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You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy Group 2 (101-200 ml); and Group 3 (PV>200 ml). The main outcomes were early complication rate (within 30 days), late complication rate (>30 days), and postoperative urinary incontinence (UI). Multivariable logistic regression analysis was performed to evaluate independent predictors of overall UI. RESULTS: Of a total of 2512 patients in the PEEL registry, There were 486 patients in Group 1, 1830 in Group 2, and 196 in Group 3. The most commonly used energy was high-power Holmium laser followed by Thulium fiber laser in all groups. Enucleation, morcellation, and total surgical time were significantly longer in Group 2 than the other groups. Most procedures utilized en-bloc enucleation (75.1% in Group 1 vs. 57.5% in Group 2 vs. 52.6% in Group 3). There was no significant difference in early complication rate and 30-day readmission rate. UI incidence was similar (12.1% in Group 1 vs. 13.2% in Group 2 vs. 11.7% in Group 3, p=0.72). The rate of stress and mixed incontinence was higher in Group 1. Multivariable regression analysis showed that age (p=0.019) and preoperative post-void residual urine volume (p<0.001) were significantly associated with higher odds of UI. CONCLUSIONS: This real-world study shows that EEP in patients with large prostates is a safe, efficacious, and size-independent procedure. En-bloc EEP with Holmium or Thulium fiber were the predominant techniques utilized in our cohort. Although absolute prostate volume does not appear to influence postoperative UI, older men with high preoperative post-void residual urine volume should be counseled regarding an increased possibility of this adverse outcome. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e323 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Khi Yung Fong More articles by this author Vineet Gauhar More articles by this author Daniele Castellani More articles by this author Thomas R. W. Herrmann More articles by this author Mehmet Gokce More articles by this author Nariman Gadzhiev More articles by this author Vigen Malkhasyan More articles by this author Giacomo Pirola More articles by this author Angelo Naselli More articles by this author Abhay Mahajan More articles by this author Pankaj Maheshwari More articles by this author Sarvajit Biligere More articles by this author Azimdjon Tursunkulov More articles by this author Vladislav Petov More articles by this author Marco Dellabella More articles by this author Ee Jean Lim More articles by this author Moises R. Socarrás More articles by this author Marek Zawadzki More articles by this author Luigi Cormio More articles by this author Bhaskar K. Somani More articles by this author Mario Sofer More articles by this author Fernando G. Sancha More articles by this author Expand All Advertisement PDF downloadLoading ...
Fong et al. (Mon,) studied this question.