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Predictive factors of urinary incontinence after holmium laser enucleation of the prostate: A multicentric evaluation

World Journal of Urology Mar 31, 2020

Houssin V, Olivier J, Brenier M, et al. - Researchers assessed predictive factors of urinary incontinence (UI) after holmium laser enucleation of the prostate (HoLEP). A retrospective multicentric study was conducted between April 2012 and November 2017. A total of 2, 346 patients were enrolled in the study. They recorded patients’ characteristics (age, BMI, percentage with diabetes), preoperative data (International prostate symptom score, whole gland volume, urinary drainage), operative data (enucleation time, enucleation efficiency, tissue enucleated weight, total delivered energy) and postoperative data. Absence of UI was characterized as no pads at 3 and 6 months. In 14.5% of patients, UI after HoLEP was found at 3 months and 4.2% at 6 months, with stress UI in half of the cases. The results demonstrate that surgeon experience with at least 40 cases was the main predictive factor of 3 months UI after HoLEP and diabetes disorder of persistent UI at 6 months.

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