{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:12:22Z","timestamp":1791274342441,"version":"4.1.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n                    We aim to evaluate the incidence of incontinence following laser endoscopic enucleation of the prostate (EEP) comparing en-bloc (Group 1) versus 2-lobe\/3-lobe techniques (Group 2). We performed a retrospective review of patients undergoing EEP for benign prostatic enlargement in 12 centers between January 2020 and January 2022. Data were presented as median and interquartile range (IQR). Univariable and multivariable logistic regression analysis was performed to evaluate factors associated with stress urinary incontinence (SUI) and mixed urinary incontinence (MUI). There were 1711 patients in Group 1 and 3357 patients in Group 2. Patients in Group 2 were significantly younger (68 [62\u201373] years vs 69 [63\u201374] years,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.002). Median (interquartile range) prostate volume (PV) was similar between the groups (70 [52\u201392] ml in Group 1 vs 70 [54\u201390] ml in Group 2,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.774). There was no difference in preoperative International Prostate Symptom Score, quality of life, or maximum flow rate. Enucleation, morcellation, and total surgical time were significantly shorter in Group 1. Within 1 month, overall incontinence rate was 6.3% in Group 1 versus 5.3% in Group 2 (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.12), and urge incontinence was significantly higher in Group 1 (55.1% vs 37.3% in Group 2,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). After 3 months, the overall rate of incontinence was 1.7% in Group 1 versus 2.3% in Group 2 (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.06), and SUI was significantly higher in Group 2 (55.6% vs 24.1% in Group 1,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.002). At multivariable analysis, PV and IPSS were factors significantly associated with higher odds of transient SUI\/MUI. PV, surgical time, and no early apical release technique were factors associated with higher odds of persistent SUI\/MUI.\n                  <\/jats:p>","DOI":"10.4103\/aja202375","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:01:27Z","timestamp":1705968087000},"page":"233-238","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":20,"title":["Incidence of urinary incontinence following endoscopic laser enucleation of the prostate by en-bloc and non-en-bloc techniques: a multicenter, real-world experience of 5068 patients"],"prefix":"10.4103","volume":"26","author":[{"given":"Daniele","family":"Castellani","sequence":"first","affiliation":[{"name":"Urology Unit, IRCCS INRCA, Ancona 60127, Italy"},{"name":"Urology Unit, Marche University Hospital, Le Marche Polytechnic University, Ancona 60126, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineet","family":"Gauhar","sequence":"additional","affiliation":[{"name":"Department of Urology, Ng Teng Fong General Hospital, Singapore 609606, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khi Yung","family":"Fong","sequence":"additional","affiliation":[{"name":"Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Sofer","sequence":"additional","affiliation":[{"name":"Department of Urology, Tel Aviv Sourasky Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv 6423906, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mois\u00e9s Rodr\u00edguez","family":"Socarr\u00e1s","sequence":"additional","affiliation":[{"name":"Department of Urology and Robotic Surgery, ICUA-Cl\u00ednica CEMTRO, Madrid 28701, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azimdjon N","family":"Tursunkulov","sequence":"additional","affiliation":[{"name":"Urology Division, AkfaMedline Hospital, Tashkent 100211, Uzbekistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lie Kwok","family":"Ying","sequence":"additional","affiliation":[{"name":"Department of Urology, Ng Teng Fong General Hospital, Singapore 609606, Singapore"},{"name":"Advanced Urology, Gleneagles Hospital, Singapore 258499, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarvajit","family":"Biligere","sequence":"additional","affiliation":[{"name":"Department of Urology, Ng Teng Fong General Hospital, Singapore 609606, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho Yee","family":"Tiong","sequence":"additional","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore 119228, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean","family":"Elterman","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, University of Toronto, Ontario, Toronto M5G 2C4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhay","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Department of Urology, Mahatma Gandhi Mission\u2019s Medical College and Hospital, Aurangabad 431003, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Taratkin","sequence":"additional","affiliation":[{"name":"Institute for Urology and Reproductive Health, Sechenov University, Moscow119435, Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sorokin Nikolai","family":"Ivanovich","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, Lomonosov Moscow State University, Moscow 119992, Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanuj Pal","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Urology, Sarvodaya Hospital and Research Centre, Faridabad, Haryana 121006, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmitry","family":"Enikeev","sequence":"additional","affiliation":[{"name":"Department of Urology, Medical University of Vienna, Vienna 1090, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nariman","family":"Gadzhiev","sequence":"additional","affiliation":[{"name":"Department of Urology, Saint-Petersburg State University Hospital, Saint-Petersburg 199034, Russian Federation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Taif","family":"Bendigeri","sequence":"additional","affiliation":[{"name":"Department of Urology, Asian Institute of Nephrology and Urology, Hyderabad 500082, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy Yuen-Chun","family":"Teoh","sequence":"additional","affiliation":[{"name":"S.H. Ho Urology Centre, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong 96H2+Q9, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Dellabella","sequence":"additional","affiliation":[{"name":"Urology Unit, IRCCS INRCA, Ancona 60127, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando G\u00f3mez","family":"Sancha","sequence":"additional","affiliation":[{"name":"Department of Urology and Robotic Surgery, ICUA-Cl\u00ednica CEMTRO, Madrid 28701, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhaskar Kumar","family":"Somani","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospitals Southampton NHS Trust, Southampton SO16 6YD, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas Reinhard William","family":"Herrmann","sequence":"additional","affiliation":[{"name":"Department of Urology, Cantonal 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