MP20-17 Preoperative Continence and Holmium Laser Enucleation of Prostate Symptom (HoLEP) Recovery: A Close Look Into Patient Reported Outcomes

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology I (MP20)1 May 2024MP20-17 Preoperative Continence and Holmium Laser Enucleation of Prostate Symptom (HoLEP) Recovery: A Close Look Into Patient Reported Outcomes Timothy Campbell, David Song, Karen Doersch, Laena Hines, Hadley LaMascus, Rajat Jain, and Scott O. Quarrier Timothy CampbellTimothy Campbell , David SongDavid Song , Karen DoerschKaren Doersch , Laena HinesLaena Hines , Hadley LaMascusHadley LaMascus , Rajat JainRajat Jain , and Scott O. QuarrierScott O. Quarrier View All Author Informationhttps://doi.org/10.1097/01.JU.0001008732.80104.31.17AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Preoperative incontinence is common in many patients who undergo HoLEP. The relationship between Pre- and Post-HoLEP continence is unclear. The aim of this study is to describe and compare continence levels in preoperatively continent and preoperatively incontinent patients in the year following HoLEP using the International Prostate Symptom Score (IPSS) and the Michigan Incontinence Symptom Index (M-ISI). METHODS: In this single-institution retrospective review, 170 patients underwent HoLEP with pre-operative evaluation between 11/6/2020 and 3/15/2023. Pre-op continence status was determined by patient report. IPSS and M-ISI were completed prior to HoLEP and then at 1 week, 1 month, 3 months, and 1 year post-HoLEP. Two-sample t-Tests were used to determine statistical significance, with primary outcomes being the IPSS Total and Quality of Life scores and the M-ISI Severity and Bother scores. RESULTS: 124 participants were continent and 46 were incontinent pre-HoLEP. Average age at time of HoLEP was 70.74 (continent) and 71.72 (incontinent) p=0.436. Average prostate size (US or axial) was 109.31 g (continent) and 122.81 g (incontinent) p=0.107. IPSS scores improved significantly in both groups with more rapid total score recovery within the first month post-HoLEP. M-ISI scores worsened for all participants in the first week post-HoLEP. At 1 month M-ISI bother scores had improved in the pre-operatively incontinent group. At 1 year, M-ISI bother scores were improved compared to all participants preoperatively. CONCLUSIONS: XXX. Download PPT Source of Funding: These results support the understanding that continence after HoLEP improves in the following months. Patients continent pre-HoLEP develop more rapid return to mild voiding symptoms than those incontinent pre-HoLEP. Both populations develop significantly improved voiding symptoms and incontinence according to the IPSS and M-ISI. This may be beneficial for patient counseling for continent and incontinent patients about their expected voiding symptoms over the year post-operatively © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e326 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Timothy Campbell More articles by this author David Song More articles by this author Karen Doersch More articles by this author Laena Hines More articles by this author Hadley LaMascus More articles by this author Rajat Jain More articles by this author Scott O. Quarrier More articles by this author Expand All Advertisement PDF downloadLoading ...