In a nutshell
This study assessed the risk factors for urinary incontinence (UI – loss of bladder control) after transurethral enucleation with bipolar (TUEB – a type of prostate surgery). The study found that older age and larger prostate volume were risk factors for UI.
Some background
TUEB is a type of prostate surgery used to shrink enlarged prostates in patients with benign prostatic hyperplasia (BPH). Surgery is associated with side effects such as UI. It is necessary to assess risk factors for UI after surgery to help avoid these side effects.
Methods & findings
The records of 584 patients who had TUEB for BPH were studied. Rates of UI were measured over 24 months.
17.3% had UI 1 week after surgery. This reduced to 13.5% after 1 month, 3.1% after 3 months, 0.41% at 6 months and no patients had UI after TUEB surgery at 12 months.
Age and prostate volume were found to be risk factors for UI after surgery in these patients.
The bottom line
The study concluded that age and prostate size were independent risk factors for UI after TUEB surgery to treat BPH.
The fine print
This was a retrospective study (looking back at old data) so continued follow-up could not be done.
What’s next?
Discuss age and prostate size in detail with your doctor before this surgery.
Published By :
International journal of urology : official journal of the Japanese Urological Association
Date :
Oct 03, 2017
