Evidence map›Paper›PMID 38724829›Full record

ArticleWorld journal of urology2024

Analysis of urinary retention after endoscopic prostate enucleation and its subsequent impact on surgical outcomes.

Ying-Hao Hsu, Chen-Pang Hou, Shu-Chuan Weng, Han-Yu Tsai, Shu-Han Tsao, Horng-Heng Juang, Yu-Hsiang Lin, Chien-Lun Chen, Phei-Lang Chang, Kuo-Jen Lin

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In one paragraph

Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ying-Hao HsuDepartment of Urology, Chang Gung Memorial Hospital at Linkou, 333, Taoyuan, Taiwan.
Chen-Pang HouDepartment of Urology, Chang Gung Memorial Hospital at Linkou, 333, Taoyuan, Taiwan.
Shu-Chuan WengDepartment of Health and Management, Yuanpei University of Medical Technology, Hsinchu, 330, Taiwan.
Han-Yu TsaiDepartment of Urology, Chang Gung Memorial Hospital at Linkou, 333, Taoyuan, Taiwan.
Shu-Han TsaoDepartment of Urology, Chang Gung Memorial Hospital at Linkou, 333, Taoyuan, Taiwan.
Horng-Heng JuangDepartment of Anatomy, School of Medicine, Chang Gung University, 333, Taoyuan, Taiwan.
Yu-Hsiang LinDepartment of Urology, Chang Gung Memorial Hospital at Linkou, 333, Taoyuan, Taiwan.
Chien-Lun ChenDepartment of Urology, Chang Gung Memorial Hospital at Linkou, 333, Taoyuan, Taiwan.
Phei-Lang ChangDepartment of Urology, Chang Gung Memorial Hospital at Linkou, 333, Taoyuan, Taiwan.
Kuo-Jen LinDepartment of Urology, Chang Gung Memorial Hospital at Linkou, 333, Taoyuan, Taiwan. m7153@cgmh.org.tw.ORCID http://orcid.org/0009-0008-9035-0835

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePostoperative urinary retention (PUR) is a common complication after prostate enucleation, which leads to an increased length of hospital stay and decreased postoperative satisfaction. This study determined the predictive factors of postoperative urine retention within 1 month after prostate enucleation and investigated whether PUR influences surgical outcomes at the 2-week, 3-month, and 6-month follow-up time points.

methodsData were collected from the electronic medical records of 191 patients with benign prostatic obstruction (BPO) during October 2018 to September 2021. Of them, 180 patients who underwent thulium laser or plasma kinetic enucleation of the prostate (ThuLEP, PKEP) were separated into the PUR group (n = 24) and the non-PUR (NPUR) group (n = 156). Uroflowmetry and the International Prostate Symptom Score (IPSS) questionnaire were followed up at 2 weeks, 3 months, and 6 months postoperatively.

resultsThe PUR group had a significantly higher percentage of patients with type 2 diabetes mellitus (DM) than the NPUR group. Postoperatively, compared with the NPUR group, the PUR group had significantly less improvement in changes in the IPSS Quality of Life scores at 2 weeks, the total IPSS(International Prostate Symptom Score) at all follow-up times, the IPSS-S(IPSS storage subscores) at 2 weeks and 3 months, and the IPSS-V(IPSS voiding subscores) at all follow-up times. Predictive factors for PUR include lower preoperative maximum urinary flow (Qmax), lower preoperative total IPSS, and higher operation time.

conclusionLower preoperative Qmax, lower IPSS scores, and longer operation time were risk factors for PUR. Furthermore, PUR could be a prognostic factor for prostatic enucleation surgical outcomes.

Indexed as

Postoperative ComplicationsProstatectomyProstatic HyperplasiaUrinary RetentionAgedEndoscopyHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeBenign prostate hyperplasiaBenign prostate obstructionEnucleationLaserOutcomePlasma kineticPostoperative urine retention

Identifiers

PMID38724829

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.