Hypothesis / aims of study
Transient SUI can occur in 15-20 % of patients after HoLEP. Transient SUI can be a frustrating temporary outcome for patients undergoing HoLEP. We reviewed the charts of patients that had transient SUI post HoLEP and tried to identify factors that may lead to transient SUI. By identifying risk factors associated with transient SUI, we will be able to counsel our patients better and hopefully reduce their frustration level.
Study design, materials and methods
A retrospective review, from an IRB approved database, of all 515 patients that underwent a HoLEP at our institution between January 2012 and December 2017 was performed. Transient SUI after HoLEP was defined as any leakage of urine lasting up to 3 months post-operative date. Patients were stratified by gland size determined by transrectal ultrasound (TRUS) and whether they were catheter dependent. Catheter dependency was either clean intermittent catheterizations (CIC) or continuous urethral drainage catheter. Prostate gland size was either greater than 100 grams or less. Patients were seen for follow-up at 2 weeks, 6 weeks, and 3 months post-operative date. Univariate analysis was performed for baseline demographics.
Interpretation of results
The majority of patients with transient stress urinary incontinence fully recover their control of their bladder within the first 6 weeks. Patients with prostate sizes greater than 100 g and catheter dependent urinary retention have a higher risk of transient SUI.