Development and validation of a nomogram for predicting early stress urinary incontinence following endoscopic enucleation of the prostate - Summary - MDSpire
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Development and validation of a nomogram for predicting early stress urinary incontinence following endoscopic enucleation of the prostate
To develop and validate a nomogram for predicting the probability of early stress urinary incontinence (SUI) post-endoscopic enucleation of the prostate (EEP), highlighting its significance for patient management.
Key Findings:
23.9% of patients experienced early SUI at 1-week follow-up, indicating a significant postoperative concern.
Significant predictors for early SUI included age, BMI, LUTS duration, prostate volume, and surgery time, which can guide preoperative counseling.
Interpretation:
The developed nomogram can help identify patients at high risk for early SUI post-EEP, allowing for timely interventions.
Limitations:
The study was conducted at a single institution, which may limit generalizability and introduce selection bias.
Urodynamic assessments were only performed for patients with persistent incontinence, potentially underestimating SUI prevalence.
Conclusion:
The nomogram provides a useful tool for predicting early SUI after EEP, enhancing preoperative risk assessment and patient management, ultimately improving patient outcomes.
