{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:04:22Z","timestamp":1791896662247,"version":"4.3.4"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T00:00:00Z","timestamp":1687824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>One of the main adverse outcomes following Holmium laser enucleation of the prostate (HoLEP) is the development of transient de novo urinary incontinence (UI). We aimed to evaluate the correlation of multiple risk factors to UI rates post\u2010HoLEP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A review of prospectively maintained 7\u2009year database for HoLEP patients in a single center was performed. UI data at 6\u2009week, 3\u2009month, and 1\u2009year follow\u2010up intervals were assessed with bivariate and multivariate analysis of multiple potential risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 666 patients with median (IQR) age of 72 (66\u201378) years old and median (IQR) preoperative prostate volume of 89 (68\u2013126) gm. UI was seen in 287 (43%), 100 (15%) and 26 (5.8%) at 6\u2009week, 3\u2009month, and 1\u2009year follow up occasions respectively. At 6\u2009weeks follow up, UI type was stress, urge and mixed in 121 (18.16%), 118 (17.72) and 48 (7.21%) patients respectively. Using a multivariate regression analysis, obesity and pre\u2010operative UI were associated with postoperative UI rate at both 6\u2009week (<jats:italic>p<\/jats:italic>\u2009=\u2009.0065, .031) and 3\u2009month (<jats:italic>p<\/jats:italic>\u2009=\u2009.0261, .044) follow up encounters respectively. Also, larger specimen weight was another predictor for 6\u2009week UI (<jats:italic>p<\/jats:italic>\u2009=\u2009.0399) while higher frailty score was a predictor for UI at 3\u2009month occasion (<jats:italic>p<\/jats:italic>\u2009=\u2009.041).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with preoperative UI, obesity, frailty, and large prostate volume are at higher risk of short\u2010term UI post\u2010HoLEP up to 3\u2009months. Patients with one or more of these risk factors should be counseled regarding the higher risk of UI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.12494","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T05:59:15Z","timestamp":1687931955000},"page":"185-190","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Incidence and predictors of urinary incontinence rates post\u2010holmium laser enucleation of prostate"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3341-3648","authenticated-orcid":false,"given":"Mohamed","family":"Elsaqa","sequence":"first","affiliation":[{"name":"Baylor Scott &amp; White Health, CTX  Temple Texas USA"},{"name":"Alexandria University Faculty of Medicine  Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Baylor Scott &amp; White Health, CTX  Temple Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harry","family":"Papaconstantinou","sequence":"additional","affiliation":[{"name":"Baylor Scott &amp; White Health, CTX  Temple Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marawan M. El","family":"Tayeb","sequence":"additional","affiliation":[{"name":"Baylor Scott &amp; White Health, CTX  Temple Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15286"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13685538.2020.1781806"},{"issue":"2","key":"e_1_2_9_4_1","first-page":"6","article-title":"HoLEP: the new gold standard for surgical treatment of benign prostatic hyperplasia","volume":"28","author":"Shvero A","year":"2021","journal-title":"Can J Urol"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15028"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.21050"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1677\u20105538.IBJU.2019.0411"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2010.0021"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002967"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.241"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.5085"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-018-0102-y"},{"key":"e_1_2_9_13_1","unstructured":"International Consultation on Incontinence Questionnaire\u2010Urinary Incontinence Short Form (ICIQ\u2010UI SF)Available from:https:\/\/iciq.net\/iciq-ui-sf"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2015.01.053"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2018.12.036"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.03.143"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.5534\/wjmh.2015.33.2.88"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345\u2010019\u201002671\u20104"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345\u2010022\u201004270\u20102"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345\u2010013\u20101110\u20107"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2015.04.079"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2019.10.028"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010017\u20106079\u20109"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934\u2010017\u20100720\u20109"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.34427"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S158717"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894\u2010019\u20100570\u20105"}],"container-title":["LUTS: Lower Urinary Tract Symptoms"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/luts.12494","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T06:44:07Z","timestamp":1730875447000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/luts.12494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,27]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1111\/luts.12494"],"URL":"https:\/\/doi.org\/10.1111\/luts.12494","archive":["Portico"],"relation":{},"ISSN":["1757-5664","1757-5672"],"issn-type":[{"value":"1757-5664","type":"print"},{"value":"1757-5672","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,27]]},"assertion":[{"value":"2023-03-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}