[Comparative study on urinary incontinence control between "push stripping" and "pry stripping" techniques in patients with transurethral thulium laser enucleation of the prostate].

Authors

Shenghai Fan, Liquan Zhou, Qingxin He, Gang Liu, Jinhu Tang, Jie Li

Published in

Zhonghua nan ke xue = National journal of andrology. Volume 32. Issue 6. Pages 488-491.

Abstract

Objective To explore the value of "pushing stripping" transurethral thulium laser enucleation of the prostate in preventing postoperative urinary incontinence. Methods A total of 155 benign prostatic hyperplasia (BPH) patients admitted to 924 Hospital, Joint Logistic Support Force from April 2022 to October 2024 were randomly divided into 2 groups according to the random number table. Seventy-seven patients were included in Group A who underwent ThuLEP using the "pry stripping" technique. While 78 BPH patients were included in Group B treated with modified ThuLEP procedure using the "push stripping" technique. Perioperative parameters and the incidence of urinary incontinence after 1, 3 and 6 months of operation were analyzed to assess the efficacy and safety of the "push stripping" technique. Results There was no significant difference in prostate volume (［105.0±42.3］ mL vs ［109.0±51.2］mL), operation time(［45.3±21.2］ min vs ［48.6±25.5］ min) and postoperative urinary catheter indwelling time (［3.0±2.5］ d vs ［3.3±2.8］ d)between the two groups of patients (P>0.05). The incidences of urinary incontinence in group A and group B were 19.5% (15 cases) and 7.7% (6 cases) 24 hours after extubation, respectively. The incidences of urinary incontinence in group A and group B were 13.0% (10 cases) and 3.8% (3 cases) 1 month after surgery, respectively. There were significant differences in the incidences of urinary incontinence between the two groups 24 hours after surgery and 1 month after surgery (P<0.05). There was no significant difference in the incidences of urinary incontinence between the two groups three months after operation (P>0.05). No urinary incontinence occurred in both groups 6 months after surgery, and no permanent incontinence occurred. Conclusion With good safety and effectiveness, the "push stripping" technique for transurethral thulium laser enucleation of the prostate reduces the incidence of early postoperative urinary incontinence and improves the quality of life during the recovery period, making it worthy of clinical promotion.

PMID:
43012199
Bibliographic data and abstract were imported from PubMed on 11 Nov 2026.

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