Evaluation of the 24‐h pad weight test as continence rate assessment tool after artificial urinary sphincter implantation for postprostatectomy urinary incontinence: A Swedish retrospective cohort study
العنوان: | Evaluation of the 24‐h pad weight test as continence rate assessment tool after artificial urinary sphincter implantation for postprostatectomy urinary incontinence: A Swedish retrospective cohort study |
---|---|
المؤلفون: | Lotta Renström-Koskela, Filip Sydén, Katarina Hallén Grufman, Pierre Mozer, Izabelle Brattås, Daniela Volz, Christine Reus |
المساهمون: | Karolinska Institutet [Stockholm], Karolinska University Hospital [Stockholm], Service d'Urologie [CHU Pitié-Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Sorbonne Université - Faculté de Médecine (SU FM), Sorbonne Université (SU) |
المصدر: | Neurourology and Urodynamics Neurourology and Urodynamics, Wiley, 2021, ⟨10.1002/nau.24723⟩ |
بيانات النشر: | Wiley, 2021. |
سنة النشر: | 2021 |
مصطلحات موضوعية: | Male, medicine.medical_specialty, Urinary Incontinence, Stress, [SDV]Life Sciences [q-bio], Urology, pad test, postprostatectomy urinary incontinence, 030232 urology & nephrology, Urinary incontinence, Cohort Studies, Artificial urinary sphincter, 03 medical and health sciences, 0302 clinical medicine, Patient satisfaction, Quality of life, Interquartile range, Humans, Medicine, Retrospective Studies, Prostatectomy, Sweden, urinary incontinence, 030219 obstetrics & reproductive medicine, business.industry, Medical record, Retrospective cohort study, artificial urinary sphincter, 3. Good health, Treatment Outcome, quality of life, Urinary Sphincter, Artificial, Neurology (clinical), medicine.symptom, business, Follow-Up Studies, Cohort study |
الوصف: | International audience; Aim: Patient-reported pad-count as continence rate assessment tool after artificial urinary sphincter (AUS) implantation is common. However, lack of standardized continence definition using this method results in heterogeneous published efficacy outcomes. Data on 24-h pad weight tests (PWT) after primary AUS implantation for postprostatectomy urinary incontinence (PPUI) is scarce. Our aim was to evaluate the 24-h PWT as an efficacy assessment tool and correlate it to qualitative outcomes using validated questionnaires.Methods: This retrospective, single center, follow-up cohort study, evaluated 180 patients who underwent primary AUS implantation for PPUI from 2005 to 2018. Voiding diaries, 24-h PWT, validated patient satisfaction and quality of life (QoL) questionnaires were collected pre-operatively and at 3-6 months postactivation, using the institution's Electronic Medical Records.Results: The median preoperative and postoperative 24-h PWT values were 494 (interquartile range [IQR]: 304-780) and 7 (IQR: 0-25) g respectively with a significant improvement in urinary leakage of 489.5 g 99.1% (p < 0.001). Median preoperative and postoperative I-QoL results increased from 33.5 (IQR: 19.3-63.6) to 86.4 (IQR: 73.9-94.3) points, with a significant 52.9 points improvement in QoL (p < 0.001). Similarly, the median preoperative and postoperative ICIQ-SF values decreased from 20 (IQR: 17-21) to 5 (IQR: 3-9) points, showing a significant improvement of 15 points (p < 0.001). We also found a significant correlation between PWT and patient satisfaction.Conclusion: The 24-h PWT provides a reliable and objective assessment of continence rates, with a strong correlation to qualitative outcomes, after primary AUS implantation for PPUI. Its use could help reduce reported outcome heterogeneity across studies. |
تدمد: | 1520-6777 0733-2467 |
DOI: | 10.1002/nau.24723 |
DOI: | 10.1002/nau.24723⟩ |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2c50f7ee70e1e03bb671a2c92d5f0ad8 https://doi.org/10.1002/nau.24723 |
Rights: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....2c50f7ee70e1e03bb671a2c92d5f0ad8 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 15206777 07332467 |
---|---|
DOI: | 10.1002/nau.24723 |