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Erschienen in:
27.03.2021 | Original Article
Artificial urinary sphincter implantation in non-neurogenic men: a place for out-patient surgery
Erschienen in: World Journal of Urology | Ausgabe 9/2021
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Objective
To assess feasibility, safety and risk factors for failure associated with out-patient surgery for artificial urinary sphincter (AUS) implantation/revision in non-neurogenic men.
Materials
In 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.
Results
Eighty-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%.
Conclusion
AUS 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.
Trial registration number
DEC20-173 (French National Commission for Data Protection and Liberties)