Effect of inverted-Y urethral function-preserving holmium laser enucleation of the prostate on postoperative urinary incontinence
NING Jin-zhuo
WANG Jin-run
CHENG Fan
LI Hao-yong
Abstract：Objective:To investigate the effect of inverted-Y urethral function-preserving holmium laser enucleation of the prostate(HoLEP)on stress urinary incontinence after surgery in patients with BPH.Methods:We retrospectively analyzed the clin-ical data on 109 cases of BPH treated in our hospital from June 2022 to May 2023 by traditional HoLEP with preservation of the apical prostatic urethral valve(group A,n=52)or inverted-Y urethral function-preserving HoLEP(group B,n=57).We recorded the intra-and post-operative parameters,evaluated the urinary incontinence status and post-void symptoms according to the International Continence Society standards,and analyzed the effect of inverted-Y versus traditional HoLEP in improving the postoperative urinary in-continence of the patients.Results:The incidence rate of stress urinary incontinence after catheter removal was significantly lower in group B than in A(10.52％vs 26.92％,P=0.027),and so was it at 2 weeks after surgery(1.75％vs 11.54％,P=0.037),and at 1 month postoperatively(0％vs 7.69％,P=0.033).Conclusion:For the treatment of BPH,inverted-Y urethral function-preserving HoLEP is superior to traditional HoLEP with preservation of the apical prostatic urethral valve in improving stress urinary in-continence after surgery.
Keywords：holmium laser enucleation of the prostatebenign prostatic hyperplasiastress urinary incontinenceurethral sphincter
Publication Date：2025-01-19
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 45-49 )