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Predictive risk factors of postoperative urinary incontinence following holmium laser enucleation of the prostate during the initial learning period

International Brazilian Journal of Urology, 2016-08, Vol.42 (4), p.740-746 [Peer Reviewed Journal]

This work is licensed under a Creative Commons Attribution 4.0 International License. ;ISSN: 1677-5538 ;ISSN: 1677-6119 ;EISSN: 1677-5538 ;EISSN: 1677-6119 ;DOI: 10.1590/S1677-5538.IBJU.2015.0477 ;PMID: 27564285

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  • Title:
    Predictive risk factors of postoperative urinary incontinence following holmium laser enucleation of the prostate during the initial learning period
  • Author: Kobayashi, Shuichiro ; Yano, Masataka ; Nakayama, Takayuki ; Kitahara, Satoshi
  • Subjects: Blood Loss ; Lasers ; Learning ; Original ; Prostatic Hyperplasia ; Surgical ; Urinary Incontinence ; UROLOGY & NEPHROLOGY
  • Is Part Of: International Brazilian Journal of Urology, 2016-08, Vol.42 (4), p.740-746
  • Description: ABSTRACT Purpose: To determine the predictive factors for postoperative urinary incontinence (UI) following holmium laser enucleation of the prostate (HoLEP) during the initial learning period. Patients and Methods: We evaluated 127 patients with benign prostatic hyperplasia who underwent HoLEP between January 2011 and December 2013. We recorded clinical variables, including blood loss, serum prostate-specific antigen levels, and the presence or absence of UI. Blood loss was estimated as a decline in postoperative hemoglobin levels. The predictive factors for postoperative UI were determined using a multivariable logistic regression analysis. Results: Postoperative UI occurred in 31 patients (24.4%), but it cured in 29 patients (93.5%) after a mean duration of 12 weeks. Enucleation time >100 min (p=0.043) and blood loss >2.5g/dL (p=0.032) were identified as significant and independent risk factors for postoperative UI. Conclusions: Longer enucleation time and increased blood loss were independent predictors of postoperative UI in patients who underwent HoLEP during the initial learning period. Surgeons in training should take care to perform speedy enucleation maneuver with hemostasis.
  • Publisher: Sociedade Brasileira de Urologia
  • Language: English;Portuguese
  • Identifier: ISSN: 1677-5538
    ISSN: 1677-6119
    EISSN: 1677-5538
    EISSN: 1677-6119
    DOI: 10.1590/S1677-5538.IBJU.2015.0477
    PMID: 27564285
  • Source: SciELO
    PubMed Central
    DOAJ Directory of Open Access Journals
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