Analysis Of Influencing Factors Of Urinary Incontinence After Holmium Laser Enucleation Of Prostate

Objective:To study the perioperative data of benign prostatic hyperplasia(BPH)patients undergoing holmium enucleation of the prostate(HoLEP),to compare the differences between the group without postoperative urinary incontinence and the group with postoperative urinary incontinence(UI),and to discuss the influencing factors of postoperative UI after HoLEP,so as to provide reference for clinical work.Methods:A retrospective analysis of the Nanchong Central Hospital in March 2018 to January 2020 lines of HoLEP 279 cases of BPH patients,the postoperative urinary incontinence of 235 cases and not occurring in urine incontinence comparing 24 patients were divided into two groups,the possible influence HoLEP risk factors for postoperative urinary incontinence logistics single factor and multiple factors regression analysis.Results:Among the 259 patients included in the study,24 cases(9.3%)developed urinary incontinence after surgery.Univariate analysis showed that age,diabetes,prostate size,operation time and detrusor pressure were the main factors affecting postoperative urinary incontinence.Preoperative acute urinary retention,urinary tract infection,body mass index(BMI),maximum flow rate(Qmax),international prostate symptoms score(IPSS),prostate specific antigen(PSA),catheter indwelling time and postoperative hospitalization time were not significantly different between the two groups(P<0.05).Further multivariate analysis showed that age,diabetes,prostate volume and detritus pressure were independent risk factors for postoperative urinary incontinence(P<0.05).Conclusion:HoLEP is effective in improving postoperative urination in patients with BPH,but some patients may develop urinary incontinence.Among them,BPH patients with advanced age,diabetes,large prostate volume and high detritus pressure are at higher risk of postoperative urinary incontinence.It is suggested to actively control the above influencing factors to reduce postoperative urinary incontinence.