ArticleAmerican journal of translational research2026
Perioperative anesthetic management characteristics associated with early postoperative voiding recovery and short-term urinary outcomes after HoLEP in elderly frail patients: a retrospective study.
Article in American journal of translational research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo identify anesthetic factors associated with early voiding recovery after holmium laser enucleation of the prostate (HoLEP) in elderly frail patients, and to compare short-term urinary outcomes by recovery status.
methodsThis single-center retrospective study included frail patients (aged ≥75 years, Clinical Frailty Scale score ≥5) who underwent HoLEP between January 2021 and December 2024. Patients were classified into good recovery, defined as spontaneous voiding after first catheter removal, and poor recovery defined as the inability to void or the need for re-catheterization. Baseline characteristics, perioperative variables, short-term outcomes were compared. Stepwise logistic regression was used to identify factors associated with early voiding recovery. Multivariable logistic regression was used to assess the association between recovery status and a composite adverse outcome including postoperative incontinence, urinary tract infection, hematuria or clot retention, and 30-day readmission.
resultsAmong 194 frail patients, 136 (70.1%) had poor early voiding recovery. In multivariable analysis, poor recovery was independently associated with higher postvoid residual volume (PVR,
conclusionEarly voiding status after catheter removal serves as a simple and practical clinical indicator to identify elderly frail HoLEP patients at risk of adverse short-term urinary outcomes.
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