Stress urinary incontinence after holmium laser enucleation of prostate: incidence and risk factors
Background and objective: To evaluate the incidence and the risk factors of stress urinary incontinence (SUI) during the first year following Holmium Laser Enucleation of the Prostate (HoLEP). Materials and methods: Our monocentric and retrospective study includes 155 patients who underwent HoLE...
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Format: | Article |
Language: | English |
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MRE Press
2021-10-01
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Series: | Journal of Men's Health |
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Online Access: | https://article.imrpress.com/journal/JOMH/18/1/10.31083/jomh.2021.129/1875-6859-18-1-017.pdf |
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author | Haixia Ye Ricardo Codas Theresa Daily Lionel Badet Marc Colombel Hakim Fassi-Fehri |
author_facet | Haixia Ye Ricardo Codas Theresa Daily Lionel Badet Marc Colombel Hakim Fassi-Fehri |
author_sort | Haixia Ye |
collection | DOAJ |
description | Background and objective: To evaluate the incidence and the risk
factors of stress urinary incontinence (SUI) during the first year following
Holmium Laser Enucleation of the Prostate (HoLEP).
Materials and methods: Our monocentric and retrospective study includes
155 patients who underwent HoLEP for benign prostatic hyperplasia. Surgeries were
performed by 2 expert surgeons. The continence was evaluated before and after
surgery at 1, 3, 6 and 12 months. The predictive factors of SUI were analysed
using logistic regression.
Results: The SUI rate at 1, 3, 6 and 12 months was respectively 7.3%,
8.1%, 3.4% and 2.7%. SUI remained present in 4 patients (2.6%) at 12 months.
The mean International Consultation Incontinence Questionnaire Urinary
Incontinence Short Form (ICIQ-SF) score for patients with SUI was respectively
11.69 ± 5.28, 8.70 ± 4.24, 1.81 ± 3.53 and 8 ± 4.24 at 1,
3, 6 and 12 months (p < 0.05). Body Mass Index (BMI) >30 (Odds Ratio
(OR), 4.69; 95% Confidence Interval (CI), 1.51–14.52; p = 0.007) and
patients over 70 years old (OR, 16.23; 95% CI, 1.96–134.09; p = 0.010)
were respectively identified as independent risk factors for SUI at 1 and 3
months.
Conclusions: SUI after HoLEP is transitory in most cases. It is
favoured by a high BMI and an age over 70. These criteria should be considered
before choosing the operative technique and preventive measures must be taken in
high-risk patients. |
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format | Article |
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institution | Directory Open Access Journal |
issn | 1875-6859 |
language | English |
last_indexed | 2024-03-08T06:28:45Z |
publishDate | 2021-10-01 |
publisher | MRE Press |
record_format | Article |
series | Journal of Men's Health |
spelling | doaj.art-db3cfdb41164433689d04ea4df4b7dc52024-02-03T13:29:29ZengMRE PressJournal of Men's Health1875-68592021-10-0118101710.31083/jomh.2021.129S1875-6867(21)00248-7Stress urinary incontinence after holmium laser enucleation of prostate: incidence and risk factorsHaixia Ye0Ricardo Codas1Theresa Daily2Lionel Badet3Marc Colombel4Hakim Fassi-Fehri5Department of Urology and Transplantation Surgery, Hospital Edouard Herriot, Hospices Civil de Lyon, 69003 Lyon, ChinaDepartment of Urology and Transplantation Surgery, Hospital Edouard Herriot, Hospices Civil de Lyon, 69003 Lyon, ChinaDepartment of Urology and Transplantation Surgery, Hospital Edouard Herriot, Hospices Civil de Lyon, 69003 Lyon, ChinaDepartment of Urology and Transplantation Surgery, Hospital Edouard Herriot, Hospices Civil de Lyon, 69003 Lyon, ChinaDepartment of Urology and Transplantation Surgery, Hospital Edouard Herriot, Hospices Civil de Lyon, 69003 Lyon, ChinaDepartment of Urology and Transplantation Surgery, Hospital Edouard Herriot, Hospices Civil de Lyon, 69003 Lyon, ChinaBackground and objective: To evaluate the incidence and the risk factors of stress urinary incontinence (SUI) during the first year following Holmium Laser Enucleation of the Prostate (HoLEP). Materials and methods: Our monocentric and retrospective study includes 155 patients who underwent HoLEP for benign prostatic hyperplasia. Surgeries were performed by 2 expert surgeons. The continence was evaluated before and after surgery at 1, 3, 6 and 12 months. The predictive factors of SUI were analysed using logistic regression. Results: The SUI rate at 1, 3, 6 and 12 months was respectively 7.3%, 8.1%, 3.4% and 2.7%. SUI remained present in 4 patients (2.6%) at 12 months. The mean International Consultation Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-SF) score for patients with SUI was respectively 11.69 ± 5.28, 8.70 ± 4.24, 1.81 ± 3.53 and 8 ± 4.24 at 1, 3, 6 and 12 months (p < 0.05). Body Mass Index (BMI) >30 (Odds Ratio (OR), 4.69; 95% Confidence Interval (CI), 1.51–14.52; p = 0.007) and patients over 70 years old (OR, 16.23; 95% CI, 1.96–134.09; p = 0.010) were respectively identified as independent risk factors for SUI at 1 and 3 months. Conclusions: SUI after HoLEP is transitory in most cases. It is favoured by a high BMI and an age over 70. These criteria should be considered before choosing the operative technique and preventive measures must be taken in high-risk patients.https://article.imrpress.com/journal/JOMH/18/1/10.31083/jomh.2021.129/1875-6859-18-1-017.pdflaserprostatic hyperplasiaurinary incontinenceholmium |
spellingShingle | Haixia Ye Ricardo Codas Theresa Daily Lionel Badet Marc Colombel Hakim Fassi-Fehri Stress urinary incontinence after holmium laser enucleation of prostate: incidence and risk factors Journal of Men's Health laser prostatic hyperplasia urinary incontinence holmium |
title | Stress urinary incontinence after holmium laser enucleation of prostate: incidence and risk factors |
title_full | Stress urinary incontinence after holmium laser enucleation of prostate: incidence and risk factors |
title_fullStr | Stress urinary incontinence after holmium laser enucleation of prostate: incidence and risk factors |
title_full_unstemmed | Stress urinary incontinence after holmium laser enucleation of prostate: incidence and risk factors |
title_short | Stress urinary incontinence after holmium laser enucleation of prostate: incidence and risk factors |
title_sort | stress urinary incontinence after holmium laser enucleation of prostate incidence and risk factors |
topic | laser prostatic hyperplasia urinary incontinence holmium |
url | https://article.imrpress.com/journal/JOMH/18/1/10.31083/jomh.2021.129/1875-6859-18-1-017.pdf |
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