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Predictors of urgency improvement after Holmium laser enucleation of the prostate in men with benign prostatic hyperplasia
- Source :
- Investigative and Clinical Urology, Investigative and Clinical Urology, Vol 57, Iss 6, Pp 431-436 (2016)
- Publication Year :
- 2016
- Publisher :
- The Korean Urological Association, 2016.
-
Abstract
- Purpose To investigate the change in urinary urgency and predictors of urgency improvement after holmium laser enucleation of the prostate (HoLEP) in men with benign prostatic hyperplasia (BPH). Materials and methods We retrospectively analyzed the medical records of patients who were treated with HoLEP for BPH and had preoperative urgency measuring ≥3 on a 5-point urinary sensation scale. Those with prostate cancer diagnosed prior to or after HoLEP, a history of other prostatic and/or urethral surgery, moderate to severe postoperative complications, and neurogenic causes were excluded. Patients who had improved urgency with antimuscarinic medication after HoLEP were excluded. We divided the patients into 2 groups based on urgency symptoms 3 months after HoLEP: improved and unimproved urgency. Improved urgency was defined as a reduction of 2 or more points on the 5-point urinary sensation scale. Preoperative clinical and urodynamic factors as well as perioperative factors were compared between groups. Results In total, 139 patients were included in this study. Voiding parameters in all patients improved significantly after HoLEP. Seventy-one patients (51.1%) had improved urgency, while 68 (48.9%) did not show any improvement. A history of acute urinary retention (AUR) and postvoid residual were associated with postoperative urgency improvement in univariate analysis. In multivariate analysis, a history of AUR was an independent factor affecting urgency improvement. Conclusions A preoperative history of AUR could influence the change in urgency after HoLEP surgery in patients with BPH.
- Subjects :
- Male
medicine.medical_specialty
Urinary urgency
Psychometrics
Urology
Urinary system
030232 urology & nephrology
Lower Urinary Tract Dysfunction
Prostatic Hyperplasia
Lasers, Solid-State
Holmium
Laser therapy
Overactive urinary bladder
Prostatic hyperplasia
lcsh:RC870-923
Severity of Illness Index
03 medical and health sciences
Prostate cancer
0302 clinical medicine
Prostate
Medicine
Humans
Aged
Retrospective Studies
Univariate analysis
030219 obstetrics & reproductive medicine
business.industry
Urinary retention
Urinary Bladder, Overactive
Retrospective cohort study
Perioperative
Middle Aged
Urinary Retention
medicine.disease
lcsh:Diseases of the genitourinary system. Urology
Prognosis
Urodynamics
medicine.anatomical_structure
Treatment Outcome
Quality of Life
Original Article
medicine.symptom
business
Subjects
Details
- Language :
- English
- ISSN :
- 2466054X and 24660493
- Volume :
- 57
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Investigative and Clinical Urology
- Accession number :
- edsair.doi.dedup.....8f4756af41ba82dc9a8ffbc33b9900db