Factors affecting de novo urinary retention after Holmium laser enucleation of the prostate
Patients can experience urinary retention (UR) after Holmium laser enucleation of the prostate (HoLEP) that requires bladder distension during the procedure. The aim of this retrospective study is to identify factors affecting the UR after HoLEP. 336 patients, which underwent HoLEP for a symptomatic...
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| description | Patients can experience urinary retention (UR) after Holmium laser enucleation of the prostate (HoLEP) that requires bladder distension during the procedure. The aim of this retrospective study is to identify factors affecting the UR after HoLEP.
336 patients, which underwent HoLEP for a symptomatic benign prostatic hyperplasia between July 2008 and March 2012, were included in this study. Urethral catheters were routinely removed one or two days after surgery. UR was defined as the need for an indwelling catheter placement following a failure to void after catheter removal. Demographic and clinical parameters were compared between the UR (n = 37) and the non-urinary retention (non-UR; n = 299) groups.
The mean age of patients was 68.3 (±6.5) years and the mean operative time was 75.3 (±37.4) min. Thirty seven patients (11.0%) experienced a postoperative UR. UR patients voided catheter free an average of 1.9 (±1.7) days after UR. With regard to the causes of UR, 24 (7.1%) and 13 (3.9%) patients experienced a blood clot-related UR and a non-clot related UR respectively. Using multivariate analysis (p0.05).
De novo UR after HoLEP was found to be self-limited and it was not related to learning curve, patient age, diabetes, or operative time. Efficient morcellation and careful control of bleeding, which reduces clot formation, decrease the risk of UR after HoLEP. |
| doi_str_mv | 10.1371/journal.pone.0084938 |
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336 patients, which underwent HoLEP for a symptomatic benign prostatic hyperplasia between July 2008 and March 2012, were included in this study. Urethral catheters were routinely removed one or two days after surgery. UR was defined as the need for an indwelling catheter placement following a failure to void after catheter removal. Demographic and clinical parameters were compared between the UR (n = 37) and the non-urinary retention (non-UR; n = 299) groups.
The mean age of patients was 68.3 (±6.5) years and the mean operative time was 75.3 (±37.4) min. Thirty seven patients (11.0%) experienced a postoperative UR. UR patients voided catheter free an average of 1.9 (±1.7) days after UR. With regard to the causes of UR, 24 (7.1%) and 13 (3.9%) patients experienced a blood clot-related UR and a non-clot related UR respectively. Using multivariate analysis (p<0.05), we found significant differences between the UR and the non-UR groups with regard to a morcellation efficiency (OR 0.701, 95% CI 0.498-0.988) and a bleeding-related complication, such as, a reoperation for bleeding (OR 0.039, 95% CI 0.004-0.383) or a transfusion (OR 0.144, 95% CI 0.027-0.877). Age, history of diabetes, prostate volume, pre-operative post-void residual, bladder contractility index, learning curve, and operative time were not significantly associated with the UR (p>0.05).
