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Standing cough test stratification of moderate male stress urinary incontinence
Khouri J, Roger K; Yi, Yooni A; Ortiz, Nicolas M; Baumgarten, Adam S; Ward, Ellen E; VanDyke, Maia E; Hudak, Steven J; Morey, Allen F.
  • Khouri J, Roger K; University of Texas Southwestern Medical Center. Department of Urology. Dallas. US
  • Yi, Yooni A; University of Texas Southwestern Medical Center. Department of Urology. Dallas. US
  • Ortiz, Nicolas M; University of Texas Southwestern Medical Center. Department of Urology. Dallas. US
  • Baumgarten, Adam S; University of Texas Southwestern Medical Center. Department of Urology. Dallas. US
  • Ward, Ellen E; University of Texas Southwestern Medical Center. Department of Urology. Dallas. US
  • VanDyke, Maia E; University of Texas Southwestern Medical Center. Department of Urology. Dallas. US
  • Hudak, Steven J; University of Texas Southwestern Medical Center. Department of Urology. Dallas. US
  • Morey, Allen F; University of Texas Southwestern Medical Center. Department of Urology. Dallas. US
Int. braz. j. urol ; 47(2): 415-422, Mar.-Apr. 2021. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1154456
ABSTRACT
ABSTRACT

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.
Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Incontinencia Urinaria de Esfuerzo / Cabestrillo Suburetral Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos / Masculino Idioma: Inglés Revista: Int. braz. j. urol Asunto de la revista: Urología Año: 2021 Tipo del documento: Artículo País de afiliación: Estados Unidos Institución/País de afiliación: University of Texas Southwestern Medical Center/US

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Incontinencia Urinaria de Esfuerzo / Cabestrillo Suburetral Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos / Masculino Idioma: Inglés Revista: Int. braz. j. urol Asunto de la revista: Urología Año: 2021 Tipo del documento: Artículo País de afiliación: Estados Unidos Institución/País de afiliación: University of Texas Southwestern Medical Center/US