Pd37-12 urodynamic Predictors of Surgical Outcomes Following Male Sling Implantation

Abstract

METHODS: AUS and male sling procedures performed between 2003 and 2015 in both inpatient and outpatient ambulatory setting in New York State were extracted from the Statewide Planning and Research Cooperative System (SPARCS) database utilizing CPT and ICD-9/10 procedure codes. Spearman correlation analysis was performed to assess trends.RESULTS: A total of 1830 male sling placements and 1481 AUS insertions were identified. AUS placement increased steadily from 45 cases in 2003 to 221 cases in 2015 (P <0.001) (figure 1A). Male sling placement trended upwards from 51 cases in 2003 to 134 in 2015 (p[0.049). It surpassed AUS placement from 2008-2013 but slowly decreased by 40% from 228 cases in 2009 to 134 cases in 2015. AUS removal/revision trended upwards during the study period (p<0.001) (figure 1B). Interestingly, despite an overall increase in sling placement, sling revision/removal remained relatively stable.CONCLUSIONS: In New York State, the utilization of both AUS and male urethral sling has increased over the past decade. AUS removal/revision trended upwards during this time period, whereas incidence of male sling revision/removal remained relatively low and stable. Future studies are warranted to investigate physician and patient factors influencing the trends of surgical management of male SUI.