De novo UR after HoLEP was found to be self-limited and it was not related to learning curve, patient age, diabetes, or operative time. Efficient morcellation and careful control of bleeding, which reduces clot formation, decrease the risk of UR after HoLEP.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0084938</identifier><identifier>PMID: 24465454</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age ; Age Factors ; Aged ; Bladder ; Bleeding ; Blood coagulation ; Catheters ; Comparative analysis ; Contractility ; Demographics ; Diabetes Complications ; Diabetes mellitus ; Diabetes Mellitus - pathology ; Diabetes Mellitus - surgery ; Distension ; Enucleation ; Holmium ; Hospitals ; Humans ; Hyperplasia ; Identification methods ; Intubation ; Laser surgery ; Lasers ; Learning Curve ; Male ; Mathematics ; Medical instruments ; Medical records ; Medical research ; Medicine ; Middle Aged ; Multivariate analysis ; Operative Time ; Patients ; Postoperative Hemorrhage - prevention & control ; Prostate ; Prostate - pathology ; Prostate - surgery ; Prostate cancer ; Prostatic Hyperplasia - complications ; Prostatic Hyperplasia - pathology ; Prostatic Hyperplasia - surgery ; Rare earth metal compounds ; Retention ; Risk reduction ; Statistical analysis ; Surgery ; Transfusion ; Transurethral Resection of Prostate - adverse effects ; Transurethral Resection of Prostate - methods ; Urinary bladder ; Urinary Catheterization ; Urinary Retention - etiology ; Urinary Retention - prevention & control ; Urine ; Urogenital system ; Urology</subject><ispartof>PloS one, 2014-01, Vol.9 (1), p.e84938-e84938</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Kim et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Kim et al 2014 Kim et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-c54139110469dba1d238cc3335cc3ae70167c9c1ebc40c5611c248d6fb2c6eba3</citedby><cites>FETCH-LOGICAL-c692t-c54139110469dba1d238cc3335cc3ae70167c9c1ebc40c5611c248d6fb2c6eba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3897383/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3897383/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24465454$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Hurst, Robert</contributor><creatorcontrib>Kim, Sung Han</creatorcontrib><creatorcontrib>Yoo, Changwon</creatorcontrib><creatorcontrib>Choo, Minsoo</creatorcontrib><creatorcontrib>Paick, Jae-Seung</creatorcontrib><creatorcontrib>Oh, Seung-June</creatorcontrib><title>Factors affecting de novo urinary retention after Holmium laser enucleation of the prostate</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Patients can experience urinary retention (UR) after Holmium laser enucleation of the prostate (HoLEP) that requires bladder distension during the procedure. The aim of this retrospective study is to identify factors affecting the UR after HoLEP.
336 patients, which underwent HoLEP for a symptomatic benign prostatic hyperplasia between July 2008 and March 2012, were included in this study. Urethral catheters were routinely removed one or two days after surgery. UR was defined as the need for an indwelling catheter placement following a failure to void after catheter removal. Demographic and clinical parameters were compared between the UR (n = 37) and the non-urinary retention (non-UR; n = 299) groups.
The mean age of patients was 68.3 (±6.5) years and the mean operative time was 75.3 (±37.4) min. Thirty seven patients (11.0%) experienced a postoperative UR. UR patients voided catheter free an average of 1.9 (±1.7) days after UR. With regard to the causes of UR, 24 (7.1%) and 13 (3.9%) patients experienced a blood clot-related UR and a non-clot related UR respectively. Using multivariate analysis (p<0.05), we found significant differences between the UR and the non-UR groups with regard to a morcellation efficiency (OR 0.701, 95% CI 0.498-0.988) and a bleeding-related complication, such as, a reoperation for bleeding (OR 0.039, 95% CI 0.004-0.383) or a transfusion (OR 0.144, 95% CI 0.027-0.877). Age, history of diabetes, prostate volume, pre-operative post-void residual, bladder contractility index, learning curve, and operative time were not significantly associated with the UR (p>0.05).
De novo UR after HoLEP was found to be self-limited and it was not related to learning curve, patient age, diabetes, or operative time. Efficient morcellation and careful control of bleeding, which reduces clot formation, decrease the risk of UR after HoLEP.