Effect of bladder neck preservation during transurethral thulium laser enucleation of the prostate on stress urinary incontinence and retrograde ejaculation
10.13263/j.cnki.nja.2025.10.005
- VernacularTitle:经尿道铥激光前列腺剜除术保留膀胱颈对患者术后压力性尿失禁及逆行射精的影响
- Author:
Qi ZHANG
1
;
Guobin WENG
1
;
Xuping YAO
1
;
Gang WANG
1
;
Jianjun HUANG
1
Author Information
1. 宁波市鄞州区第二医院泌尿外科,浙江宁波 315100
- Publication Type:Journal Article
- Keywords:
transurethral thulium laser enucleation of prostate;
stress urinary incontinence;
retrograde ejaculation
- From:
National Journal of Andrology
2025;31(10):891-896
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of bladder neck preservation on postoperative stress urinary inconti-nence and retrograde ejaculation in patients undergoing transurethral thulium laser enucleation of the prostate(ThuLEP).Methods The clinical data of 203 patients who underwent ThuLEP in our hospital from September 2021 to December 2023 were retrospectively analyzed.According to the operation method,the patients were divided into bladder neck preservation group(n=95)and non-bladder neck preservation group(n=108).The occurrence of postoperative stress urinary inconti-nence and retrograde ejaculation of the two groups were compared.Results The differences between the patients of two groups in operative time(110[80,130]min vs 110[90,140]min),hospital stay(8[8,8]d vs 8[8,8]d),in-dwelling catheter time(7[7,7]h vs 7[7,7]h),and hemoglobin decline(9[6,14]g/L vs 8[4,13]g/L)were not statistically significant(P＞0.05).There were no statistically significant differences between the two groups at 3 months postoperatively in maximum flow rate(20[18,21]mL/s vs 19[18,20]mL/s),scores of International Prostate Symp-tom Scale(5[4,6]vs 5[4,5]),post-void residual urine volume(0[0,8]mL vs 0[0,7.5]mL)and quality of life(2[1,3]vs 2[1,3])(P＞0.05).The differences in the rates of postoperative stress urinary incontinence(2.1％vs 9.3％)and retrograde ejaculation(49.4％vs 74.5％)between the two groups were statistically significant(P＜0.05).Conclusion Bladder neck preservation during ThuLEP reduces the incidence of postoperative stress urinary incontinence and retrograde ejaculation.
