World Journal of Urology

, Volume 34, Issue 3, pp 413–418 | Cite as

Predictors of de novo urge urinary incontinence after photoselective vaporization of the prostate

  • Jungbum Bae
  • Hyoun Woo Kang
  • Hae Won Lee
  • Kwang Soo Lee
  • Min Chul Cho
Original Article



To investigate serial changes in the incidences of de novo urge urinary incontinence (UUI) after photoselective vaporization of the prostate (PVP) for BPH using a validated questionnaire, OABSS, and to determine predictors of postoperative de novo UUI (dnUUI).


A total of 84 men, for whom 12-month follow-up data were available and who did not complain of UUI based on the OABSS [score of OABSS question 4 (OABSS4) ≤1], were included in this study. Outcomes were evaluated at 1 week, and 1, 3, 6, and 12 months postoperatively using IPSS, OABSS, and uroflowmetry. The presence of de novo UUI was defined as OABSS4 ≥2 at the follow-up visit.


Maximum flow rate (Qmax), post-void residual urine volume, voiding symptom score, total IPSS, and QOL index improved from 1 week. Storage symptom score and total OABSS improved from 3 months. Incidences of postoperative dnUUI at 1 week, and 1, 3, and 6 months were 42.9, 27.4, 14.3, and 0.0 %, respectively. The decrease in QOL index in patients with dnUUI at each follow-up visit was lesser than in those without dnUUI. On multivariate regression analysis, older age, shorter time to Qmax on baseline uroflowmetry, higher storage symptom score, higher total OABSS, smaller bladder volume at first desire to void, and smaller maximum cystometric capacity (MCC) on baseline urodynamics were independent predictors of occurrence of dnUUI.


Our data indicate that transient dnUUI occurs in a significant proportion of patients after PVP and it tends to decrease over time. Older-aged patients, patients with shorter time to Qmax, higher baseline storage symptom score, higher baseline total OABSS, smaller bladder volume at first desire to void, and smaller MCC may be prone to develop dnUUI postoperatively.


Prostatic hyperplasia Laser Prostatectomy Urinary incontinence Urge 



This work was supported by the Dongguk University Research Fund of 2011.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standard

This study was approved by the appropriate institutional review board at our hospital and complied with the Declaration of Helsinki (revised Edinburgh, 2000).


  1. 1.
    Han E, Black LK, Lavelle JP (2007) Incontinence related to management of benign prostatic hypertrophy. Am J Geriatr Pharmacother 5:324–334CrossRefPubMedGoogle Scholar
  2. 2.
    Bruschini H, Simonetti R, Antunes AA, Srougi M (2011) Urinary incontinence following surgery for BPH: the role of aging on the incidence of bladder dysfunction. Int Braz J Urol 37:380–387CrossRefPubMedGoogle Scholar
  3. 3.
    Rassweiler J, Tebera D, Kuntz R et al (2006) Complications of transurethral resection of the prostate (TURP)—incidence, management, and prevention. Eur Urol 50:969–979CrossRefPubMedGoogle Scholar
  4. 4.
    Chughtai B, Te A (2011) Photoselective vaporization of the prostate for treating benign prostatic hyperplasia. Expert Rev Med Devices 8:591–595CrossRefPubMedGoogle Scholar
  5. 5.
    Rajbabu K, Chandrasekara SK, Barber NJ, Walsh K, Muir GH (2007) Photoselective vaporization of the prostate with the potassium-titanyl-phosphate laser in men with prostates of >100 mL. BJU Int 100:593–598CrossRefPubMedGoogle Scholar
  6. 6.
    Pereira-Correia JA, de Moraes Sousa KD, Santos JB et al (2012) GreenLight HPS™ 120-W laser vaporization vs transurethral resection of the prostate (<60 mL): a 2-year randomized double-blind prospective urodynamic investigation. BJU Int 110:1184–1189CrossRefPubMedGoogle Scholar
  7. 7.
    Te AE, Malloy TR, Stein BS, Ulchaker JC, Nseyo UO, Hai MA (2006) Impact of prostate-specific antigen level and prostate volume as predictors of efficacy in photoselective vaporization prostatectomy: analysis and results of an ongoing prospective multicentre study at 3 years. BJU Int 97:1229–1233CrossRefPubMedGoogle Scholar
  8. 8.
    Jeong SJ, Homma Y, Oh SJ (2011) Korean version of the overactive bladder symptom score questionnaire: translation and linguistic validation. Int Neurourol J 15:135–142PubMedCentralCrossRefPubMedGoogle Scholar
  9. 9.
    Jeong SJ, Homma Y, Oh SJ (2014) Reproducibility study of Overactive Bladder Symptom Score questionnaire and its response to treatment (RESORT) in Korean population with overactive bladder symptoms. Qual Life Res 23:285–292CrossRefPubMedGoogle Scholar
  10. 10.
    Malek RS, Kuntzman RS, Barrett DM (2000) High power potassium–titanyl-phosphate laser vaporization prostatectomy. J Urol 163:1730–1733CrossRefPubMedGoogle Scholar
  11. 11.
    Van Kampen M, De Weerdt W, Van Poppel H, Baert L (1997) Urinary incontinence following transurethral, transvesical and radical prostatectomy. Retrospective study of 489 patients. Acta Urol Belg 65:1–7PubMedGoogle Scholar
  12. 12.
    Chang PL, Tsai LH, Huang ST, Wang TM, Hsieh ML, Tsui KH (1998) The early effect of pelvic floor muscle exercise after transurethral prostatectomy. J Urol 160:402–405CrossRefPubMedGoogle Scholar
  13. 13.
    Latini JM, Giannantoni A (2011) Pharmacotherapy of overactive bladder: epidemiology and pathophysiology of overactive bladder. Expert Opin Pharmacother 12:1017–1027CrossRefPubMedGoogle Scholar
  14. 14.
    Porru D, Campus G, Caria A, Madeddu G, Cucchi A, Rovereto B, Scarpa RM, Pili P, Usai E (2001) Impact of early pelvic floor rehabilitation after transurethral resection of the prostate. Neurourol Urodyn 20:53–59CrossRefPubMedGoogle Scholar
  15. 15.
    Hou CP, Chen TY, Chang CC, Lin YH, Chang PL, Chen CL, Hsu YC, Tsui KH (2013) Use of the SF-36 quality of life scale to assess the effect of pelvic floor muscle exercise on aging males who received transurethral prostate surgery. Clin Interv Aging 8:667–673PubMedCentralPubMedGoogle Scholar
  16. 16.
    Mitropoulos D, Papadoukakis S, Zervas A, Alamanis C, Giannopoulos A (2006) Efficacy of tolterodine in preventing urge incontinence immediately after prostatectomy. Int Urol Nephrol 38:263–268CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Jungbum Bae
    • 1
  • Hyoun Woo Kang
    • 2
  • Hae Won Lee
    • 1
  • Kwang Soo Lee
    • 1
  • Min Chul Cho
    • 1
  1. 1.Department of UrologyDongguk University College of MedicineGoyang-SiKorea
  2. 2.Department of Internal MedicineDongguk University College of MedicineGoyang-SiKorea

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