Objective: Despite having various benefits, post-operative transient urine incontinence (TUI) is a significant consequence of holmium laser prostate enucleation (HoLEP) in a small percentage of patients. To manage benign prostatic hypertrophy, it is critical to establish predictive risk factors of early postoperative TUI after HoLEP. Methods: One hundred participants participated in this hospital-based study over the course of 15 months in a tertiary care facility in Mohali and Punjab. All indoor benign prostatic hyperplasia patients who underwent HoLEP treatment from a single surgeon and were monitored for at least 3 months after the procedure made up the study population. Clinical information that was deemed pertinent was recorded. Results: The study’s participants had an average age of 68.54 +/− 7.72 years. Patients who had experienced acute urine retention made up 48% of the population. Mean prostate size and mean International Prostate Symptom Score (IPSS) were 64.19 ml and 28.35 ml, respectively, preoperatively. Diabetes mellitus, prostate volume (>58 cc), overall operation time (>131 min), enucleated prostate volume (42 g), total energy used (>154 kJ), and percentage decrease in prostate-specific antigen (60%) were all substantially linked to post-operative TUI. Total energy was found to be a predictor for post-operative TUI in multivariate analysis. Conclusion: The following factors were discovered to be statistically linked with postoperative TUI: Diabetes mellitus, prostate volume (>58 cc), total operation time (>131 min), enucleated prostate volume (42 g), total energy used (>154 kJ), and reduction in Prostate Specific Antigen (60%) Multivariate research revealed that the only independent predictor for post-operative TUI was total energy consumed.
Objective: Closing wounds are a fundamental aspect of surgery. Both patients and surgeons hope that no scars remain once a wound has healed. This study examined the effectiveness of cyanoacrylate and suture material in closing operational skin wounds in terms of time required for closure of the operative incision and problems associated with it. Methods: Forty-two individuals who had emergency surgery participated in this comparative analysis. The study evaluated how the identical patient’s abdominal incisions were closed on the skin. Relevant surgical information, such as signs of inflammation, discomfort, possible discharge, wound dehiscence, and sinus, was recorded both during and after the operation. Results: In the adhesive application group, it took 1.5 min (95 s), but it took 4.1 min (248 s) in suturing group for the closure of a <5-cm incision. Of the 32 patients in the adhesive group, 4 (12.5%) showed erythema and warmth, 3 (9.3%) showed discomfort, and 6 (18.7%) showed discharge. All other problems, excluding dehiscence, were less severe in the sticky group. Conclusion: For patients undergoing emergency laparotomies, cyanoacrylate appears to be a safe and cost-effective alternative to sutures. For a conclusive outcome, a high number of case groups are needed, but the observed results were only on a small number of case groups.
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