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Predictive risk factors of postoperative urinary incontinence following holmium laser enucleation of the prostate during the initial learning period

Overview of attention for article published in International Brazilian Journal of Urology, January 2016
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Title
Predictive risk factors of postoperative urinary incontinence following holmium laser enucleation of the prostate during the initial learning period
Published in
International Brazilian Journal of Urology, January 2016
DOI 10.1590/s1677-5538.ibju.2015.0477
Pubmed ID
Authors

Shuichiro Kobayashi, Masataka Yano, Takayuki Nakayama, Satoshi Kitahara

Abstract

To determine the predictive factors for postoperative urinary incontinence (UI) following holmium laser enucleation of the prostate (HoLEP) during the initial learning period. We evaluated 127 patients with benign prostatic hyperplasia who underwent HoLEP between January 2011 and December 2013. We recorded clinical variables, including blood loss, serum prostate-specific antigen levels, and the presence or absence of UI. Blood loss was estimated as a decline in postoperative hemoglobina levels. The predictive factors for postoperative UI were determined using a multivariable logistic regression analysis. Postoperative UI occurred in 31 patients (24.4%), but it cured in 29 patients (93.5%) after a mean duration of 12 weeks. Enucleation time >100 min (p=0.043) and blood loss >2.5g/dL (p=0.032) were identified as significant and independent risk factors for postoperative UI. Longer enucleation time and increased blood loss were independent predictors of postoperative UI in patients who underwent HoLEP during the initial learning period. Surgeons in training should take care to perform speedy enucleation maneuver with hemostasis.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 24 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 24 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 4 17%
Other 3 13%
Student > Bachelor 2 8%
Librarian 1 4%
Student > Doctoral Student 1 4%
Other 4 17%
Unknown 9 38%
Readers by discipline Count As %
Medicine and Dentistry 5 21%
Nursing and Health Professions 2 8%
Pharmacology, Toxicology and Pharmaceutical Science 1 4%
Agricultural and Biological Sciences 1 4%
Unspecified 1 4%
Other 0 0%
Unknown 14 58%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 September 2016.
All research outputs
#20,656,161
of 25,374,647 outputs
Outputs from International Brazilian Journal of Urology
#469
of 726 outputs
Outputs of similar age
#295,042
of 399,679 outputs
Outputs of similar age from International Brazilian Journal of Urology
#35
of 58 outputs
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We're also able to compare this research output to 58 others from the same source and published within six weeks on either side of this one. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.