Urinary Incontinence After HoLEP: A Bibliometric Analysis (2001–2025)

Aim: Holmium Laser Enucleation of the Prostate (HoLEP) is an effective surgical therapy for benign prostatic hyperplasia (BPH), yet postoperative urinary incontinence (UI) remains a notable complication. The objective of this study was to undertake a bibliometric analysis of the extant literature on UI following HoLEP, with a view to identifying research trends and key contributors.Material and Methods: A comprehensive search of the Web of Science Core Collection was conducted for publications related to HoLEP and UI from 2001 to 2025. A comprehensive set of bibliometric data was extracted, including publication counts, countries of origin, authorship information, citation metrics, and keyword usage. Keyword co-occurrence patterns were analyzed using VOSviewer.Results: A total of 50 publications (2010–2025) were identified. Annual output was low until a marked increase occurred after 2015, peaking at 15 publications in 2024. The United States, Germany, and Japan contributed the most studies. No dominant author was identified. Frequently used keywords included HoLEP, urinary incontinence, and risk factors, indicating focus on incidence and predictors. Foundational studies from 2010–2015 were highly cited, while recent publications have gained attention rapidly.Conclusions: Although transient UI affects a minority of HoLEP patients, most regain continence within months, and long-term incontinence is reported in only approximately 1% of cases. This reflects a substantial and growing global research interest, as demonstrated by the existing literature. In order to reduce post-HoLEP UI and optimise patient outcomes, further international efforts are required. These efforts must include the standardisation of outcome definitions and the execution of high-quality trials.