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How to optimise urinary continence in anatomical endoscopic enucleation of the prostate?
Author(s) -
Lee Hsiang Ying,
Cho Sung Yong,
Juan YungShun,
Teoh Jeremy YuenChun
Publication year - 2020
Publication title -
andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.633
H-Index - 59
eISSN - 1439-0272
pISSN - 0303-4569
DOI - 10.1111/and.13621
Subject(s) - medicine , enucleation , prostate , urinary continence , transurethral resection of the prostate , urinary incontinence , surgery , urology , bladder outlet obstruction , artificial urinary sphincter , urinary system , gold standard (test) , prostatectomy , cancer
The traditional transurethral resection of the prostate (TURP) is considered as gold‐standard surgical treatment to relieve symptoms resulting from bladder outlet obstruction by prostate enlargement. However, with the advances of novel laser technologies and more experienced surgeon conquering the steep learning curve, anatomical endoscopic enucleation of prostate (AEEP) has become a more popular alternative surgical technique. Although AEEP has compatible functional outcome, less blood loss, shorter catheterisation duration and hospital stay, the risk of post‐operative urinary incontinence (UI) is often an issue of concern. In this review, we focus on discussion about risk factors related to increased incidence of UI, some surgical tips to avoid damaging external urinary sphincter and treatment strategies to facilitate recovery of urinary continence after surgery.