Title :

Artificial urinary sphincter implantation in non-neurogenic men: a place for out-patient surgery

Author(s) :

Nasri, Jordan [Auteur]
Beraud, F. [Auteur]
Seguier, Denis [Auteur]
Delporte, Gauthier [Auteur]
Behal, Helene [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Olivier, Jonathan [Auteur]
Villers, Arnauld [Auteur]
Miniaturisation pour la Synthèse, l’Analyse et la Protéomique - UAR 3290 [MSAP]
Marcelli, F. [Auteur]
Biardeau, Xavier [Auteur]

Journal title :

World journal of urology

Pages :

p. 3541–3547

Publisher :

Springer Verlag

Publication date :

2021-01-01

ISSN :

0724-4983

English keyword(s) :

Day-case
Ambulatory
Artificial urinary sphincter
Male stress urinary incontinence

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

ObjectiveTo assess feasibility, safety and risk factors for failure associated with out-patient surgery for artificial urinary sphincter (AUS) implantation/revision in non-neurogenic men.MaterialsIn the present retrospective ...
Show more >ObjectiveTo assess feasibility, safety and risk factors for failure associated with out-patient surgery for artificial urinary sphincter (AUS) implantation/revision in non-neurogenic men.MaterialsIn the present retrospective monocentric study conducted between May 2016 and March 2020, 81 patients undergoing AUS implantation or revision during an out-patient surgery were included. The primary outcome was the success rate of out-patient surgery. Success was assessed using two distinct definitions, a narrow definition, where success was defined as a one-day hospitalization and the absence of any unscheduled consultation or re-hospitalization within the 3 days following surgery, a broad definition, where success was defined as a one-day hospitalization and the absence of any unscheduled re-hospitalization within the 3 days following surgery. In parallel, risk factors for failure of out-patient surgery, as well as efficacy and safety were assessed.ResultsEighty-one patients were enrolled, with a mean age of 71.2 years ± 5.9. Out-patient surgery was successfully completed in 58 men (71.6% [95% CI 60.5–81.1]) and in 76 men (93.8% [95% CI 86.2–97.9]) according to the narrow and the broad definition, respectively. After multivariate analysis, anticoagulant therapy (OR 25.97 [95% CI 4.44–152.04]) and low socio-professional status (OR 22.1 [95% CI 3.701–131.95]) were statistically associated with failure of out-patient surgery. The continence rate after a 90-day follow-up was 79%.ConclusionAUS implantation/revision in non-neurogenic men could be safely proposed in out-patient surgery. Special attention may however be paid to patients undergoing anticoagulant therapy or belonging to a low socio-professional category.Show less >

Language :

Anglais

Popular science :

Non

Collections :

• Miniaturisation pour la Synthèse, l'Analyse et la Protéomique (MSAP) - USR 3290

Source :

Harvested from HAL