Effect of detrusor underactivity on surgical outcomes of holmium laser enucleation of the prostate
Objective To evaluate the effect of detrusor underactivity (DUA) on the postoperative outcomes of holmium laser enucleation of the prostate (HoLEP) in patients with benign prostatic hyperplasia (BPH). Patients and Methods Patients with BPH who underwent HoLEP between January 2018 and December 2022 w...
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| Veröffentlicht in: | BJU international 2024-06, Vol.133 (6), p.770-777 |
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| creator | Jeong, Hyun Ju Lee, Hyomyoung Choo, Min Soo Cho, Sung Yong Jeong, Seong Jin Oh, Seung‐June |
| description | Objective
To evaluate the effect of detrusor underactivity (DUA) on the postoperative outcomes of holmium laser enucleation of the prostate (HoLEP) in patients with benign prostatic hyperplasia (BPH).
Patients and Methods
Patients with BPH who underwent HoLEP between January 2018 and December 2022 were enrolled in this prospective database study. Patients were divided into DUA (bladder contractility index [BCI] |
| doi_str_mv | 10.1111/bju.16346 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2974010152</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2974010152</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3486-95b3b0718a0e66daf2526ee6fd92c4d335cda7044e000183112ecfff1a3c6c213</originalsourceid><addsrcrecordid>eNp1kMtKAzEUhoMoXqoLX0ACbnRRm9tkpkstXim4seAuZDInOmVmorkofXujVReCZ5ND8vGdnB-hQ0rOaK5JvUxnVHIhN9AuFVKMBSWPmz89mcodtBfCkpB8IYtttMOrghHK2S6qL60FE7GzuIHoU3Aep6EBr01s39q4wm7AIfmn1ugOuxSN6yF84s-u69vU404H8BiGZDrQsc14fozPgF-8C1FH2EdbVncBDr7PEVpcXT7Mbsbz--vb2fl8bLio5Hha1LwmJa00ASkbbVnBJIC0zZQZ0XBemEaXRAggeZGKU8rAWGup5kYaRvkInay9efBrghBV3wYDXacHcCkoNi0FoYQWLKPHf9ClS37Iv1OcFDz7SSkydbqmTN4keLDqxbe99itFifoMXuXg1VfwmT36Nqa6h-aX_Ek6A5M18N52sPrfpC7uFmvlB0KmjSo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3053001074</pqid></control><display><type>article</type><title>Effect of detrusor underactivity on surgical outcomes of holmium laser enucleation of the prostate</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Jeong, Hyun Ju ; Lee, Hyomyoung ; Choo, Min Soo ; Cho, Sung Yong ; Jeong, Seong Jin ; Oh, Seung‐June</creator><creatorcontrib>Jeong, Hyun Ju ; Lee, Hyomyoung ; Choo, Min Soo ; Cho, Sung Yong ; Jeong, Seong Jin ; Oh, Seung‐June</creatorcontrib><description>Objective
To evaluate the effect of detrusor underactivity (DUA) on the postoperative outcomes of holmium laser enucleation of the prostate (HoLEP) in patients with benign prostatic hyperplasia (BPH).
Patients and Methods
Patients with BPH who underwent HoLEP between January 2018 and December 2022 were enrolled in this prospective database study. Patients were divided into DUA (bladder contractility index [BCI] <100) and non‐DUA (BCI ≥100) groups. Objective (maximum urinary flow rate [Qmax], post‐void residual urine volume [PVR]) and subjective outcomes (International Prostate Symptom Score [IPSS], Overactive Bladder Symptom Score [OABSS], satisfaction with treatment question [STQ], overall response assessment [ORA], and willingness to undergo surgery question [WUSQ]) were compared between the two groups before surgery, and at 3 and 6 months after HoLEP.
Results
A total of 689 patients, with a mean (standard deviation [SD]) age of 69.8 (7.1) years, were enrolled. The mean (SD) BCI in the non‐DUA (325 [47.2%]) and DUA (364 [52.8%]) groups was 123.4 (21.4) and 78.6 (14.2), respectively. Both objective (Qmax and PVR) and subjective (IPSS, IPSS‐quality of life, and OABSS) outcomes after surgery significantly improved in both groups. The Qmax was lower in the DUA than in the non‐DUA group postoperatively. At 6 months postoperatively, the total IPSS was higher in the DUA than in the non‐DUA group. There were no significant differences in surgical complications between the two groups. Responses to the STQ, ORA, and WUSQ at 6 months postoperatively demonstrated that the patients were satisfied with the surgery (90.5% in the DUA group; 95.2% in the non‐DUA group), their symptoms improved with surgery (95.9% in the DUA group; 100.0% in the non‐DUA group), and they were willing to undergo surgery again (95.9% in the DUA group; 97.9% in the non‐DUA group). There were no significant differences in the responses to the STQ and WUSQ between the two groups.
