Predictors of urgency improvement after Holmium laser enucleation of the prostate in men with benign prostatic hyperplasia

Investigative and Clinical Urology

卷:57

Sang Hoon Kim¹  Su Yeon Cho¹  Won Sok Hur¹  Joon Chul Kim¹  Kang Jun Cho¹  Jun Sung Koh¹  Hyo Sin Kim¹  Hyun Woo Kim¹ 

[1] The Catholic University of Korea;

关键词: Holmium;    Laser therapy;    Overactive urinary bladder;    Prostatic hyperplasia;   

DOI  :  10.4111/icu.2016.57.6.431

来源: DOAJ

【 摘 要 】

Purpose: To investigate the change in urinary urgency and predictors of urgency improvement after holmium laser enucleation ofthe 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 andhad preoperative urgency measuring ≥3 on a 5-point urinary sensation scale. Those with prostate cancer diagnosed prior to orafter HoLEP, a history of other prostatic and/or urethral surgery, moderate to severe postoperative complications, and neurogeniccauses were excluded. Patients who had improved urgency with antimuscarinic medication after HoLEP were excluded. We dividedthe patients into 2 groups based on urgency symptoms 3 months after HoLEP: improved and unimproved urgency. Improved urgencywas defined as a reduction of 2 or more points on the 5-point urinary sensation scale. Preoperative clinical and urodynamicfactors 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 urinaryretention (AUR) and postvoid residual were associated with postoperative urgency improvement in univariate analysis. In multivariateanalysis, 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.

【 授权许可】

Unknown