医学
剜除术
尿失禁
围手术期
国际前列腺症状评分
解剖(医学)
前瞻性队列研究
逻辑回归
前列腺切除术
外科
下尿路症状
前列腺
泌尿科
内科学
癌症
作者
Shao‐Wei Wu,Chi‐Shin Tseng,Lun‐Hsiang Yuan,Yu‐Wen Huang,Yi‐Jhou Chen,Ming‐Chieh Kuo,Shih‐Chieh Chueh,Shi‐Wei Huang
出处
期刊:BJUI
[Wiley]
日期:2024-07-19
卷期号:134 (5): 818-825
被引量:1
摘要
Objective To investigate the clinical trajectories and identify risk factors linked to post‐enucleation urinary incontinence (UI). Patients and Methods In this prospective study (April 2020 to March 2022) at a single institution, 316 consecutive patients receiving endoscopic enucleation due to benign prostatic enlargement were included. Patient information and perioperative details were collected. Follow‐ups, from 1 to 6 months, assessed postoperative UI using International Consultation on Incontinence Questionnaire–Urinary Incontinence Short Form and a four‐item pad questionnaire, classified per International Continence Society definitions. Logistic regression analysed predictors at 1 week, while generalised estimating equation assessed risk factors from 1 to 3 months postoperatively. Results Patients with a median prostate volume of 57 mL underwent enucleation, with 22.5% experiencing postoperative UI at 1 week, 5.6% at 3 months, decreasing to 1.9% at 6 months. Multivariable analysis identified age (>80 years), specimen weight (>70 g), en bloc with anteroposterior dissection, and anal tone (Digital Rectal Examination Scoring System score <3) as potential factors influencing UI. Subgroup analysis revealed that specimen weight was associated with both continuous and stress UI. Anal tone was related to both other types and stress UI, while overactive bladder symptoms were associated with urge UI. Conclusion In summary, our study elucidates transient risk factors contributing to temporary post‐enucleation UI after prostatectomy. Informed decisions and personalised interventions can effectively alleviate concerns regarding postoperative UI.
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