Conclusion
Our midterm results demonstrated that patients with BPH and DUA showed minimal differences in clinical outcomes after HoLEP compared to those without DUA. The overall satisfaction was high in the DUA group.</description><identifier>ISSN: 1464-4096</identifier><identifier>EISSN: 1464-410X</identifier><identifier>DOI: 10.1111/bju.16346</identifier><identifier>PMID: 38520132</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>bladder outlet obstruction ; Contractility ; Enucleation ; Hyperplasia ; patient satisfaction ; Patients ; Prostate ; prostatic hyperplasia ; Quality of life ; Surgery ; Surgical outcomes ; underactive urinary bladder ; urodynamics</subject><ispartof>BJU international, 2024-06, Vol.133 (6), p.770-777</ispartof><rights>2024 The Authors. published by John Wiley & Sons Ltd on behalf of BJU International.</rights><rights>2024 The Authors. BJU International published by John Wiley & Sons Ltd on behalf of BJU International.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3486-95b3b0718a0e66daf2526ee6fd92c4d335cda7044e000183112ecfff1a3c6c213</cites><orcidid>0009-0008-3818-9626 ; 0000-0002-0322-3539</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbju.16346$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbju.16346$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38520132$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jeong, Hyun Ju</creatorcontrib><creatorcontrib>Lee, Hyomyoung</creatorcontrib><creatorcontrib>Choo, Min Soo</creatorcontrib><creatorcontrib>Cho, Sung Yong</creatorcontrib><creatorcontrib>Jeong, Seong Jin</creatorcontrib><creatorcontrib>Oh, Seung‐June</creatorcontrib><title>Effect of detrusor underactivity on surgical outcomes of holmium laser enucleation of the prostate</title><title>BJU international</title><addtitle>BJU Int</addtitle><description>Objective
To evaluate the effect of detrusor underactivity (DUA) on the postoperative outcomes of holmium laser enucleation of the prostate (HoLEP) in patients with benign prostatic hyperplasia (BPH).
Patients and Methods
Patients with BPH who underwent HoLEP between January 2018 and December 2022 were enrolled in this prospective database study. Patients were divided into DUA (bladder contractility index [BCI] <100) and non‐DUA (BCI ≥100) groups. Objective (maximum urinary flow rate [Qmax], post‐void residual urine volume [PVR]) and subjective outcomes (International Prostate Symptom Score [IPSS], Overactive Bladder Symptom Score [OABSS], satisfaction with treatment question [STQ], overall response assessment [ORA], and willingness to undergo surgery question [WUSQ]) were compared between the two groups before surgery, and at 3 and 6 months after HoLEP.
Results
A total of 689 patients, with a mean (standard deviation [SD]) age of 69.8 (7.1) years, were enrolled. The mean (SD) BCI in the non‐DUA (325 [47.2%]) and DUA (364 [52.8%]) groups was 123.4 (21.4) and 78.6 (14.2), respectively. Both objective (Qmax and PVR) and subjective (IPSS, IPSS‐quality of life, and OABSS) outcomes after surgery significantly improved in both groups. The Qmax was lower in the DUA than in the non‐DUA group postoperatively. At 6 months postoperatively, the total IPSS was higher in the DUA than in the non‐DUA group. There were no significant differences in surgical complications between the two groups. Responses to the STQ, ORA, and WUSQ at 6 months postoperatively demonstrated that the patients were satisfied with the surgery (90.5% in the DUA group; 95.2% in the non‐DUA group), their symptoms improved with surgery (95.9% in the DUA group; 100.0% in the non‐DUA group), and they were willing to undergo surgery again (95.9% in the DUA group; 97.9% in the non‐DUA group). There were no significant differences in the responses to the STQ and WUSQ between the two groups.