</description><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Bladder</subject><subject>Bleeding</subject><subject>Blood coagulation</subject><subject>Catheters</subject><subject>Comparative analysis</subject><subject>Contractility</subject><subject>Demographics</subject><subject>Diabetes Complications</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus - pathology</subject><subject>Diabetes Mellitus - surgery</subject><subject>Distension</subject><subject>Enucleation</subject><subject>Holmium</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hyperplasia</subject><subject>Identification methods</subject><subject>Intubation</subject><subject>Laser surgery</subject><subject>Lasers</subject><subject>Learning Curve</subject><subject>Male</subject><subject>Mathematics</subject><subject>Medical instruments</subject><subject>Medical records</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Operative Time</subject><subject>Patients</subject><subject>Postoperative Hemorrhage - prevention & control</subject><subject>Prostate</subject><subject>Prostate - pathology</subject><subject>Prostate - surgery</subject><subject>Prostate cancer</subject><subject>Prostatic Hyperplasia - complications</subject><subject>Prostatic Hyperplasia - pathology</subject><subject>Prostatic Hyperplasia - surgery</subject><subject>Rare earth metal compounds</subject><subject>Retention</subject><subject>Risk reduction</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Transfusion</subject><subject>Transurethral Resection of Prostate - adverse effects</subject><subject>Transurethral Resection of Prostate - methods</subject><subject>Urinary bladder</subject><subject>Urinary Catheterization</subject><subject>Urinary Retention - etiology</subject><subject>Urinary Retention - prevention & control</subject><subject>Urine</subject><subject>Urogenital system</subject><subject>Urology</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk11r2zAUhs3YWLts_2BshsHYLpJZH5alm0Ep6xooFPZ1swshy8eJgi1lklzWf18lcUs8ejEM_pCe99U5x-dk2WtULBCp0KeNG7xV3WLrLCyKglNB-JPsFAmC5wwX5OnR-0n2IoRNUZSEM_Y8O8GUspKW9DT7faF0dD7kqm1BR2NXeQO5dTcuH7yxyt_mHiLYaJxNTASfX7quN0OfdyqkL7CD7kDt912bxzXkW-9CVBFeZs9a1QV4NT5n2c-LLz_OL-dX11-X52dXc80EjnNdUkQEQgVloqkVajDhWhNCynRXUBWIVVpoBLWmhS4ZQhpT3rC2xppBrcgse3vw3XYuyLEuQSIqCiEwxSwRywPROLWRW2_6lJh0ysj9gvMrqXw0KZGkoooLXmslFCVNKwQhQGtSlhQQSZHOss_jaUPdQ6NTbbzqJqbTHWvWcuVuJOGiIpwkgw-jgXd_BghR9iZo6DplwQ37uDHjvKI4oe_-QR_PbqRWKiVgbOvSuXpnKs9oxXkKvdpRi0eodDXQG52aqDVpfSL4OBEkJsLfuFJDCHL5_dv_s9e_puz7I3YNqovr4Lph10JhCtIDqFNDBQ_tQ5FRIXczcF8NuZsBOc5Akr05_kEPovumJ3dRbAG6</recordid><startdate>20140121</startdate><enddate>20140121</enddate><creator>Kim, Sung Han</creator><creator>Yoo, Changwon</creator><creator>Choo, Minsoo</creator><creator>Paick, Jae-Seung</creator><creator>Oh, Seung-June</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20140121</creationdate><title>Factors affecting de novo urinary retention after Holmium laser enucleation of the prostate</title><author>Kim, Sung Han ; Yoo, Changwon ; Choo, Minsoo ; Paick, Jae-Seung ; Oh, Seung-June</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-c54139110469dba1d238cc3335cc3ae70167c9c1ebc40c5611c248d6fb2c6eba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Bladder</topic><topic>Bleeding</topic><topic>Blood coagulation</topic><topic>Catheters</topic><topic>Comparative analysis</topic><topic>Contractility</topic><topic>Demographics</topic><topic>Diabetes Complications</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus - pathology</topic><topic>Diabetes Mellitus - surgery</topic><topic>Distension</topic><topic>Enucleation</topic><topic>Holmium</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hyperplasia</topic><topic>Identification methods</topic><topic>Intubation</topic><topic>Laser surgery</topic><topic>Lasers</topic><topic>Learning Curve</topic><topic>Male</topic><topic>Mathematics</topic><topic>Medical instruments</topic><topic>Medical records</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Operative Time</topic><topic>Patients</topic><topic>Postoperative Hemorrhage - prevention & control</topic><topic>Prostate</topic><topic>Prostate - pathology</topic><topic>Prostate - surgery</topic><topic>Prostate cancer</topic><topic>Prostatic Hyperplasia - complications</topic><topic>Prostatic Hyperplasia - pathology</topic><topic>Prostatic Hyperplasia - surgery</topic><topic>Rare earth metal compounds</topic><topic>Retention</topic><topic>Risk reduction</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Transfusion</topic><topic>Transurethral Resection of Prostate - adverse effects</topic><topic>Transurethral Resection of Prostate - methods</topic><topic>Urinary bladder</topic><topic>Urinary Catheterization</topic><topic>Urinary Retention - etiology</topic><topic>Urinary Retention - prevention & control</topic><topic>Urine</topic><topic>Urogenital system</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Sung Han</creatorcontrib><creatorcontrib>Yoo, Changwon</creatorcontrib><creatorcontrib>Choo, Minsoo</creatorcontrib><creatorcontrib>Paick, Jae-Seung</creatorcontrib><creatorcontrib>Oh, Seung-June</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Sung Han</au><au>Yoo, Changwon</au><au>Choo, Minsoo</au><au>Paick, Jae-Seung</au><au>Oh, Seung-June</au><au>Hurst, Robert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors affecting de novo urinary retention after Holmium laser enucleation of the prostate</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-01-21</date><risdate>2014</risdate><volume>9</volume><issue>1</issue><spage>e84938</spage><epage>e84938</epage><pages>e84938-e84938</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Patients can experience urinary retention (UR) after Holmium laser enucleation of the prostate (HoLEP) that requires bladder distension during the procedure. The aim of this retrospective study is to identify factors affecting the UR after HoLEP.
