Predictive risk factors of postoperative urinary incontinence following holmium laser enucleation of the prostate during the initial learning period
Int. braz. j. urol
;
42(4): 740-746, July-Aug. 2016. tab
Article
in English
| LILACS
| ID: lil-794683
ABSTRACT
ABSTRACT Purpose:
To determine the predictive factors for postoperative urinary incontinence (UI) following holmium laser enucleation of the prostate (HoLEP) during the initial learning period. Patients andMethods:
We evaluated 127 patients with benign prostatic hyperplasia who underwent HoLEP between January 2011 and December 2013. We recorded clinical variables, including blood loss, serum prostate-specific antigen levels, and the presence or absence of UI. Blood loss was estimated as a decline in postoperative hemoglobin levels. The predictive factors for postoperative UI were determined using a multivariable logistic regression analysis.Results:
Postoperative UI occurred in 31 patients (24.4%), but it cured in 29 patients (93.5%) after a mean duration of 12 weeks. Enucleation time >100 min (p=0.043) and blood loss >2.5g/dL (p=0.032) were identified as significant and independent risk factors for postoperative UI.Conclusions:
Longer enucleation time and increased blood loss were independent predictors of postoperative UI in patients who underwent HoLEP during the initial learning period. Surgeons in training should take care to perform speedy enucleation maneuver with hemostasis.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Prostate
/
Prostatic Hyperplasia
/
Urinary Incontinence
/
Transurethral Resection of Prostate
/
Lasers, Solid-State
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2016
Type:
Article
Affiliation country:
Japan
Institution/Affiliation country:
Tama-Nambu Chiiki Hospital/JP
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