The Urological Society of India survey on urinary incontinence practice patterns among urologists

Autor: Sanjay Sinha, Shirish Yande, Anita Patel, Ajit Vaze, Kalyan Sarkar, Shailesh Raina, Mayank Mohan Agarwal, Pawan Vasudeva, Nikhil Khattar, Vijay Kumar Sarma Madduri, Nagendranath Mishra, Amita Jain, Manu Gupta
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Indian Journal of Urology, Vol 34, Iss 3, Pp 202-210 (2018)
Druh dokumentu: article
ISSN: 0970-1591
1998-3824
DOI: 10.4103/iju.IJU_85_18
Popis: Introduction: The Urological Society of India guidelines panel on urinary incontinence (UI) conducted a survey among its members to determine their practice patterns in the management of UI. The results of this survey are reported in this manuscript. Methods: An anonymous online survey was carried out among members of the USI to determine their practice patterns regarding UI using a predeveloped questionnaire on using SurveyMonkey®. A second 4-question randomized telephonic survey of the nonresponders was performed after closure of the online survey. Data were analyzed by R software 3.1.3 (P < 0.05 significant). Results: A total of 468 of 2109 (22.2%) members responded to the online survey. Nearly 97% were urologists, 74.8% were working at a private, and 39.4% were in an academic institution. Almost all were managing UI. 84.2% had local access to a urodynamics (UDS) facility. 85.8% would check postvoid residual urine for all the patients. Voiding diary, symptom scores, quality of life scores, pad test, Q-tip test, stress test, uroflow, and cystoscopy were ordered as part of evaluation by 86.0%, 49.8%, 24.4%, 22.0%, 6.0%, 71.8%, 69.2%, and 34.7%, respectively. 47.6% would order a UDS for patients with urgency UI who fail conservative treatment. 36.9% would get UDS prior to all stress UI surgery. Seventy-five percent would make a diagnosis of intrinsic sphincter deficiency. Solifenacin was the first choice for urgency UI in general and darifenacin was preferred in elderly. Botulinum was the first choice for refractory urgency UI. Midurethral sling was the commonest procedure for surgical management of SUI (95.1%). 147 of the 1641 non responders were randomly sampled telephonically. Telephonic respondents had similar access to UDS facility but had performed fewer lifetime number of post-prostatectomy incontinence (PPI) surgeries. Combining data from both surveys, total number of artificial sphincters and PPI surgeries ever performed by USI members was estimated at 375 and 718 respectively. Conclusion: This survey provides important new data and elicits critical differences in management practices based on demographics.
Databáze: Directory of Open Access Journals
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