PREDICTORS OF EARLY POST-OPERATIVE TRANSIENT URINARY INCONTINENCE AFTER HOLMIUM LASER ENUCLEATION OF PROSTATE

SOMESH TRIPATHI; PRIYA DIXIT

doi:10.22159/ajpcr.2022.v15i9.45049

Authors

SOMESH TRIPATHI Department of General Surgery, Rani Durgavati Medical College, Banda, Uttar Pradesh, India.
PRIYA DIXIT Department of Anesthesia, Rani Durgavati Medical College, Banda, Uttar Pradesh, India.

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i9.45049

Keywords:

Risk factors, Urinary incontinence, Benign prostatic hypertrophy, Complication

Abstract

Objective: Despite having various benefits, post-operative transient urine incontinence (TUI) is a significant consequence of holmium laser prostate enucleation (HoLEP) in a small percentage of patients. To manage benign prostatic hypertrophy, it is critical to establish predictive risk factors of early postoperative TUI after HoLEP.

Methods: One hundred participants participated in this hospital-based study over the course of 15 months in a tertiary care facility in Mohali and Punjab. All indoor benign prostatic hyperplasia patients who underwent HoLEP treatment from a single surgeon and were monitored for at least 3 months after the procedure made up the study population. Clinical information that was deemed pertinent was recorded.

Results: The study’s participants had an average age of 68.54 +/− 7.72 years. Patients who had experienced acute urine retention made up 48% of the population. Mean prostate size and mean International Prostate Symptom Score (IPSS) were 64.19 ml and 28.35 ml, respectively, preoperatively. Diabetes mellitus, prostate volume (>58 cc), overall operation time (>131 min), enucleated prostate volume (42 g), total energy used (>154 kJ), and percentage decrease in prostate-specific antigen (60%) were all substantially linked to post-operative TUI. Total energy was found to be a predictor for post-operative TUI in multivariate analysis.

Conclusion: The following factors were discovered to be statistically linked with postoperative TUI: Diabetes mellitus, prostate volume (>58 cc), total operation time (>131 min), enucleated prostate volume (42 g), total energy used (>154 kJ), and reduction in Prostate Specific Antigen (60%) Multivariate research revealed that the only independent predictor for post-operative TUI was total energy consumed.

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Author Biographies

SOMESH TRIPATHI, Department of General Surgery, Rani Durgavati Medical College, Banda, Uttar Pradesh, India.

Assistant Professor, Department of General Surgery, Rani Durgawati Medical College, Banda, Uttar Pradesh

PRIYA DIXIT, Department of Anesthesia, Rani Durgavati Medical College, Banda, Uttar Pradesh, India.

Assistant Professor, Department of Anaesthesia, Rani Durgawati Medical College, Banda, Uttar Pradesh

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