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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Main Authors: Haixia Ye, Ricardo Codas, Theresa Daily, Lionel Badet, Marc Colombel, Hakim Fassi-Fehri
Format: Article
Language:English
Published: MRE Press 2021-10-01
Series:Journal of Men's Health
Subjects:
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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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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AT lionelbadet stressurinaryincontinenceafterholmiumlaserenucleationofprostateincidenceandriskfactors
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