Comparison of adjustable male slings and artificial urinary sphincter in the treatment of male urinary incontinence: a retrospective analysis of patient selection and postoperative continence status
| Autor: | Rudi Abdunnur, Tobias Pottek, Carsten M. Naumann, Jesco Pfitzenmaier, M. Kurosch, Hagen Loertzer, Achim Rose, Ricarda M. Bauer, Carola Wotzka, Axel Haferkamp, Fabian Queissert, M. Grabbert, Alexander Kretschmer, Tanja Hüsch, Bernhard Brehmer, Axel Heidenreich, Wilhelm Huebner, Ruth Kirschner-Hermanns, Torben Hofmann, Alice Obaje, Ralf Anding, Joanne Nyarangi-Dix, Roland Homberg, Josef Schweiger, Alexander Friedl, Roberto Olianas |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Nephrology medicine.medical_specialty Urologic Surgical Procedures Male Urethral stricture Urinary Incontinence Stress Urology medicine.medical_treatment 030232 urology & nephrology Urinary incontinence Severity of Illness Index Cohort Studies Artificial urinary sphincter 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Retrospective analysis Humans Patient Reported Outcome Measures Aged Retrospective Studies Urethral Stricture Suburethral Slings Radiotherapy business.industry Patient Selection medicine.disease Surgery Radiation therapy Treatment Outcome 030220 oncology & carcinogenesis Cohort Mann–Whitney U test Urinary Sphincter Artificial medicine.symptom business |
| Zdroj: | World Journal of Urology. 37:1415-1420 |
| ISSN: | 1433-8726 0724-4983 |
| DOI: | 10.1007/s00345-018-2523-0 |
| Popis: | To analyze and compare preoperative patient characteristics and postoperative results in men with stress urinary incontinence (SUI) selected for an adjustable male sling system or an artificial urinary sphincter (AUS) in a large, contemporary, multi-institutional patient cohort. 658 male patients who underwent implantation between 2010 and 2012 in 13 participating institutions were included in this study (n = 176 adjustable male sling; n = 482 AUS). Preoperative patient characteristics and postoperative outcomes were analyzed. For statistical analysis, the independent T test and Mann–Whitney U test were used. Patients undergoing adjustable male sling implantation were less likely to have a neurological disease (4.5% vs. 8.9%, p = 0.021), a history of urethral stricture (21.6% vs. 33.8%, p = 0.024) or a radiation therapy (22.7% vs. 29.9%, p = 0.020) compared to patients that underwent AUS implantation. Mean pad usage per day (6.87 vs. 5.82; p |
| Databáze: | OpenAIRE |
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