Multicenter Analysis of Patient Reported Outcomes Following Artificial Urinary Sphincter Placement for Male Stress Urinary Incontinence

Patient-centered data regarding functional and quality of life improvements after AUS placement is lacking. We analyzed the degree of benefit from AUS placement utilizing the ISI, a validated patient reported outcome measure assessing severity and bother of urinary incontinence and the IIQ-7, a validated patient reported outcome measure assessing the impact and emotional distress of urinary incontinence.

We performed a retrospective review from four participating centers in the Trauma and Urologic Reconstruction Network of Surgeons. Data were available for 51 and 45 patients who underwent AUS placement and had preoperative and postoperative ISI and IIQ-7 data, respectively.

Mean age was 64.8 years. The median time from surgery to follow-up questionnaires was 8.5 months. Among the ISI, the median preoperative severity and bother scores were 24 (IQR 20, 28.5) and 6 (IQR 4, 7), respectively. The median postoperative severity and bother scores were 10 (IQR 4.5, 17) and 1 (IQR 0, 3), respectively. Improvement for each item of the ISI questionnaire was statistically significant.Among the IIQ-7, the median preoperative impact and distress scores were 9 (IQR 6, 13) and 4 (2, 6), respectively. The median postoperative impact and distress scores were 3 (IQR 0, 7) and 0 (IQR 0, 3). Improvement for each item of the IIQ-7 questionnaire was statistically significant.

AUS implantation significantly reduces the severity and bother of stress urinary incontinence symptoms. Longer follow up and development of a PROM targeting male SUI is needed.

The Journal of urology. 2017 Sep 27 [Epub ahead of print]

Jonathan T Wingate, Bradley A Erickson, Gregory Murphy, Thomas G Smith, Benjamin N Breyer, Bryan B Voelzke

Madigan Army Medical Center, Tacoma, WA. Electronic address: ., University of Iowa, Iowa City, IA. Electronic address: ., University of California San Francisco, San Francisco, CA. Electronic address: ., Baylor College of Medicine, Houston, TX. Electronic address: ., University of California San Francisco, San Francisco, CA. Electronic address: ., University of Washington, Seattle, WA. Electronic address: .

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