2169 THE FACTORS ASSOCIATED WITH OCCURRENCE AND RECOVERY OF TRANSIENT URINARY INCONTINENCE AFTER HOLMIUM LASER ENUCLEATION OF THE PROSTATE

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy and New Technology (III)1 Apr 20132169 THE FACTORS ASSOCIATED WITH OCCURRENCE AND RECOVERY OF TRANSIENT URINARY INCONTINENCE AFTER HOLMIUM LASER ENUCLEATION OF THE PROSTATE Sung Woo Park, Seung Chan Jeong, Jong Kil Nam, Sang Don Lee, Jeong Zoo Lee, and Moon Kee Chung Sung Woo ParkSung Woo Park Yangsan, Korea, Republic of More articles by this author , Seung Chan JeongSeung Chan Jeong Yangsan, Korea, Republic of More articles by this author , Jong Kil NamJong Kil Nam Yangsan, Korea, Republic of More articles by this author , Sang Don LeeSang Don Lee Yangsan, Korea, Republic of More articles by this author , Jeong Zoo LeeJeong Zoo Lee Yangsan, Korea, Republic of More articles by this author , and Moon Kee ChungMoon Kee Chung Yangsan, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2078AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To investigate the factors associated with occurrence and recovery of transient urinary incontinence (TI) after Holmium Laser Enucleation of the Prostate (HoLEP) for the surgical treatment of benign prostatic hyperplasia (BPH). METHODS We assessed 311 consecutive patients who were treated with HoLEP for BPH by single surgeon from March 2009 to February 2012 and were followed up for at least 6 months. After the HoLEP, patients were evaluated at 2weeks postoperatively and every month thereafter until recovery of continence using the International Prostate Symptom Score (IPSS), the Overactive Bladder Symptom Score (OABSS) and uroflowmetry. Urinary incontinence was defined according to the International Continence Society and by the question ‘Do you have involuntary loss of urine?'. Logistic regression test was used to investigate the factors associated with occurrence of TI and Kaplan-Meier was used to analyze TI recovery period. Factors affecting TI recovery period was investigated by using Cox regression test. RESULTS The mean prostate volume was 56.2 ± 21.6 g and the mean operation time was 69.3 ± 24.1 min. TI after HoLEP was occurred in 18.6% (n=58) at postoperative 2 weeks and 76.9% of them were recovered within 3 months. Age (OR=3.494;95%CI=1.565-7.803;p=0.002) and total operation time (OR=3.849;95%CI=1.613-9.185;p=0.002) showed as the factors that were statistically significant in the occurrence. The patient's age (OR=0.349;95%CI=0.169-0.718;p=0.004) and operation time (OR=0.434;95%CI=0.212-0.887;p=0.022) also showed as the significant factors of the recovery period of postoperative TI. CONCLUSIONS After HoLEP, some patients experienced TI and most of them showed recovery within 3 months. The patient's age and total operation time were associated with the occurrence of postoperative TI and also the period of its recovery. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e889-e890 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sung Woo Park Yangsan, Korea, Republic of More articles by this author Seung Chan Jeong Yangsan, Korea, Republic of More articles by this author Jong Kil Nam Yangsan, Korea, Republic of More articles by this author Sang Don Lee Yangsan, Korea, Republic of More articles by this author Jeong Zoo Lee Yangsan, Korea, Republic of More articles by this author Moon Kee Chung Yangsan, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...