Transient Urinary Incontinence After Holmium Laser Enucleation of the Prostate (HoLEP)

This study has been completed.
Sponsor:
Information provided by:
Seoul National University Hospital
ClinicalTrials.gov Identifier:
NCT01108367
First received: April 20, 2010
Last updated: May 9, 2011
Last verified: May 2011

April 20, 2010
May 9, 2011
November 2009
March 2010   (final data collection date for primary outcome measure)
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Complete list of historical versions of study NCT01108367 on ClinicalTrials.gov Archive Site
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Transient Urinary Incontinence After Holmium Laser Enucleation of the Prostate (HoLEP)
Predictor of Transient Urinary Incontinence Following Holmium Laser Enucleation of the Prostate

In men, urinary incontinence (UI) is relatively uncommon, and usually associated with some forms of prostate surgery. Thus, one of the risks of surgery for benign prostate hyperplasia (BPH) is postoperative UI. The guidelines of the American Urological Association for BPH treatment indicate that UI (2~5%) is relevant complications after transurethral prostatectomy (TURP). Rassweiler et al., based on a review of publications stated that early UI may occur in up to 30-40% of patients after TURP. Rigatti et al. reported that early postoperative urgency UI occurred in 38.6% (TURP) and 44% (holmium laser enucleation of the prostate; HoLEP) of surgically treated patients at 1-month after the surgery. Recently, the follow-up data for patients treated with HoLEP showed that transient stress UI developed in up to 44% after HoLEP. Although this alternative surgical treatment such as HoLEP can be performed safely with minimal complications, patients often face debilitating UI during the postoperative period before any improvement in micturition parameters occurs. Although this symptom ameliorates within a relatively short time, it usually cause significant stress and anxiety to the patient as far as their durations is concerned. In addition to its economic cost, UI is a distressing condition that has major impacts on a patient's quality of life. Social withdrawal, isolation, and depression occur in some patients.

Because this problem is usually temporary, there has been little attempt at addressing the issue. Therefore, there has been no research devoted specifically to transient de novo UI associated with HoLEP.

1. The aim of the present study was following:

  1. to investigate the incidence of transient de novo UI after HoLEP for BPH
  2. determine the predictors of early postoperative transient de novo UI.
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Observational
Observational Model: Cohort
Time Perspective: Retrospective
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Non-Probability Sample

men who underwent HoLEP for lower urinary tract symptoms (LUTS) with BPH refractory to alpha blocker medication

  • Prostatic Hyperplasia
  • Incontinence
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Cho MC, Park JH, Jeong MS, Yi JS, Ku JH, Oh SJ, Kim SW, Paick JS. Predictor of de novo urinary incontinence following holmium laser enucleation of the prostate. Neurourol Urodyn. 2011 Apr 28; [Epub ahead of print]

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
204
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March 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • age older than 50 years
  • presence of moderate or severe LUTS (International Prostate Symptom Score [IPSS] greater than 8)or maximum flow rate of less than 10 mL/s

Exclusion Criteria:

  • previous prostate surgery
  • urethral stricture
  • prostate carcinoma
  • neurogenic bladder disease
Male
50 Years and older
No
Contact information is only displayed when the study is recruiting subjects
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NCT01108367
HoLEPUI
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Jae-Seung Paick/M.D.,Ph.D., Seoul National University Hospital
Seoul National University Hospital
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Principal Investigator: Min Chul Cho, M.D. Seoul National University Hospital
Study Chair: Jae-Seung Paick, M.D.,Ph.D. Seoul National University Hospital
Seoul National University Hospital
May 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP