Data from Mayo Clinic Provide New Insights into Urinary Incontinence (The Impact of External Sphincter Grading After Early Apical Release Holmium Laser Enucleation of the Prostate On Postoperative Stress Urinary Incontinence).

A study conducted at the Mayo Clinic in Phoenix, Arizona, examined the impact of a surgical technique called early apical release (EAR) on postoperative stress urinary incontinence (SUI) in patients who underwent Holmium Laser Enucleation of the Prostate (HoLEP) for benign prostatic hyperplasia. The study proposed a novel classification of the external sphincter appearance after HoLEP, graded from 0 (best preserved) to 3 (most degraded). The results showed that lower sphincter grades were associated with improved return of continence after EAR HoLEP. This research provides new insights into the management of SUI in patients undergoing HoLEP. [Extracted from the article]