Department of Urology, Peking University First Hospital - MiYun Hospital, Beijing, China.
Eur Rev Med Pharmacol Sci. 2024 Mar;28(6):2396-2402. doi: 10.26355/eurrev_202403_35746.
This study investigates the incidence of urinary incontinence following transurethral thulium laser prostatectomy with three different prostate apex disconnection techniques: semi-separation, pre-separation, and post-separation. The findings aim to provide references for clinical treatment.
A retrospective analysis was conducted on 74 patients treated with transurethral thulium laser prostatectomy for prostatic hyperplasia from April 2022 to March 2023. Complete clinical and follow-up data were available for 52 patients. Clinical and follow-up data were collected for these patients. A comparison was made of urinary incontinence following the three different types of prostate apex disconnection in transurethral thulium laser prostatectomy.
In this study, the immediate postoperative urinary incontinence rate for transurethral thulium laser prostatectomy was 9.62% (5/52), the short-term incontinence rate was 11.54% (5/52), and the long-term incontinence rate was 9.62% (5/52). The immediate postoperative incontinence rates for semi-separation, pre-separation, and post- separation were 8.33% (1/12), 8.33% (2/24), and 12.5% (2/16), respectively. The short-term incontinence rates for semi-separation, pre-separation, and post-separation were 8.33% (1/12), 8.33% (2/24), and 18.75% (3/16), respectively. The long-term incontinence rates for semi-separation, pre-separation, and post-separation were 8.33% (1/12), 8.33% (2/24), and 12.5% (2/16), respectively.
The incidence of urinary incontinence following transurethral thulium laser prostatectomy was lower with semi-separation and pre-separation compared to post-separation.
本研究旨在探讨经尿道铥激光前列腺切除术（transurethral thulium laser prostatectomy，TULP）三种不同前列腺尖部离断技术（半离断、预离断和后离断）后尿失禁的发生率，为临床治疗提供参考。
回顾性分析 2022 年 4 月至 2023 年 3 月采用经尿道铥激光前列腺切除术治疗前列腺增生的 74 例患者的临床资料，其中 52 例患者获得完整的临床及随访资料。收集患者的临床及随访资料，比较经尿道铥激光前列腺切除术中三种不同前列腺尖部离断方式术后尿失禁的发生情况。
本研究中，经尿道铥激光前列腺切除术后即刻尿失禁发生率为 9.62%（5/52），短期尿失禁发生率为 11.54%（5/52），长期尿失禁发生率为 9.62%（5/52）。半离断、预离断和后离断的即刻尿失禁发生率分别为 8.33%（1/12）、8.33%（2/24）和 12.5%（2/16）；短期尿失禁发生率分别为 8.33%（1/12）、8.33%（2/24）和 18.75%（3/16）；长期尿失禁发生率分别为 8.33%（1/12）、8.33%（2/24）和 12.5%（2/16）。
与后离断相比，半离断和预离断技术可降低经尿道铥激光前列腺切除术后尿失禁的发生率。
