Predictors of de novo urge urinary incontinence after photoselective vaporization of the prostate

Bae, Jun Ho; Kang, Hyoun Woo; Lee, Hae Won; Lee, Kwang Soo; Cho, Min Chul

doi:10.1007/s00345-015-1635-z

Cited by 9 publications

(2 citation statements)

References 16 publications

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“…7,8,14 A recent study of Bae has shown that elderly patients with a higher baseline total overactive bladder symptom score, higher baseline storage symptom score, shorter time to Qmax, smaller bladder volume at first desire to void, and smaller maximum cystometric capacity on baseline urodynamics are more prone to develop transient incontinence. 21 No serious fatal complications occurred after 6-24 months of follow-up.…”

Section: Discussionmentioning

confidence: 87%

GreenLight XPS 180-W Laser Vaporization of Prostate in High-Risk Elderly Patients: A Single-Center Experience

Liu

Yuan

Xue

2020

Photobiomodulation, Photomedicine, and Laser Surgery

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Purpose: To evaluate the safety and efficacy of GreenLight XPS 180-W laser photoselective vaporization of the prostate (PVP) in high-risk elderly patients with benign prostatic hyperplasia. Materials and methods: This retrospective study included 150 elderly patients with enlarged prostate glands (>40 mL) receiving 180-W photoselective vaporization at our department between January 2016 and October 2018. All patients were of advanced age (>80 years) and included those at higher risk of bleeding and cardiopulmonary disease. Perioperative data were collected and analyzed. Results: All operations were completed uneventfully without conversion to open surgery, and nobody died due to postoperative complications. The mean preoperative prostate volume was 65 -12.5 mL, mean operative time was 63 -12.5 min, mean laser working time was 51 -9.2 min, and mean catheterization time was 2.7 -1.8 days. There were significant improvements in International Prostate Symptom Scores, quality of life, maximum flow rate, and postvoid residual volume compared with preoperative values. Intraoperative as well as short-and longterm postoperative complication rates were 0.7%, 29.8%, and 13.3%, respectively. Three patients required rehospitalization for postoperative complications, one needed reoperation, and the others recovered after conservative treatment. Conclusions: PVP with a GreenLight XPS 180-W laser in high-risk elderly patients is safe and feasible. It provides a dramatic improvement in both short-and long-term functional outcomes and deserves promotion.

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Section: Discussionmentioning

confidence: 87%

GreenLight XPS 180-W Laser Vaporization of Prostate in High-Risk Elderly Patients: A Single-Center Experience

Liu

Yuan

Xue

2020

Photobiomodulation, Photomedicine, and Laser Surgery

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“…Age is an established risk factor for SUI at 1, 3, and 12 months after robot-assisted RP [ 12 ]. Similarly, increasing age is positively correlated with the occurrence of transient UI or SUI in transurethral vaporization of the prostate (TUVP), transurethral enucleation with bipolar (TUEB), or HoLEP [ 4 , 7 , 14 ]. Elevated BMI and enlarged prostate volume are also linked with postoperative SUI [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Development and validation of a nomogram for predicting early stress urinary incontinence following endoscopic enucleation of the prostate

Huang

et al. 2021

World J Urol

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Purpose To develop and validate a predictive nomogram for early stress urinary incontinence (SUI) after endoscopic enucleation of the prostate (EEP) in patients with benign prostatic hyperplasia (BPH). Methods The records of 458 patients who underwent plasmakinetic- or diode-based EEP at our center from March 2016 to December 2019 were reviewed. Among these, 326 and 132 cases were randomly assigned to the training and validation set, respectively. A predictive nomogram was constructed based on multivariate logistic regression analysis. Receiver operating characteristic (ROC) analysis and calibration curves were employed to evaluate its performance. Results 65 years ≤ age < 70 years, 75 years ≤ age, 25 kg/m2 ≤ BMI < 30 kg/m2, 30 kg/m2 ≤ BMI, 5 years ≤ LUTS duration, and 75 ml ≤ prostate volume were finally selected as independent predictors of early SUI into the multivariate logistics regression model. It was visualized as a concise nomogram with satisfactory discrimination and accuracy in both training and validation sets. Conclusions A concise nomogram was developed and validated as a useful clinical tool for predicting early SUI post-EEP.

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Meta-analysis of prognostic factors related to early urinary incontinence following new transurethral procedures dominated by laser therapy for benign prostatic hyperplasia

Jiang

Liu

2022

Lasers Med Sci

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Predictors of de novo urge urinary incontinence after photoselective vaporization of the prostate

Cited by 9 publications

References 16 publications

GreenLight XPS 180-W Laser Vaporization of Prostate in High-Risk Elderly Patients: A Single-Center Experience

GreenLight XPS 180-W Laser Vaporization of Prostate in High-Risk Elderly Patients: A Single-Center Experience

Development and validation of a nomogram for predicting early stress urinary incontinence following endoscopic enucleation of the prostate

Meta-analysis of prognostic factors related to early urinary incontinence following new transurethral procedures dominated by laser therapy for benign prostatic hyperplasia

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