Incidence of urinary incontinence following endoscopic laser enucleation of the prostate by en-bloc and non-en-bloc techniques:a multicenter,real-world experience of 5068 patients
作者机构：Urology UnitIRCCS INRCAAncona 60127Italy Urology UnitMarche University HospitalLe Marche Polytechnic UniversityAncona 60126Italy Department of UrologyNg Teng Fong General HospitalSingapore 609606Singapore Yong Loo Lin School of MedicineNational University of SingaporeSingapore 117597Singapore Department of UrologyTel Aviv Sourasky Medical CenterAffiliated to the Sackler School of MedicineTel Aviv UniversityTel Aviv 6423906Israel Department of Urology and Robotic SurgeryICUA-Clínica CEMTROMadrid 28701Spain Urology DivisionAkfa Medline HospitalTashkent 100211Uzbekistan Advanced UrologyGleneagles HospitalSingapore 258499Singapore Department of UrologyNational University HospitalSingapore 119228Singapore Divisionof UrologyDepartment of SurgeryUniversity of TorontoOntarioToronto M5G 2C4Canada Department of UrologyMahatma Gandhi Mission’s Medical College and HospitalAurangabad 431003India Institute for Urology and Reproductive HealthSechenov UniversityMoscow119435Russian Federation Department of Urologyand AndrologyLomonosov Moscow State UniversityMoscow 119992Russian Federation Department of UrologySarvodaya Hospital and Research CentreFaridabadHaryana 121006India Department of UrologyMedical University of ViennaVienna 1090Austria Department of UrologySaint-Petersburg State University HospitalSaint-Petersburg 199034Russian Federation Department of UrologyAsian Institute of Nephrology and UrologyHyderabad 500082India S.H.Ho UrologyCentreDepartment of SurgeryFaculty of MedicineThe Chinese University of Hong KongHong Kong 96H2+Q9China Department of UrologyUniversity Hospitals Southampton NHS TrustSouthampton SO166YDUnited Kingdom Department of UrologyCantonal Hospital Thurgau AGFraunfeld 8500Switzerland
出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)
年 卷 期：2024年第26卷第3期
页 面：233-238页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：benign prostatic hyperplasia en-bloc enucleation endoscopic enucleation of the prostate laser therapy stress urinaryincontinence urge urinary incontinence
摘 要：We aim to evaluate the incidence of incontinence following laser endoscopic enucleation of the prostate(EEP)comparing en-bloc(Group 1)versus 2-lobe/3-lobe techniques(Group 2).We performed a retrospective review of patients undergoing EEP for benign prostaticenlargement in 12 centers between January 2020 and January *** were presented as median and interquartile range(IQR).Univariable and multivariable logistic regression analysis was performed to evaluate factors associated with stress urinary incontinence(SUI)and mixed urinary incontinence(MUI).There were 1711 patients in Group 1 and 3357 patients in Group *** in Group 2were significantly younger(68[62–73]years vs 69[63–74]years,P=0.002).Median(interquartile range)prostate volume(PV)wassimilar between the groups(70[52–92]ml in Group 1 vs 70[54–90]ml in Group 2,P=0.774).There was no difference in preoperativeInternational Prostate Symptom Score,quality of life,or maximum flow ***,morcellation,and total surgical time weresignificantly shorter in Group *** 1 month,overall incontinence rate was 6.3%in Group 1 versus 5.3%in Group 2(P=0.12),and urge incontinence was significantly higher in Group 1(55.1%vs 37.3%in Group 2,P0.001).After 3 months,the overall rate ofincontinence was 1.7%in Group 1 versus 2.3%in Group 2(P=0.06),and SUI was significantly higher in Group 2(55.6%vs 24.1%in Group 1,P=0.002).At multivariable analysis,PV and IPSS were factors significantly associated with higher odds of transient SUI/***,surgical time,and no early apical release technique were factors associated with higher odds of persistent SUI/MUI.
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