{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T10:28:20Z","timestamp":1768904900494,"version":"3.49.0"},"reference-count":0,"publisher":"Canadian Urological Association Journal","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CUAJ"],"abstract":"<jats:p>Introduction: We aimed to compare the incidence of de novo stress urinary incontinence (SUI) of two apical release techniques for holmium laser prostatic enucleation (HoLEP)s: modified early apical release (EAR) and non-early apical release (non-EAR).\nMethods: We conducted a retrospective database review analyzing the records of patients who underwent holmium laser enucleation of the prostate with the modified EAR and non-EAR techniques for symptomatic benign prostatic hyperplasia. The study period spanned from January 2012 to December 2021 in a single center. Patients' demographics, perioperative data, and functional and technical outcomes were compared between both techniques.\nResults: The study included a total of 786 patients; 556 patients underwent the non-EAR technique (group I), and 230 underwent the modified EAR technique (group II). The mean enucleated prostate weight in group I was 68.2\uf0b145.6 g compared to 93.3\uf0b151.9 g in group II (p&lt; 0.001). De novo SUI within a month of surgery was reported in 34 cases (6.1%) in group I compared to eight cases (3.5%) in group II. The percentage of patients with persistent SUI at one year postoperatively dropped to 2.7% and 0.9% in the non-EAR and modified EAR groups, respectively. Moreover, persistent SUI after one year from surgery was reported in 1.4 % of the non-EAR group compared to 0.44% in the modified EAR group. Multivariate regression analysis demonstrated that age &gt;70 years (p=0.06), operative time &gt;90 minutes (p=0.011), and the non-EAR technique (p=0.004) were significantly associated with the onset of postoperative de novo SUI.\nConclusions: Our research indicates that both modified EAR and non-EAR techniques employed during HoLEP yield comparable efficacy and safety outcomes. Nonetheless, the modified EAR technique is associated with reduced postoperative de novo SUI.<\/jats:p>","DOI":"10.5489\/cuaj.9099","type":"journal-article","created":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T09:24:21Z","timestamp":1744968261000},"source":"Crossref","is-referenced-by-count":2,"title":["Modified early apical release vs. non-early apical release in holmium laser prostatic enucleation"],"prefix":"10.5489","volume":"19","author":[{"given":"Abdulghani","family":"Khogeer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adel","family":"Elatreisy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed S.","family":"Zugail","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yousef","family":"Almehmadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serge","family":"Carrier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e9lanie","family":"Aub\u00e9-Peterkin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3456","published-online":{"date-parts":[[2025,4,17]]},"container-title":["Canadian Urological Association Journal"],"original-title":[],"link":[{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/9099\/6398","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/9099\/6398","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T09:24:29Z","timestamp":1745141069000},"score":1,"resource":{"primary":{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/view\/9099"}},"subtitle":["Impact on stress urinary incontinence"],"short-title":[],"issued":{"date-parts":[[2025,4,17]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025,4,17]]}},"URL":"https:\/\/doi.org\/10.5489\/cuaj.9099","relation":{},"ISSN":["1920-1214","1911-6470"],"issn-type":[{"value":"1920-1214","type":"electronic"},{"value":"1911-6470","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4,17]]}}}