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

• DOI: 10.4103/aja202375
• Publication Date: 2024-01-23T05:01:27Z
• Authors: Daniele Castellani; Vineet Gauhar; Khi Yung Fong; Mario Sofer; Moisés Rodríguez ...; Azimdjon N Tursun...; Lie Kwok Ying; Sarvajit Biligere; Ho Yee Tiong; Dean Elterman; Abhay Mahajan; Mark Taratkin; Sorokin Nikolai I...; Tanuj Pal Bhatia; Dmitry Enikeev; Nariman Gadzhiev; Mohammed Taif Ben...; Jeremy Yuen-Chun ...; Marco Dellabella; Fernando Gómez Sa...; Bhaskar Kumar Somani; Thomas Reinhard W...
• Keywords: Interquartile range

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