Qualitative analysis of Amazon customer reviews of penile clamps for male urinary incontinence

Lee, Austin; Mmonu, Nnenaya A.; Thomas, Hannah S; Ríos, Natalie; Enriquez, Anthony; Breyer, Benjamin N.

doi:10.1002/nau.24572

Cited by 8 publications

(4 citation statements)

References 23 publications

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“…In a study by Lee et al, where amazon buyers reviewed the clamp, the overall attitude against penile clamps tended to be more positive than negative. It is, however, a study with obvious limitations and an amount of selection bias [16] More studies are needed to establish the efficacy of the different types of clamps, to make them easier to use and to decide which penile clamp should be recommend for the patient.…”

Section: Discussionmentioning

confidence: 99%

Patients experience with the use of a penile clamp in post-prostatectomy incontinence – a prospective pilot study

Jula,

Andreasson,

Logadottir

et al. 2024

SJU

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Objectives: The aim of this study was to assess the efficacy of a penile clamp in managing urinary incontinence (UI) and its impact on perceived quality of life (QoL) amongst post-prostatectomy patients. Material and methods: A prospective pilot study was conducted including patients with post-prostatectomy UI treated with a penile clamp. Inclusion criteria consisted of UI after radical prostatectomy, good hand function, full cognitive function and a minimum penile length of 3 cm and a circumference of 5 cm. An appropriately sized penile clamp was selected during the first visit, and patients were given instructions on how to use it. The first follow-up was a scheduled phone call 1 week after the initial visit. Formal evaluations were performed prior to use of the penile clamp and again after 3 months of usage. These consisted of weighing pads during the daytime with evaluation of leakage, International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), incontinence-QoL (I-QoL) and a questionnaire specific for the penile clamp. Results: There were 22 patients included, and two were excluded due to reduced hand function and surgery before the study endpoint. The results showed a significant median reduction of urinary leakage of 57% at rest and 58% during physical activity. One complication was observed, as one patient developed a pinching ulcer, after extensive usage. ICIQ-SF showed an increase of 6% for the included patients (n = 20). Ten patients were satisfied with the clamp, and 15 would recommend the clamp to others. Conclusion: The penile clamp shows promising results in reducing leakage with minimal risks of complications. It can be used as a treatment for patients awaiting surgery. However, patient selection is important regarding hand function, cognitive function and the penile anatomy.

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Section: Discussionmentioning

confidence: 99%

Patients experience with the use of a penile clamp in post-prostatectomy incontinence – a prospective pilot study

Jula,

Andreasson,

Logadottir

et al. 2024

SJU

View full text Add to dashboard Cite

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“…The latter have been shown to be quite effective at stopping urine leakage but vary widely in design and can be uncomfortable to some patients. 24 For men who desire surgical intervention, options currently available in the US include male slings, adjustable balloon devices, and the artificial urinary sphincter. Bulking agents have been studied for men with SUI but are currently not recommended by the AUA guidelines due to poor response.…”

Section: Management Options For Stress Incontinencementioning

confidence: 99%

Surgical Management of Male Stress Incontinence: Techniques, Indications, and Pearls for Success

VanDyke¹,

Venishetty²,

Langford³

et al. 2023

RRU

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Purpose Male stress urinary incontinence (SUI) has detrimental and long-lasting effects on patients. Management of this condition is an evolving field with multiple options for surgical treatment. We sought to review the pre-operative evaluation, intra-operative considerations, post-operative care, and future directions for treatment of male SUI. Methods A literature review was performed using the PubMed platform to identify peer-reviewed, English-language articles published within the last 5 years pertaining to management of male stress urinary incontinence with an emphasis on devices currently on the market in the United States including the artificial urinary sphincter (AUS), male urethral slings, and the ProACT TM system. Patient selection criteria, success rates, and complications were compared between the studies. Results Twenty articles were included in the final contemporary review. Pre-operative workup most commonly included demonstration of incontinence, PPD, and cystoscopy. Definition of success varied by study; the most common definition used was social continence (0–1 pads per day). Reported rates of success were higher for the AUS than for male urethral slings (73–93% vs 70–90%, respectively). Complications for these procedures include urinary retention, erosions, infections, and device malfunction. Newer treatment options including adjustable balloon systems and adjustable slings show promise but lack long-term follow-up. Conclusion Patient selection remains the primary consideration for surgical decision-making for management of male SUI. The AUS continues to be the gold standard for moderate-to-severe male SUI but comes with inherent risk of need for revision. Male slings may be a superior option for appropriately selected men with mild incontinence but are inferior to the AUS for moderate and severe incontinence. Ongoing research will shed light on long-term results for newer options such as the ProACT and REMEEX systems.

