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KMID : 1240020180220030200
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International Neurourology Journal
2018 Volume.22 No. 3 p.200 ~ p.205
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Factors Associated With Early Recovery of Stress Urinary Incontinence Following Holmium Laser Enucleation of the Prostate in Patients With Benign Prostatic Enlargement
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Cho Kang-Jun
Koh Jun-Sung
Choi Jin-Bong
Kim Joon-Chul
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Abstract
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Purpose: To investigate factors associated with early recovery of stress urinary incontinence (SUI) following holmium laser enucleation of the prostate (HoLEP) in patients with benign prostatic enlargement (BPE).
Methods: The medical records of 393 patients who underwent HoLEP for BPE were retrospectively reviewed. Patients with SUI following HoLEP were selected and divided into 2 groups: those who experienced early recovery of SUI and those who experienced persistent SUI. Recovery of SUI within 1 month after HoLEP was defined as early, and SUI that remained present after 1 month was defined as persistent. Preoperative clinical and urodynamic factors, as well as perioperative factors, were compared between groups.
Results: SUI following HoLEP was detected in 86 patients. Thirty-three patients exhibited recovery of SUI within 1 month, and SUI remained present in 53 patients after 1 month. Multivariate analysis showed that the transition zone prostate volume (odds ratio [OR], 5.354; 95% confidence interval [CI], 1.911?14.999; P=0.001) and the enucleation ratio (OR, 8.253; 95% CI, 1.786?38.126; P=0.007) were significantly associated with early recovery of SUI.
Conclusions: Early recovery of SUI within 1 month following HoLEP was associated with transition zone prostate volume and the enucleation ratio.
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KEYWORD
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Benign prostatic hyperplasia, Holmium lasers, Stress urinary incontinence
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