Eur Rev Med Pharmacol Sci 2024; 28 (6): 2396-2402
DOI: 10.26355/eurrev_202403_35746

Comparison of urinary incontinence following three different prostate apex disconnection techniques in transurethral thulium laser prostatectomy

X.-B. Meng, Y. Li, Z.-H. Gao, C.-J. Wang, Y.-M. Gu

Department of Urology, Peking University First Hospital – MiYun Hospital, Beijing, China. gymmiyun@126.com


OBJECTIVE: This study investigates the incidence of urinary incontinence following transurethral thulium laser prostatectomy with three different prostate apex disconnection techniques: semi-separation, pre-separation, and post-separation. The findings aim to provide references for clinical treatment.

PATIENTS AND METHODS: A retrospective analysis was conducted on 74 patients treated with transurethral thulium laser prostatectomy for prostatic hyperplasia from April 2022 to March 2023. Complete clinical and follow-up data were available for 52 patients. Clinical and follow-up data were collected for these patients. A comparison was made of urinary incontinence following the three different types of prostate apex disconnection in transurethral thulium laser prostatectomy.

RESULTS: In this study, the immediate postoperative urinary incontinence rate for transurethral thulium laser prostatectomy was 9.62% (5/52), the short-term incontinence rate was 11.54% (5/52), and the long-term incontinence rate was 9.62% (5/52). The immediate postoperative incontinence rates for semi-separation, pre-separation, and post-

separation were 8.33% (1/12), 8.33% (2/24), and 12.5% (2/16), respectively. The short-term incontinence rates for semi-separation, pre-separation, and post-separation were 8.33% (1/12), 8.33% (2/24), and 18.75% (3/16), respectively. The long-term incontinence rates for semi-separation, pre-separation, and post-separation were 8.33% (1/12), 8.33% (2/24), and 12.5% (2/16), respectively.

CONCLUSIONS: The incidence of urinary incontinence following transurethral thulium laser prostatectomy was lower with semi-separation and pre-separation compared to post-separation.

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To cite this article

X.-B. Meng, Y. Li, Z.-H. Gao, C.-J. Wang, Y.-M. Gu
Comparison of urinary incontinence following three different prostate apex disconnection techniques in transurethral thulium laser prostatectomy

Eur Rev Med Pharmacol Sci
Year: 2024
Vol. 28 - N. 6
Pages: 2396-2402
DOI: 10.26355/eurrev_202403_35746