Song Hong-Chen, Wu Meng-Hua, Han Dong, Liu Jia-Xin, Cao Zi-Bing, Du Yuan, Shi Ming-Jun, Song Jian, Li Xuan-Hao
Department of Urology, Beijing Friendship Hospital, Capital Medical University, No.95 Yongan Road, Xicheng District, Beijing, China.
Institute of Urology, Beijing Municipal Health Commission, Beijing, China.
World J Urol. 2025 Jan 20;43(1):80. doi: 10.1007/s00345-024-05431-1.
To investigate the relationship between the grip strength (GS) and stress urinary incontinence (SUI) after endoscopic enucleation of the prostate (EEP).
We retrospectively collected 87 patients who underwent EEP at our center from January to December 2023. The associations between GS and post-surgical SUI at immediate, 1, 4, 12 and 24 weeks were analyzed. The cohort was then divided into the SUI and non-SUI group based on the presence of the SUI at 4-week postoperatively.
Of overall 87 patients, 49 (56.3%), 40 (46.0%), 33 (37.9%), 20 (23.0%), and 9 (10.3%) patients presented SUI at immediate, 1, 4, 12 and 24 weeks postoperatively. Significant negative correlations were consistently observed between the GS and SUI till 12 weeks postoperatively, with patients requiring more daily pads presenting lower GS. Compared to the non-SUI group, the SUI group had significantly higher average age (76.0 ± 8.4 vs. 70.1 ± 6.3, P = 0.001), BMI (25.1 ± 2.9 vs. 23.8 ± 2.9, P = 0.040), rates of PKEP (90.9% vs. 72.2%, P = 0.037), CSEA (69.7% vs. 42.6%, P = 0.014) and III/IV ASA score (33.3% vs. 14.8%, P = 0.043), but lower GS (26.2 ± 8.2 vs. 33.3 ± 6.5 kg, P < 0.001). Multivariate analyses identified BMI and GS as independent risk factors for post-operative SUI.
The GS was found to be negatively correlated with post-operative SUI within 12 weeks after EEP and was an independent predictor of SUI at 4 weeks postoperatively.
探讨前列腺内镜剜除术（EEP）后握力（GS）与压力性尿失禁（SUI）之间的关系。
我们回顾性收集了2023年1月至12月在本中心接受EEP的87例患者。分析了GS与术后即刻、1周、4周、12周和24周时手术相关SUI之间的关联。然后根据术后4周时是否存在SUI将该队列分为SUI组和非SUI组。
在总共87例患者中，分别有49例（56.3%）、40例（46.0%）、33例（37.9%）、20例（23.0%）和9例（10.3%）患者在术后即刻、1周、4周、12周和24周出现SUI。直到术后12周，GS与SUI之间始终存在显著的负相关，需要更多日常尿垫的患者握力较低。与非SUI组相比，SUI组的平均年龄显著更高（76.0±8.4 vs. 70.1±6.3，P = 0.001）、体重指数（25.1±2.9 vs. 23.8±2.9，P = 0.040）、经尿道前列腺剜除术比例（90.9% vs. 72.2%，P = 0.037）、腰硬联合麻醉比例（69.7% vs. 42.6%，P = 0.014）和ASAⅢ/Ⅳ级评分比例（33.3% vs. 14.8%，P = 0.043），但握力较低（26.2±8.2 vs. 33.3±6.5 kg，P < 0.001）。多因素分析确定体重指数和握力是术后SUI的独立危险因素。
发现EEP后12周内握力与术后SUI呈负相关，并且是术后4周时SUI的独立预测因素。
