Is there a way to predict stress urinary incontinence after holmium laser enucleation of the prostate? – PubMed – NCBI

Stumbled into this article from 2011 today. Conclusion: large prostates and DM2 increase the risk.

Since the bladder neck continence mechanism is eliminated with BPH procedures, my hypothesis for contributing risk factors have to do with the external sphincter/pelvic floor: neurologic conditions (obvious), large prostates (the sphincter is spread and thinned out over the prostate and then must make adjustments post surgery), chronic urinary retention (lack of exercise), severe chronic urinary obstruction (lack of exercise), and frailty or overall debility status (weakness of the pelvic floor).

Source: Is there a way to predict stress urinary incontinence after holmium laser enucleation of the prostate? – PubMed – NCBI