title: Practical Index of Urinary Incontinence Following Holmium Laser Enucleation of the Prostate: A Case-Series Study of the 24-Hour Pad Test Immediately after Catheter Removal.
abstract: BACKGROUND
  Epidemiological data regarding complications after holmium laser enucleation of the prostate (HoLEP) are scarce in Japan. We examined the associations of the 24-hour pad test results immediately after HoLEP with continence acquisition at 3 months postoperatively.
  
  
  METHODS
  In this hospital-based case-series study, we reviewed medical charts of 341 patients without catheterization and 150 patients with catheterization at the time of surgery. The 24-hour pad test was conducted immediately after catheter removal to measure the leakage weight. Subjects were divided into 2 groups: leakage weight = 0 g (negative) and >0 g (positive). Urinary incontinence (UI) at 3 months postoperatively was self-reported by patients.
  
  
  RESULTS
  Significant relationships were observed between pad test positivity and UI at 3 months postoperatively and between the pad test weight and the timing of continence acquisition in patients with and without catheterization. In multivariate analyses, the pad test positivity was associated significantly with the Overactive Bladder Symptom Score and enucleated tissue weight in patients without perioperative catheterization and with age in patients with catheterization.
  
  
  CONCLUSIONS
  The 24-hour pad test immediately after catheter removal could indicate the need for early and active intervention to prevent continuous postoperative UI. Patients' symptoms and clinical items predictive of test positivity should be carefully assessed.
authors: Department of Public Health, Fukushima Medical University, Fukushima, Japan.
authors: Akiko
authors: A
authors: Fujisaki
authors: Aya
authors: A
authors: Goto
authors: Fumiyasu
authors: F
authors: Endo
authors: Osamu
authors: O
authors: Muraishi
authors: Kazunori
authors: K
authors: Hattori
authors: Seiji
authors: S
authors: Yasumura
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D020878:Device Removal; D006695:Holmium; D006801:Humans; D053685:Laser Therapy; D053844:Lasers, Solid-State / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods*; D012189:Retrospective Studies; D013997:Time Factors; D062885:Urinary Catheters; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology*
chemical_list: D006695:Holmium