[Urinary incontinence after HOLEP: Incidence, evolution and predictive factors]

Area of Science:

• Urology
• Surgical Innovation
• Patient Outcomes

Background:

• Benign prostatic hypertrophy (BPH) is a common condition requiring surgical intervention.
• Holmium Laser Enucleation of the Prostate (HoLEP) is an effective BPH treatment.
• Early morbidity, particularly urinary incontinence, after HoLEP requires further investigation.

Purpose of the Study:

• To assess early morbidity following HoLEP surgery.
• To specifically evaluate the incidence, types, and evolution of urinary incontinence post-HoLEP.
• To identify predictive factors for postoperative urinary incontinence.

Main Methods:

• An observational, analytical, retrospective, monocentric study was conducted.
• 171 patients undergoing HoLEP for BPH between November 2015 and January 2017 were included.
• Data collection included pre-, peri-, and postoperative parameters with a 6-month follow-up.

Main Results:

• 14.6% of patients experienced complications (Clavien-Dindo classification).
• Urinary incontinence was present in 42.7% at 1 month, predominantly stress incontinence (86.1%).
• At 6 months, 32.7% remained incontinent; delivered energy and preoperative IIEF5 score predicted stress incontinence.

Conclusions:

• Urinary incontinence is a notable early complication after HoLEP.
• The surgical technique may influence incontinence rates.
• Informing patients about the risk of postoperative incontinence is essential.