Incidence of urinary incontinence following endoscopic laser enucleation of the prostate by en-bloc and non-en-bloc techniques:a multicenter,real-world experience of 5068 patients  

作　　者：Daniele Castellani Vineet Gauhar Khi Yung Fong Mario Sofer Moisés Rodríguez Socarrás Azimdjon N Tursunkulov Lie Kwok Ying Sarvajit Biligere Ho Yee Tiong Dean Elterman Abhay Mahajan Mark Taratkin Sorokin Nikolai Ivanovich Tanuj Pal Bhatia Dmitry Enikeev Nariman Gadzhiev Mohammed Taif Bendigeri Jeremy Yuen-Chun Teoh Marco Dellabella Fernando Gómez Sancha Bhaskar Kumar Somani Thomas Reinhard William Herrmann 

机构地区：[1]Urology Unit,IRCCS INRCA,Ancona 60127,Italy [2]Urology Unit,Marche University Hospital,Le Marche Polytechnic University,Ancona 60126,Italy [3]Department of Urology,Ng Teng Fong General Hospital,Singapore 609606,Singapore [4]Yong Loo Lin School of Medicine,National University of Singapore,Singapore 117597,Singapore [5]Department of Urology,Tel Aviv Sourasky Medical Center,Affiliated to the Sackler School of Medicine,Tel Aviv University,Tel Aviv 6423906,Israel [6]Department of Urology and Robotic Surgery,ICUA-Clínica CEMTRO,Madrid 28701,Spain [7]Urology Division,Akfa Medline Hospital,Tashkent 100211,Uzbekistan [8]Advanced Urology,Gleneagles Hospital,Singapore 258499,Singapore [9]Department of Urology,National University Hospital,Singapore 119228,Singapore [10]Divisionof Urology,Department of Surgery,University of Toronto,Ontario,Toronto M5G 2C4,Canada [11]Department of Urology,Mahatma Gandhi Mission’s Medical College and Hospital,Aurangabad 431003,India [12]Institute for Urology and Reproductive Health,Sechenov University,Moscow119435,Russian Federation [13]Department of Urologyand Andrology,Lomonosov Moscow State University,Moscow 119992,Russian Federation [14]Department of Urology,Sarvodaya Hospital and Research Centre,Faridabad,Haryana 121006,India [15]Department of Urology,Medical University of Vienna,Vienna 1090,Austria [16]Department of Urology,Saint-Petersburg State University Hospital,Saint-Petersburg 199034,Russian Federation [17]Department of Urology,Asian Institute of Nephrology and Urology,Hyderabad 500082,India [18]S.H.Ho UrologyCentre,Department of Surgery,Faculty of Medicine,The Chinese University of Hong Kong,Hong Kong 96H2+Q9,China [19]Department of Urology,University Hospitals Southampton NHS Trust,Southampton SO166YD,United Kingdom [20]Department of Urology,Cantonal Hospital Thurgau AG,Fraunfeld 8500,Switzerland

出　　处：《Asian Journal of Andrology》2024年第3期233-238,共6页亚洲男性学杂志（英文版）

摘　　要：We aim to evaluate the incidence of incontinence following laser endoscopic enucleation of the prostate(EEP)comparing en-bloc(Group 1)versus 2-lobe/3-lobe techniques(Group 2).We performed a retrospective review of patients undergoing EEP for benign prostaticenlargement in 12 centers between January 2020 and January 2022.Data were presented as median and interquartile range(IQR).Univariable and multivariable logistic regression analysis was performed to evaluate factors associated with stress urinary incontinence(SUI)and mixed urinary incontinence(MUI).There were 1711 patients in Group 1 and 3357 patients in Group 2.Patients in Group 2were significantly younger(68[62–73]years vs 69[63–74]years,P=0.002).Median(interquartile range)prostate volume(PV)wassimilar between the groups(70[52–92]ml in Group 1 vs 70[54–90]ml in Group 2,P=0.774).There was no difference in preoperativeInternational Prostate Symptom Score,quality of life,or maximum flow rate.Enucleation,morcellation,and total surgical time weresignificantly shorter in Group 1.Within 1 month,overall incontinence rate was 6.3%in Group 1 versus 5.3%in Group 2(P=0.12),and urge incontinence was significantly higher in Group 1(55.1%vs 37.3%in Group 2,P<0.001).After 3 months,the overall rate ofincontinence was 1.7%in Group 1 versus 2.3%in Group 2(P=0.06),and SUI was significantly higher in Group 2(55.6%vs 24.1%in Group 1,P=0.002).At multivariable analysis,PV and IPSS were factors significantly associated with higher odds of transient SUI/MUI.PV,surgical time,and no early apical release technique were factors associated with higher odds of persistent SUI/MUI.

关 键 词：benign prostatic hyperplasia en-bloc enucleation endoscopic enucleation of the prostate laser therapy stress urinaryincontinence urge urinary incontinence 

分 类 号：R699.8[医药卫生—泌尿科学]