Correlation between prostate volume and postoperative stress urinary incontinence after holmium laser enucleation of the prostate in the elderly benign prostatic hyperplasia patients
10.3760/cma.j.issn.1673-4904.2019.10.008
- VernacularTitle: 老年良性前列腺增生患者前列腺体积与经尿道钬激光前列腺剜除术后压力性尿失禁关系研究
- Author:
Huifeng BI
1
;
Zhongwen FENG
;
Xinrong NING
;
Kaifei CHEN
;
Bin ZHANG
;
Nan ZHENG
Author Information
1. Department of Urology, Grand Hospital of Jincheng, Shanxi Jincheng 048006, China
- Publication Type:Journal Article
- Keywords:
Prostatic hyperplasia;
Holmium laser;
Enucleation of the prostate;
Urinary incontinence
- From:
Chinese Journal of Postgraduates of Medicine
2019;42(10):896-899
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the relationship between prostate volume and postoperative stress urinary incontinence (SUI) in the elderly benign prostatic hyperplasia (BPH) patients following holmium laser enucleation of the prostate (HoLEP).
Methods:A retrospective analysis was performed on clinical data of 110 elderly (age ≥ 60 years) BPH patients who underwent HoLEP in Grand Hospital of Jincheng in Shanxi between 2014 and 2018. In these patients, preoperative transrectal ultrasonography revealed that the prostate volume was 21-198(74.53 ± 31.26) ml. According to prostate volume, the patients were allocated to large prostate volume group (prostate volume ≥ 80 ml), intermediate prostate volume group (40 ml < prostate volume < 80 ml) and small prostate volume group (prostate volume ≤ 40 ml). All patients underwent the HoLEP, the incidence of postoperative SUI was compared among the three groups after withdrawal of stenting catheters.
Results:After HoLEP, 74 patients were uneventful, while 36 patients experienced the postoperative SUI. No perpetual SUI patient was found after follow-up for 1 week to 6 months. The incidence of postoperative SUI after HoLEP was positively correlated with prostate volume (r=0.331, P < 0.05). The 36 elderly BPH patients with postoperative SUI accounted for 51.35%(19/37), 33.33% (12/36) and 13.51% (5/37), respectively in large, intermediate and small prostate volume groups, with statistically significant difference among three groups after Kruskal-Walls test (χ2= 11.930, P < 0.05).
Conclusions:The incidence of postoperative stress urinary incontinence after HoLEP of the prostate is positively correlated with prostate volume in the elderly BPH patients.
