Refined nomogram incorporating standing cough test improves prediction of male transobturator sling success

Shakir, Nabeel; Fuchs, Joceline S.; McKibben, Maxim J.; Viers, Boyd R.; Pagliara, Travis; Scott, Jeremy; Morey, Allen F.

doi:10.1002/nau.23703

Cited by 14 publications

(18 citation statements)

References 31 publications

(50 reference statements)

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“…Physicians offering different treatment options tend to consider AUS in the more complex patient [20]. No decision-assisting algorithm has been developed to help clinicians in the choice to use one device or another, but the cough test has been recently proposed to improve prediction of success in patients undergoing a male sling procedure [21]. In our study, the decision to use one or the other device was based on patient preference and counselling with physical examination and cough test.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of a Series of Patients with Post-Prostatectomy Incontinence Treated with an Adjustable Transobturator Male System or Artificial Urinary Sphincter

et al. 2020

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Introduction: A prospective evaluation of outcomes in a series of patients with post-prostatectomy incontinence (PPI) treated with two different devices is presented. Methods: Consecutive patients with PPI underwent interventions with an adjustable transobturator male system (ATOMS) or artificial urinary sphincter (AUS). Decisions were based on patient preference after physician counselling. Patient characteristics and operative and postoperative parameters including dryness, satisfaction, complications, revision and device durability were evaluated.

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Section: Discussionmentioning

confidence: 99%

Outcomes of a Series of Patients with Post-Prostatectomy Incontinence Treated with an Adjustable Transobturator Male System or Artificial Urinary Sphincter

et al. 2020

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“…We excluded patients with incomplete preoperative MSIGS or post-operative follow-up data. SUI severity was defined by the preoperative pads per day (PPD) usage: 0-1 PPD=mild; 2-3 PPD=moderate; ≥4 PPD=severe; these definitions are based on our prior study on risk factors for sling failure (18). For this sub--analysis, we excluded patients with mild and severe SUI and focused solely on the patients with moderate SUI.…”

Section: Methodsmentioning

confidence: 99%

“…Patients found to have unfavorable moderate SUI could then be informed of the low success rate of sling and encouraged to consider an AUS. We have previously demonstrated that the SCT adds predictive value for sling success for patients who already have PPD and 24-hour pad weight measurements (18).…”

Section: Male Sui Assessmentmentioning

confidence: 97%

“…Prior studies have demonstrated that pre--operative 24-hour pad weight, PPD usage, and MSIGS scores are all predictors of sling success (5,(16)(17)(18)(19)(20)(21). PPD usage is a simple way to estimate SUI severity.…”

Section: Male Sui Assessmentmentioning

confidence: 99%

“…Also, we have previously demonstrated that each point increase in MSIGS from 0-4 has an approximately equal effect on the probability of sling success (18). In practice, authors should not overemphasize the difference between MSI-GS2 and MSIGS3, but rather, consider MSIGS as a continuous variable in the context of all the other available data when discussing management options with patients.…”

Section: Msigs 0-2 (Groupmentioning

confidence: 99%

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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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Strong correlation between standing cough test and 24‐hour pad weights in the evaluation of male stress urinary incontinence

Keith

Graziano³

et al. 2019

Neurourology and Urodynamics

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Aims:We sought to compare in-office physical exam findings via standing cough test (SCT) versus 24-hour pad weights among men seeking treatment for postprostatectomy stress urinary incontinence (SUI).Methods: A retrospective review of a single surgeon database of incontinence procedures was performed. Documentation of SUI severity (grades 0-4) was completed by SCT preoperatively utilizing the Male Stress Incontinence Grading Scale (MSIGS). All patients had pads per day (PPD) and 24-hour pad weights obtained. We determined the Spearman's correlation coefficient

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Refined nomogram incorporating standing cough test improves prediction of male transobturator sling success

Abstract: MSIGS adds prognostic value to PPD in assessing success of transobturator sling for treatment of SUI.

Cited by 14 publications

References 31 publications

Outcomes of a Series of Patients with Post-Prostatectomy Incontinence Treated with an Adjustable Transobturator Male System or Artificial Urinary Sphincter

Outcomes of a Series of Patients with Post-Prostatectomy Incontinence Treated with an Adjustable Transobturator Male System or Artificial Urinary Sphincter

Standing cough test stratification of moderate male stress urinary incontinence

Strong correlation between standing cough test and 24‐hour pad weights in the evaluation of male stress urinary incontinence

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