Immediate urinary continence after continence-preserving holmium laser enucleation versus transurethral plasmakinetic prostatectomy for benign prostatic hyperplasia: a single-center comparative cohort study.
Continence-preserving holmium laser enucleation of the prostate nearly doubled immediate continence rate versus transurethral plasmakinetic prostatectomy.
Immediate urinary continence after continence-preserving holmium laser enucleation versus transurethral plasmakinetic prostatectomy for benign prostatic hyperplasia: a single-center comparative cohort study.
To compare immediate postoperative urinary continence and short-term functional outcomes between continence-preserving holmium laser enucleation of the prostate (holmium laser enucleation of the prostate) and transurethral plasmakinetic prostatectomy (transurethral plasmakinetic prostatectomy) in patients with benign prostatic hyperplasia (benign prostatic hyperplasia).
Were grouped according to the procedure actually received (holmium laser enucleation of the prostate, n = 109; transurethral plasmakinetic prostatectomy, n = 103).
Holmium laser enucleation of the prostate patients regained continence right after catheter removal far more often than transurethral plasmakinetic prostatectomy patients
The association remained significant after multivariable adjustment (adjusted odds ratio [OR] 9.99, 95% CI 4.56-21.86, P < 0.001) and in a propensity-score weighted sensitivity model (OR 5.06, 95% CI 2.82-9.06, P < 0.001).
Median 1-h pad weight was lower after holmium laser enucleation of the prostate (0.74 g [IQR 0.51-1.49]) than after transurethral plasmakinetic prostatectomy (3.58 g [IQR 0.88-6.79], P < 0.001).
At 1 month, holmium laser enucleation of the prostate was associated with lower IPSS and better QoL, while Qmax was similar between groups.
Continence-preserving holmium laser enucleation of the prostate was associated with higher immediate urinary continence and faster early postoperative recovery than continence-preserving transurethral plasmakinetic prostatectomy, while achieving similar short-term flow improvement.
These findings should be interpreted as early functional outcomes from a single-center retrospective cohort; longer prospective follow-up is needed to confirm durable continence and complication profiles.