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Factors Affecting De Novo Urinary Retention after Holmium Laser Enucleation of the Prostate

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  • Sung Han Kim
  • Changwon Yoo
  • Minsoo Choo
  • Jae-Seung Paick
  • Seung-June Oh

Abstract

Objective: Patients can experience urinary retention (UR) after Holmium laser enucleation of the prostate (HoLEP) that requires bladder distension during the procedure. The aim of this retrospective study is to identify factors affecting the UR after HoLEP. Materials and Methods: 336 patients, which underwent HoLEP for a symptomatic benign prostatic hyperplasia between July 2008 and March 2012, were included in this study. Urethral catheters were routinely removed one or two days after surgery. UR was defined as the need for an indwelling catheter placement following a failure to void after catheter removal. Demographic and clinical parameters were compared between the UR (n = 37) and the non-urinary retention (non-UR; n = 299) groups. Results: The mean age of patients was 68.3 (±6.5) years and the mean operative time was 75.3 (±37.4) min. Thirty seven patients (11.0%) experienced a postoperative UR. UR patients voided catheter free an average of 1.9 (±1.7) days after UR. With regard to the causes of UR, 24 (7.1%) and 13 (3.9%) patients experienced a blood clot-related UR and a non-clot related UR respectively. Using multivariate analysis (p 0.05). Conclusions: De novo UR after HoLEP was found to be self-limited and it was not related to learning curve, patient age, diabetes, or operative time. Efficient morcellation and careful control of bleeding, which reduces clot formation, decrease the risk of UR after HoLEP.

Suggested Citation

  • Sung Han Kim & Changwon Yoo & Minsoo Choo & Jae-Seung Paick & Seung-June Oh, 2014. "Factors Affecting De Novo Urinary Retention after Holmium Laser Enucleation of the Prostate," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-5, January.
    • Handle: RePEc:plo:pone00:0084938
    DOI: 10.1371/journal.pone.0084938
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    Cited by:

    1. Sheng Li & Xian-Tao Zeng & Xiao-Lan Ruan & Hong Weng & Tong-Zu Liu & Xiao Wang & Chao Zhang & Zhe Meng & Xing-Huan Wang, 2014. "Holmium Laser Enucleation versus Transurethral Resection in Patients with Benign Prostate Hyperplasia: An Updated Systematic Review with Meta-Analysis and Trial Sequential Analysis," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-14, July.

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