Quality of Life and Continence Assessment of the Artificial Urinary Sphincter in Men With Minimum 3.5 Years of Followup

Haab, F.; Trockman, Brett A.; Zimmern, Philippe E.; Leach, Gary E.

doi:10.1016/s0022-5347(01)64496-3

Cited by 127 publications

(45 citation statements)

References 15 publications

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“…The authors compared the results of the control group to those of the study population (n = 68) and found a statistically significant difference between the 2 groups; QOL and distress, due to incontinence, were less affected in the treatment group. 10 Postoperative scores on both tools reported by Haab and colleagues were comparable to scores we obtained in our patient population. Fleshner and Herschorn similarly compared the results of the IIQ-SF in patients who had undergone AUS insertion versus patients who had incontinence post-radical prostatectomy but no treatment, and also found that incontinence had a lesser impact on the patients who had received treatment by way of AUS insertion.…”

Section: Discussionsupporting

confidence: 87%

“…Haab and colleagues administered questionnaires, including the IIQ-SF and UDI-SF, to 15 patients with pure SUI after prostatectomy who were awaiting AUS insertion to act as the control group. 10 The mean scores for this control group on the IIQ-SF and UDI-SF were 83 and 85, respectively. The authors compared the results of the control group to those of the study population (n = 68) and found a statistically significant difference between the 2 groups; QOL and distress, due to incontinence, were less affected in the treatment group.…”

Section: Discussionmentioning

confidence: 83%

“…9 Regardless, the UDI-SF and the IIQ-SF have been used in the literature to assess QOL in men with incontinence. 10,11,12 Although the validity of the each of the 4 instruments used in our survey has been separately established, the validity of using all of them as part of a larger comprehensive survey has not. We cannot accurately predict whether the assimilation of the questionnaires might have affected the individual results, and the literature is lacking to guide us in this regard.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Quality of life and patient satisfaction after artificial urinary sphincter

Kahlon

Baverstock

Carlson

2013

CUAJ

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Background:We assessed satisfaction and quality of life (QOL) in men with artificial urinary sphincter (AUS) placement. Methods: We identified 39 men who had AUS placement. A retrospective chart review was conducted. Validated questionnaires, including the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Post-Operative Patient Global Impression of Improvement (PGI-I), Incontinence Impact Questionnaire-Short Form (IIQ-SF), and Urogenital Distress Index (UDI-SF), were used to measure patient-reported outcome. Global satisfaction was also assessed. Results: At chart review, 34 of 39 questionnaires were assessed for QOL, satisfaction and surgical outcome. Follow-up ranged from 7 to 60 months (median = 24 months). Surgical revisions were required in 6 (17.6%) patients due to infection (1), erosion (1), combined infection and erosion (1), device failure (1) and second cuff placement (2). Quality of life was assessed using the IIQ-SF and UDI-SF, with mean scores of 15.4 and 24.8, respectively; these scores indicated a low negative impact on QOL. The ICIQ-SF mean score was 8.2, well below the worst possible score. The number of men using more than 1 pad per day dropped from 27 preoperatively to 10 postoperatively. Most patients (31/34) described their urinary condition as better, 2 had no change and 1 was worse. Most patients (31/34, 91.2%) would be willing to undergo the procedure again, 2 were undecided, and 1 would not. Similarly, 28 patients (82.4%) would recommend the procedure to a friend, 3 respondents would "with reservation," 1 respondent was undecided, and 2 would not recommend the AUS placement. Conclusion: Treatment of urinary incontinence with the AUS has a positive effect on QOL with high patient satisfaction and reasonably low complication rates.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

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Quality of life and patient satisfaction after artificial urinary sphincter

Kahlon

Baverstock

Carlson

2013

CUAJ

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“…12 A review of the literature is documented in Table 3, with continence rates ranging from 59-90%. [12][13][14][15][16][17][18][19][20] To make a more meaningful comparison, only studies defining continence as requiring ≤1 pad/day were included. Sacco and colleagues demonstrated that the criterion of pad usage discriminates well between a limited reduction and markedly affected quality of life, noting that it is clinically valid to consider ≤1 pad/day as continent.…”

Section: Discussionmentioning

confidence: 99%

Stemming the tide of mild to moderate post-prostatectomy incontinence: A retrospective comparison of transobturator male slings and the artificial urinary sphincter

Hoy

Rourke

2014

CUAJ

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Introduction: The AUS remains the gold standard treatment for post-prostatectomy incontinence (PPI), although most patients with mild-moderate PPI prefer a sling without strong evidence of procedural equivalence. This study compares outcomes of 2 procedures for the treatment of mild-moderate PPI. Methods: A retrospective review of 124 patients (76 transobturator sling, 48 AUS) with mild-moderate PPI requiring intervention over an 8-year period. The primary outcome was continence. Secondary outcomes included global patient satisfaction, improvement, and complication rates. Mild to moderate incontinence was defined as requiring ≤5 pads/day. Results: There was no significant difference in age (66.2 vs. 68.1 years; p = 0.17) or prostate cancer characteristics for slings and AUS, respectively. AUS patients had higher Charlson comorbidity scores and were more likely to have previous radiotherapy. Median length of follow up was 24 months for slings and 42 months for AUS. There was no difference in continence rates, 88.2% vs. 87.5% (p = 0.79), rate of improvement, 94.7% vs. 95.8% (p = 1.00), or patient satisfaction, 93.4% vs. 91.7% (p = 0.73), for slings and AUS, respectively. Complication rates were equivalent (19.7% vs. 16.7%; p = 1.00), though a significantly higher proportion of complications with AUS were Clavien Grade 3 (0% vs. 75%; p = 0.006). Conclusions: For mild to moderate PPI there is no difference in continence, satisfaction, or improvement rates, between AUS and slings. AUS complications tend to be more severe. Our study supports the use of slings as first-line treatment for mild-moderate PPI.

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“…117 There is evidence that placement of an arti®cial urinary sphincter for incontinence following radical prostatectomy relives some but not all of the effects on disease-speci®c HRQOL. 118,119 …”

Section: Localized Prostate Cancermentioning

confidence: 99%