{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:49:28Z","timestamp":1785800968418,"version":"3.56.0"},"reference-count":0,"publisher":"Canadian Urological Association Journal","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CUAJ"],"abstract":"<jats:p>Introduction: To improve surgeon-patient communication of postoperative expectations, a multidisciplinary team created and evaluated a holmium laser enucleation of the prostate (HoLEP) expectations handout. Although an effective benign prostatic hyperplasia (BPH) surgery, it is crucial that patients understand the HoLEP recovery. A quality assessment previously performed at our center revealed 11% of patients were not aware of potential ejaculate volume changes.\nMethods: Patients presenting for consultation prior to HoLEP were assessed with post-procedure patient-reported outcomes (PRO) questionnaires before (n=50) and after (n=50) the implementation of a surgeon-patient expectations handout. Patient demographics and perioperative course were examined in the context of responses. Comparisons were made with a Chi-squared test (p&lt;0.05).\nResults: We observed a response rate of 96% (pre-handout: 46\/50 vs. post-handout: 50\/50). Overall, 89\/96 (93%) patients felt they had a reasonable understanding of HoLEP expectations, with no difference between cohorts (45\/46 vs. 48\/50, p=0.71). There was no difference in reporting an understanding of post-HoLEP hematuria (p=0.12) or urinary incontinence (UI) (p=0.99). The implementation of the handout improved understanding of retrograde ejaculation (pre-handout: 41\/46 vs. post-handout: 50\/50, p=0.022) and dysuria (pre-handout: 35\/46 vs. post-handout: 46\/50, p=0.048). Fifty-five patients experienced any dysuria postoperatively, with 89% reporting less than or equal to what they expected. Close to 30% (28\/94) of respondents offering ways to improve communication suggested an educational website.\nConclusions: The implementation of a surgeon-patient handout during HoLEP consultation improved understanding of postoperative retrograde ejaculation and dysuria at our center. We identified areas for future technology-aided improvements in post-HoLEP communication.<\/jats:p>","DOI":"10.5489\/cuaj.7911","type":"journal-article","created":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T09:08:28Z","timestamp":1654852108000},"source":"Crossref","is-referenced-by-count":4,"title":["Improving communication of post-holmium laser enucleation of the prostate recovery using a surgeon-patient handout"],"prefix":"10.5489","volume":"16","author":[{"given":"Mark A.","family":"Assmus","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew S.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Helon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy E.","family":"Krambeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3456","published-online":{"date-parts":[[2022,6,9]]},"container-title":["Canadian Urological Association Journal"],"original-title":[],"link":[{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/7911\/5403","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/7911\/5403","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,11]],"date-time":"2022-06-11T09:08:09Z","timestamp":1654938489000},"score":1,"resource":{"primary":{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/view\/7911"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,9]]},"references-count":0,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,6,9]]}},"URL":"https:\/\/doi.org\/10.5489\/cuaj.7911","relation":{},"ISSN":["1920-1214","1911-6470"],"issn-type":[{"value":"1920-1214","type":"electronic"},{"value":"1911-6470","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6,9]]}}}