Analysis of risk factors and establishment of risk prediction model of urinary incontinence after transurethral plasmakinetic enucleation of prostate
Objective To investigate the risk factors of urinary incontinence after transurethral plasmakinetic enucleation of prostate through clinical data collection and analysis,and establish a risk prediction model to provide clinical guidance for clinical treatment of benign prostatic hyperplasia(BPH)and prevention of urinary incontinence.Methods The clinical data of 712 patients with be-nign prostatic hyperplasia who underwent transurethral plasma enucleation of prostate from January 2018 to December 2023 were collected retrospectively,including demographic data,laboratory exami-nation and imaging data,urodynamic data,operation and postoperative follow-up data.The influencing factors of postoperative stress urinary incontinence(SUI)were analyzed by univariate and multivariate logistic regression,and a Nomogram risk prediction model was established.Results Univariate logis-tic regression analysis showed that age≥75 years old,prostate volume≥90 mL,BMI≥24 kg/m2,op-eration time and postoperative catheter balloon water injection were correlated with the occurrence of SUI(all P＜0.05).Multivariate logistic regression analysis further found that age≥75 years,prostate volume ≥90 mL and long operation time were independent risk factors for postoperative urinary inconti-nence(all P＜0.01).The Nomogram clinical risk prediction model indicated that the older the age,the larger the prostate volume,and the longer the operation time,the higher the risk of postoperative SUI.Conclusions In the selection of transurethral prostate enucleation for the treatment of BPH,due to full consideration of the patient's age and prostate volume,the operation time should be shortened as much as possible to reduce the occurrence of postoperative SUI.
Prostatic HyperplasiaUrinary IncontinenceTransurethral Resection of Prostate
NETL
NSTL
万方数据
