Proposal of a new way to evaluate the external sphincter function prior male sling surgey

Moser, Daniel; D’Ancona, Carlos Arturo Levi; Voris, Brunno Raphael Iamashita; Lahan, Daniel; Jani, K.; Henry, Gerard D.

doi:10.1590/s1677-5538.ibju.2018.0146

Cited by 4 publications

(2 citation statements)

References 25 publications

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“…More invasive and expensive tests, such as sphincter pressure under contraction (SPUC) have demonstrated clinical utility (28); however, more studies on SPUC are needed to show that its benefits outweigh the costs and invasiveness. This study supports our recent findings that MSIGS is a highly practical and important variable when predicting surgical outcomes of an AUS or sling (27).…”

Section: Msigs 0-2 (Groupsupporting

confidence: 92%

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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Section: Msigs 0-2 (Groupsupporting

confidence: 92%

Standing cough test stratification of moderate male stress urinary incontinence

Khouri

Ortiz

et al. 2021

Int. braz j urol.

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“…Other less common tests in SUI evaluation in men include urodynamics, and sphincter pressure under contraction (SPUC) using urethral profilometry profile (17). These tests can be costly, time consuming, invasive, and can delay definitive treatment.…”

Section: Evaluation Of Suimentioning

confidence: 99%

A narrative review of the role of the Male Stress Incontinence Grading Scale in the surgical management of male stress urinary incontinence

Langford¹,

Johnson²,

Morey³

2023

Transl Androl Urol

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Background and Objective: Surgical treatment for male stress urinary incontinence (SUI) includes transobturator slings and artificial urinary sphincters (AUSs). Historically, 24-hour pad weights have been used to objectively grade the severity of male SUI and guide management decisions. In 2016, the Male Stress Incontinence Grading Scale (MSIGS) was developed as a scoring system for the standing cough test (SCT). This test can be performed at the time of initial consultation and is non-invasive, with significantly less burden to the patient compared to historical measures of male SUI. Methods: A review of the reconstructive literature was conducted using PubMed and Google Scholar, reviewing articles that discuss the development of MSIGS, its correlation with objective measures of male SUI, and its use in guiding the choice of anti-incontinence surgical management.Key Content and Findings: MSIGS has been shown to have a strong positive correlation with the 24-hour pad weight test and the subjective patient-reported pads per day (PPD). An MSIGS of 3 or 4 is used to recommend a patient for AUS placement and a score of 1 or 2 for male sling placement. Patient reported satisfaction rates were 95% for AUS and 96.5% for sling. Further, over 91% of men in the study reported they would recommend their selected procedure to other men with a similar condition. Conclusions:The MSIGS is a non-invasive, efficient, and cost-effective way to evaluate men with SUI.The in-office SCT can be quickly and easily adopted into any clinical practice and provides immediate objective information that can be used to better counsel patients on anti-incontinence surgery selection.

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Surgical Management of Male Stress Urinary Incontinence: Artificial Urinary Sphincter Versus Male Slings

Johnson

Morey²

2022

Curr Sex Health Rep

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Proposal of a new way to evaluate the external sphincter function prior male sling surgey

Cited by 4 publications

References 25 publications

Standing cough test stratification of moderate male stress urinary incontinence

Standing cough test stratification of moderate male stress urinary incontinence

A narrative review of the role of the Male Stress Incontinence Grading Scale in the surgical management of male stress urinary incontinence

Surgical Management of Male Stress Urinary Incontinence: Artificial Urinary Sphincter Versus Male Slings

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