To explore the related influencing factors of urination function recovery after transurethral holmium laser enucleation of prostate (HoLEP) and to analyze the rapid rehabilitation intervention.

A retrospective analysis was performed on 120 patients who underwent transurethral HoLEP in our hospital from October 2018 to October 2019. According to recovery time of postoperative urination function, they were divided into group A (not longer than 2 weeks, 52 cases) and group B (longer than 2 weeks, 68 cases). The related factors affecting postoperative recovery of urination function were explored. The rapid rehabilitation intervention measures were analyzed. A total of 62 patients who underwent transurethral HoLEP in the hospital from October 2019 to March 2020 were randomly divided into observation group and control group, 31 cases in each group. The observation group was given rapid rehabilitation intervention, while control group was given routine nursing. The clinical data were compared between the two groups.

Univariate analysis showed that there were differences in sphincter damage, bladder dysfunction, postoperative bleeding and urinary tract infection between group A and B (P<0.05). There were no significant differences in smoking, drinking and preoperative IPSS between the two groups (P>0.05). Multivariate analysis showed that sphincter damage, bladder dysfunction, postoperative bleeding and urinary tract infection were independent risk factors that affected recovery of urination function after transurethral HoLEP. The leaving bed time, exhaust time, eating time, catheter indwelling time and postoperative hospitalization time in observation group were less than those in control group (P<0.05). After surgery, there was no significant difference in occurrence of urinary tract infection, temporary urinary incontinence, postoperative urinary retention and urethral stricture between observation group and control group (P>0.05). At one week after surgery, RUV of observation group was lower than that of control group, while Qmax was higher than that of control group (P<0.05).

A series of rapid rehabilitation intervention measures during perioperative period can help patients quickly recover urination function and improve their quality of life.