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“…Analyzing Amazon reviews enabled the research team to assemble a wide range of patient opinions to drive innovation. In the past, Amazon reviews have also been applied in health care to understand marketing myths [17] and patient experiences of uncommonly used treatment modalities [18] and to evaluate product efficacy and safety [19]. However, to our knowledge, this is the first such study for bedwetting alarms.…”

Section: Principal Findingsmentioning

confidence: 99%

Identifying Targets for Innovation in Amazon Reviews of Bedwetting Alarms: Thematic Analysis

Sahoo¹,

Starr²,

Osadchiy³

et al. 2023

Interact J Med Res

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Background Nocturnal enuresis (NE) is a frequent diagnosis in pediatric and adolescent populations with an estimated prevalence of around 15% at the age of 6 years. NE can have a substantial impact on multiple health domains. Bedwetting alarms, which typically consist of a sensor and moisture-activated alarm, are a common treatment. Objective This study aimed to determine areas of satisfaction versus dissatisfaction reported by the parents and caregivers of children using current bedwetting alarms. Methods Using the search term “bedwetting alarms” on the Amazon marketplace, products with >300 reviews were included. For each product, the 5 reviews ranked the “most helpful” for each star category were selected for analysis. Meaning extraction method was applied to identify major themes and subthemes. A percent skew was calculated by summing the total number of mentions of each subtheme,+1 for a positive mention, 0 for a neutral mention, and –1 for a negative mention, and dividing this total by the number of reviews in which that particular subtheme was observed. Subanalyses were performed for age and gender. Results Of 136 products identified, 10 were evaluated based on the selection criteria. The main themes identified across products were long-term concerns, marketing, alarm systems, and device mechanics and features. The subthemes identified as future targets for innovation included alarm accuracy, volume variability, durability, user-friendliness, and adaptability to girls. In general, durability, alarm accuracy, and comfort were the most negatively skewed subthemes (with a negative skew of –23.6%, –20.0%, and –12.4% respectively), which are indicative of potential areas for improvement. Effectiveness was the only substantially positively skewed subtheme (16.8%). Alarm sound and device features were positively skewed for older children, whereas ease of use had a negative skew for younger children. Girls and their caretakers reported negative experiences with devices that featured cords, arm bands, and sensor pads. Conclusions This analysis provides an innovation roadmap for future device design to improve patient and caregiver satisfaction and compliance with bedwetting alarms. Our results highlight the need for additional options in alarm sound features, as children of different ages have divergent preferences in this domain. Additionally, girls and their parents and caretakers provided more negative overall reviews regarding the range of current device features compared to boys, indicating a potential focus area for future development. The percent skew showed that subthemes were often more negatively skewed toward girls, with the ease of use being –10.7% skewed for boys versus –20.5% for girls, and comfort being –7.1% skewed for boys versus –29.4% for girls. Put together, this review highlights multiple device features that are targets for innovation to ensure translational efficacy regardless of age, gender, or specific family needs.

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Qualitative analysis of Amazon customer reviews of penile clamps for male urinary incontinence

Cited by 8 publications

References 23 publications

Patients experience with the use of a penile clamp in post-prostatectomy incontinence – a prospective pilot study

Patients experience with the use of a penile clamp in post-prostatectomy incontinence – a prospective pilot study

Surgical Management of Male Stress Incontinence: Techniques, Indications, and Pearls for Success

Identifying Targets for Innovation in Amazon Reviews of Bedwetting Alarms: Thematic Analysis

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