patients underwent HoLEP at our institution. Nine (12%) were excluded for pure urge symptoms and two (3%) were lost to follow-up, leaving 66 total patients. No differences were noted as regards age (P = 0.54), operating room time (P = 0.18), prostate size (P = 0.85), prostate-specific antigen level (P = 0.96), or International Prostate Symptom Score (P = 0.11). The number of days between cases, however, was higher in group 2 (44.5 vs 18.1, P = 0.02) and was associated with SUI in simple logistic regression models (odds ratio [OR] 1.25; 95% confidence interval [CI]: 1.04-1.51; P = 0.019). As the interval time between cases increased from 1, 3, and 5 weeks, the strength of the association increased (1 week: OR 2.7...Continue Reading

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Citations

Aug 7, 2013·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Andrej RaschMatthias Perleth
Apr 8, 2016·Current Urology Reports·Shiva Madhwan NairPeter John Gilling
Jan 24, 2017·The Journal of Urology·J Kellogg Parsons
Aug 27, 2016·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Shuichiro KobayashiSatoshi Kitahara
Sep 4, 2015·The World Journal of Men's Health·Jong Kil NamSung-Woo Park
May 14, 2020·Andrologia·Hsiang Ying LeeJeremy Yuen-Chun Teoh
Jun 20, 2020·Andrologia·Marcelo Langer WroclawskiArie Carneiro
Sep 18, 2020·World Journal of Urology·Dmitry EnikeevThomas R W Herrmann
Aug 3, 2020·World Journal of Urology·Iman SadriKevin C Zorn
Jun 23, 2021·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L GuryG Robert

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Methods Mentioned

BETA
urine trapping

Software Mentioned

HoLEP
/ IC®
Stata

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