PHILADELPHIA—Most men who experience transient stress urinary incontinence (SUI) following holmium laser enucleation of the prostate (HoLEP) recover full bladder control within the first 6 weeks after the procedure, according to study findings presented at the International Continence Society’s 2018 annual meeting.
In addition, the study identified prostate size larger than 100 g and catheter dependency prior to HoLEP, and longer operative time as risk factors for transient SUI.
A retrospective review of 515 patients who underwent HoLEP showed that 53 (10.3%) experienced transient SUI, Jenny Guo, BS, and colleagues at Sidney Kimmel Medical College at Thomas Jefferson University in Philadelphia, reported. Transient SUI resolved within the first 6 weeks post-operatively in 47 (88.6%) of these patients and within 6 week to 3 months in 6 patients (11.3%).
Transurethral ultrasound imaging was performed on 330 of the 515 patients. Of the 330 patients, 123 (37.3%) had a prostate size larger than 100 g. In addition, 86% of patients with transient SUI had larger-than-normal prostates.
Prostates larger than 100 grams were present in 84.8% of men whose transient SUI resolved within 6 weeks and in all patients whose transient SUI resolved within 6 weeks to 3 months.
Among the 53 patients with transient SUI, 38 (71.6%) were catheter dependent prior to HoLEP. Mean operative time was significant longer among those who experienced transient SUI than those who did not (145 vs 108 minutes).
Guo J, Teplitsky S, Syed A, et al. Transient stress urinary incontinence (SUI) post holmium laser enucleation of the prostate (HoLEP). Data presented at the International Continence Society’s 2018 annual meeting in Philadelphia, August 28–31. Abstract 161.