Conclusion
Our midterm results demonstrated that patients with BPH and DUA showed minimal differences in clinical outcomes after HoLEP compared to those without DUA. The overall satisfaction was high in the DUA group.</description><subject>bladder outlet obstruction</subject><subject>Contractility</subject><subject>Enucleation</subject><subject>Hyperplasia</subject><subject>patient satisfaction</subject><subject>Patients</subject><subject>Prostate</subject><subject>prostatic hyperplasia</subject><subject>Quality of life</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>underactive urinary bladder</subject><subject>urodynamics</subject><issn>1464-4096</issn><issn>1464-410X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp1kMtKAzEUhoMoXqoLX0ACbnRRm9tkpkstXim4seAuZDInOmVmorkofXujVReCZ5ND8vGdnB-hQ0rOaK5JvUxnVHIhN9AuFVKMBSWPmz89mcodtBfCkpB8IYtttMOrghHK2S6qL60FE7GzuIHoU3Aep6EBr01s39q4wm7AIfmn1ugOuxSN6yF84s-u69vU404H8BiGZDrQsc14fozPgF-8C1FH2EdbVncBDr7PEVpcXT7Mbsbz--vb2fl8bLio5Hha1LwmJa00ASkbbVnBJIC0zZQZ0XBemEaXRAggeZGKU8rAWGup5kYaRvkInay9efBrghBV3wYDXacHcCkoNi0FoYQWLKPHf9ClS37Iv1OcFDz7SSkydbqmTN4keLDqxbe99itFifoMXuXg1VfwmT36Nqa6h-aX_Ek6A5M18N52sPrfpC7uFmvlB0KmjSo</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>Jeong, Hyun Ju</creator><creator>Lee, Hyomyoung</creator><creator>Choo, Min Soo</creator><creator>Cho, Sung Yong</creator><creator>Jeong, Seong Jin</creator><creator>Oh, Seung‐June</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0008-3818-9626</orcidid><orcidid>https://orcid.org/0000-0002-0322-3539</orcidid></search><sort><creationdate>202406</creationdate><title>Effect of detrusor underactivity on surgical outcomes of holmium laser enucleation of the prostate</title><author>Jeong, Hyun Ju ; Lee, Hyomyoung ; Choo, Min Soo ; Cho, Sung Yong ; Jeong, Seong Jin ; Oh, Seung‐June</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3486-95b3b0718a0e66daf2526ee6fd92c4d335cda7044e000183112ecfff1a3c6c213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>bladder outlet obstruction</topic><topic>Contractility</topic><topic>Enucleation</topic><topic>Hyperplasia</topic><topic>patient satisfaction</topic><topic>Patients</topic><topic>Prostate</topic><topic>prostatic hyperplasia</topic><topic>Quality of life</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>underactive urinary bladder</topic><topic>urodynamics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jeong, Hyun Ju</creatorcontrib><creatorcontrib>Lee, Hyomyoung</creatorcontrib><creatorcontrib>Choo, Min Soo</creatorcontrib><creatorcontrib>Cho, Sung Yong</creatorcontrib><creatorcontrib>Jeong, Seong Jin</creatorcontrib><creatorcontrib>Oh, Seung‐June</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>BJU international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jeong, Hyun Ju</au><au>Lee, Hyomyoung</au><au>Choo, Min Soo</au><au>Cho, Sung Yong</au><au>Jeong, Seong Jin</au><au>Oh, Seung‐June</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of detrusor underactivity on surgical outcomes of holmium laser enucleation of the prostate</atitle><jtitle>BJU international</jtitle><addtitle>BJU Int</addtitle><date>2024-06</date><risdate>2024</risdate><volume>133</volume><issue>6</issue><spage>770</spage><epage>777</epage><pages>770-777</pages><issn>1464-4096</issn><eissn>1464-410X</eissn><abstract>Objective
To evaluate the effect of detrusor underactivity (DUA) on the postoperative outcomes of holmium laser enucleation of the prostate (HoLEP) in patients with benign prostatic hyperplasia (BPH).
Patients and Methods
Patients with BPH who underwent HoLEP between January 2018 and December 2022 were enrolled in this prospective database study. Patients were divided into DUA (bladder contractility index [BCI] <100) and non‐DUA (BCI ≥100) groups. Objective (maximum urinary flow rate [Qmax], post‐void residual urine volume [PVR]) and subjective outcomes (International Prostate Symptom Score [IPSS], Overactive Bladder Symptom Score [OABSS], satisfaction with treatment question [STQ], overall response assessment [ORA], and willingness to undergo surgery question [WUSQ]) were compared between the two groups before surgery, and at 3 and 6 months after HoLEP.
Results
A total of 689 patients, with a mean (standard deviation [SD]) age of 69.8 (7.1) years, were enrolled. The mean (SD) BCI in the non‐DUA (325 [47.2%]) and DUA (364 [52.8%]) groups was 123.4 (21.4) and 78.6 (14.2), respectively. Both objective (Qmax and PVR) and subjective (IPSS, IPSS‐quality of life, and OABSS) outcomes after surgery significantly improved in both groups. The Qmax was lower in the DUA than in the non‐DUA group postoperatively. At 6 months postoperatively, the total IPSS was higher in the DUA than in the non‐DUA group. There were no significant differences in surgical complications between the two groups. Responses to the STQ, ORA, and WUSQ at 6 months postoperatively demonstrated that the patients were satisfied with the surgery (90.5% in the DUA group; 95.2% in the non‐DUA group), their symptoms improved with surgery (95.9% in the DUA group; 100.0% in the non‐DUA group), and they were willing to undergo surgery again (95.9% in the DUA group; 97.9% in the non‐DUA group). There were no significant differences in the responses to the STQ and WUSQ between the two groups.
Conclusion
Our midterm results demonstrated that patients with BPH and DUA showed minimal differences in clinical outcomes after HoLEP compared to those without DUA. The overall satisfaction was high in the DUA group.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38520132</pmid><doi>10.1111/bju.16346</doi><tpages>8</tpages><orcidid>https://orcid.org/0009-0008-3818-9626</orcidid><orcidid>https://orcid.org/0000-0002-0322-3539</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | bladder outlet obstruction Contractility Enucleation Hyperplasia patient satisfaction Patients Prostate prostatic hyperplasia Quality of life Surgery Surgical outcomes underactive urinary bladder urodynamics |
| title | Effect of detrusor underactivity on surgical outcomes of holmium laser enucleation of the prostate |
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