Effect of Radiation on Male Stress Urinary Incontinence and the Role of Urodynamic Assessment

Hoffman, Daniel; Vijay, Varun; Peng, Ming-Yieh; Sussman, Rachael D.; Rosenblum, Nirit; Brucker, Benjamin M.; Peyronnet, B.; Νitti, Victor W.

doi:10.1016/j.urology.2018.11.031

Cited by 8 publications

(1 citation statement)

References 30 publications

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“…While more invasive tests, such as cystoscopy and urodynamics, may provide more detailed information on the anatomy and function of the lower urinary tract, they have much higher cost and time requirements than SCT. Moreover, their utility in predicting sling success has not been established (2,20,24,25). In 1996, Kowalcyzk and colleagues first described the SCT as a method to stratify male SUI severity to determine if one or two AUS cuffs should be used (26).…”

Section: Male Sui Assessmentmentioning

confidence: 99%

Standing cough test stratification of moderate male stress urinary incontinence

Khouri

Ortiz

et al. 2021

Int. braz j urol.

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Purpose: Patient-reported history of pads per day (PPD) is widely recognized as a fundamental element of decision-making for anti-incontinence procedures. We hypothesize that SUI severity is often underestimated among men with moderate SUI. We sought to compare patient history of incontinence severity versus objective in-office physical examination findings. Materials and Methods: We retrospectively reviewed our single-surgeon male SUI surgical database from 2007-2019. We excluded patients with incomplete preoperative or postoperative data and those who reported either mild or severe SUI, thus having more straightforward surgical counseling. For men reported to have moderate SUI, we determined the frequency of upgrading SUI severity by recording the results of an in-office standing cough test (SCT) using the Male Stress Incontinence Grading Scale (MSIGS). The correlation of MSIGS with sling success rate was calculated. Failure was defined as >1 PPD usage or need for additional incontinence procedure. Results: Among 233 patients with reported moderate SUI (2-3 PPD), 89 (38%) had MSIGS 3-4 on SCT, indicating severe SUI. Among patients with 2-3 PPD preoperatively, sling success rates were significantly higher for patients with MSIGS 0-2 (76/116, 64%) compared to MSIGS 3-4 (6/18, 33%) (p <0.01). Conclusions: Many men with self-reported history of moderate SUI actually present severe SUI observed on SCT. The SCT is a useful tool to stratify moderate SUI patients to more accurately predict sling success.

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