Predictive risk factors of postoperative urinary incontinence following holmium laser enucleation of the prostate during the initial learning period.
Int Braz J Urol
; 42(4): 740-6, 2016.
Article
em En
| MEDLINE
| ID: mdl-27564285
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 ANDMETHODS:
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 hemoglobina 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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Próstata
/
Hiperplasia Prostática
/
Incontinência Urinária
/
Ressecção Transuretral da Próstata
/
Lasers de Estado Sólido
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Int Braz J Urol
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Japão