Effect of inverted-Y urethral function-preserving holmium laser enucleation of the prostate on postoperative urinary incontinence.
- Author:
Jin-Zhuo NING
1
;
Jin-Runo WANG
1
;
Fan CHENG
1
;
Hao-Yong LI
1
Author Information
1. Department of Urology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, China.
- Publication Type:Journal Article
- Keywords:
holmium laser enucleation of the prostate;
benign prostatic hyperplasia;
stress urinary incontinence;
urethral
- MeSH:
Humans;
Male;
Retrospective Studies;
Lasers, Solid-State/therapeutic use*;
Prostatic Hyperplasia/surgery*;
Urethra/surgery*;
Postoperative Complications/prevention & control*;
Urinary Incontinence, Stress/etiology*;
Prostatectomy/adverse effects*;
Aged;
Urinary Incontinence;
Prostate/surgery*
- From:
National Journal of Andrology
2025;31(1):45-49
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the effect of inverted-Y urethral function-preserving holmium laser enucleation of the prostate (HoLEP) on stress urinary incontinence after surgery in patients with BPH.
METHODS:We retrospectively analyzed the clinical data on 109 cases of BPH treated in our hospital from June 2022 to May 2023 by traditional HoLEP with preservation of the apical prostatic urethral valve (group A, n = 52) or inverted-Y urethral function-preserving HoLEP (group B, n = 57). We recorded the intra- and post-operative parameters, evaluated the urinary incontinence status and post-void symptoms according to the International Continence Society standards, and analyzed the effect of inverted-Y versus traditional HoLEP in improving the postoperative urinary incontinence of the patients.
RESULTS:The incidence rate of stress urinary incontinence after catheter removal was significantly lower in group B than in A (10.52% vs 26.92%, P = 0.027), and so was it at 2 weeks after surgery (1.75% vs 11.54%, P = 0.037), and at 1 month postoperatively (0% vs 7.69%, P = 0.033).
CONCLUSION:For the treatment of BPH, inverted-Y urethral function-preserving HoLEP is superior to traditional HoLEP with preservation of the apical prostatic urethral valve in improving stress urinary incontinence after surgery.