336 patients, which underwent HoLEP for a symptomatic benign prostatic hyperplasia between July 2008 and March 2012, were included in this study. Urethral catheters were routinely removed one or two days after surgery. UR was defined as the need for an indwelling catheter placement following a failure to void after catheter removal. Demographic and clinical parameters were compared between the UR (n = 37) and the non-urinary retention (non-UR; n = 299) groups.
The mean age of patients was 68.3 (±6.5) years and the mean operative time was 75.3 (±37.4) min. Thirty seven patients (11.0%) experienced a postoperative UR. UR patients voided catheter free an average of 1.9 (±1.7) days after UR. With regard to the causes of UR, 24 (7.1%) and 13 (3.9%) patients experienced a blood clot-related UR and a non-clot related UR respectively. Using multivariate analysis (p<0.05), we found significant differences between the UR and the non-UR groups with regard to a morcellation efficiency (OR 0.701, 95% CI 0.498-0.988) and a bleeding-related complication, such as, a reoperation for bleeding (OR 0.039, 95% CI 0.004-0.383) or a transfusion (OR 0.144, 95% CI 0.027-0.877). Age, history of diabetes, prostate volume, pre-operative post-void residual, bladder contractility index, learning curve, and operative time were not significantly associated with the UR (p>0.05).
De novo UR after HoLEP was found to be self-limited and it was not related to learning curve, patient age, diabetes, or operative time. Efficient morcellation and careful control of bleeding, which reduces clot formation, decrease the risk of UR after HoLEP.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24465454</pmid><doi>10.1371/journal.pone.0084938</doi><tpages>e84938</tpages><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_1490992426 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Age Age Factors Aged Bladder Bleeding Blood coagulation Catheters Comparative analysis Contractility Demographics Diabetes Complications Diabetes mellitus Diabetes Mellitus - pathology Diabetes Mellitus - surgery Distension Enucleation Holmium Hospitals Humans Hyperplasia Identification methods Intubation Laser surgery Lasers Learning Curve Male Mathematics Medical instruments Medical records Medical research Medicine Middle Aged Multivariate analysis Operative Time Patients Postoperative Hemorrhage - prevention & control Prostate Prostate - pathology Prostate - surgery Prostate cancer Prostatic Hyperplasia - complications Prostatic Hyperplasia - pathology Prostatic Hyperplasia - surgery Rare earth metal compounds Retention Risk reduction Statistical analysis Surgery Transfusion Transurethral Resection of Prostate - adverse effects Transurethral Resection of Prostate - methods Urinary bladder Urinary Catheterization Urinary Retention - etiology Urinary Retention - prevention & control Urine Urogenital system Urology |
| title | Factors affecting de novo urinary retention after Holmium laser enucleation of the prostate |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T17%3A20%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Factors%20affecting%20de%20novo%20urinary%20retention%20after%20Holmium%20laser%20enucleation%20of%20the%20prostate&rft.jtitle=PloS%20one&rft.au=Kim,%20Sung%20Han&rft.date=2014-01-21&rft.volume=9&rft.issue=1&rft.spage=e84938&rft.epage=e84938&rft.pages=e84938-e84938&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0084938&rft_dat=%3Cgale_plos_%3EA478855476%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1490992426&rft_id=info:pmid/24465454&rft_galeid=A478855476&rft_doaj_id=oai_doaj_org_article_144a898bca9a43df9933e4b3554e1341&rfr_iscdi=true |