Transient and persistent urinary incontinence after thulium fiber laser enucleation of the prostate (ThuFLEP): long-term trends and predictive factors in a real-world cohort.

Mean operative time was 96.1 ± 44.0 minutes, and mean total laser energy delivered was 94.6 ± 38.6 kJ.

At 3months, overall urinary incontinence was reported in 44 patients (20.7%), including stress urinary incontinence in 9.9%, urge urinary incontinence in 8.0%, and mixed incontinence in 2.8%.

Multivariate analysis identifiedtotal laser energy as an independent predictor of transient urinary incontinence (OR 1.015 per kJ, 95% CI 1.002-1.03, p = 0.025).

Prostate volume,enucleation technique and surgeon experience were not independently associated with incontinence."