Changing Trends in Management Following Artificial Urinary Sphincter Surgery for Male Stress Urinary Incontinence: An Analysis of the National Surgical Quality Improvement Program Database.

摘要: OBJECTIVE To characterize the safety and practice patterns of artificial urinary sphincter (AUS) placement on a population level. Increasingly AUS implantation has shifted to be an outpatient surgery; however, there is lack large-scale research evaluating factors associated with early (≤ 24 hours) versus late (>24 discharges complications in men following placement. We utilized National Surgical Quality Improvement Program (NSQIP) database identify compare outcomes each approach. METHODS NSQIP was queried for undergoing between 2007 2016. Patients were classified as either discharge (ED ≤ (LD > hours). Baseline demographics, operating time, compared 2 groups. Multivariate logistic regression evaluated timing 30-day complications. RESULTS A total 1176 patients identified ED 232 LD 944 patients. Operative time shorter (83 minutes) (95 minutes, P < .001). Hypertension more prevalent among (60.3% vs 69.1% respectively, The complication rate similar both groups (ED: 4.3% LD: 3.4%, P = .498). Multivariable analysis revealed that surgery after 2012 (OR = 3.66, CONCLUSION At national level, are no differences postoperative morbidity discharges. There trend toward ED, specifically 2012. prospective study feasibility needed.