Transient Urinary Incontinence After Holmium Laser Enucleation of the Prostate (HoLEP)
|ClinicalTrials.gov Identifier: NCT01108367|
Recruitment Status : Completed
First Posted : April 22, 2010
Last Update Posted : May 10, 2011
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:
- to investigate the incidence of transient de novo UI after HoLEP for BPH
- determine the predictors of early postoperative transient de novo UI.
|Condition or disease|
|Prostatic Hyperplasia Incontinence|
|Study Type :||Observational|
|Actual Enrollment :||204 participants|
|Official Title:||Predictor of Transient Urinary Incontinence Following Holmium Laser Enucleation of the Prostate|
|Study Start Date :||November 2009|
|Primary Completion Date :||March 2010|
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01108367
|Principal Investigator:||Min Chul Cho, M.D.||Seoul National University Hospital|
|Study Chair:||Jae-Seung Paick, M.D.,Ph.D.||Seoul National University Hospital|