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Main Authors:	Konstantinos Kapriniotis, Ioannis Loufopoulos, Richard Nobrega, Anthony Noah, Helena Gresty, Tamsin Greenwell, Jeremy Ockrim
Format:	Artículo Open Access
Published:	Wiley 2024
Subjects:	BJUI Compass
Online Access:	https://bjui-journals.onlinelibrary.wiley.com/doi/10.1002/bco2.412
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author	Konstantinos Kapriniotis Ioannis Loufopoulos Richard Nobrega Anthony Noah Helena Gresty Tamsin Greenwell Jeremy Ockrim
author_facet	Konstantinos Kapriniotis Ioannis Loufopoulos Richard Nobrega Anthony Noah Helena Gresty Tamsin Greenwell Jeremy Ockrim Konstantinos Kapriniotis Ioannis Loufopoulos Richard Nobrega Anthony Noah Helena Gresty Tamsin Greenwell Jeremy Ockrim
collection	Wiley Open Access
contents	Day‐case artificial urinary sphincter for post‐prostatectomy incontinence: A comparative pilot study Konstantinos Kapriniotis Ioannis Loufopoulos Richard Nobrega Anthony Noah Helena Gresty Tamsin Greenwell Jeremy Ockrim BJUI Compass AbstractObjectivesImplantation of an artificial urinary sphincter (AUS) to treat post‐prostatectomy incontinence (PPI) has been traditionally offered with an overnight hospital stay. The aim of this prospective, comparative pilot study was to assess the feasibility and outcomes of the AUS procedure in a day‐case setting.Patients and methodsWe included consecutive patients having primary or redo AUS surgery over an 18‐month period. We excluded patients with previous urethral erosion of AUS, urethroplasty or high anaesthetic risk. All patients were offered day‐case surgery. Patients who declined or could not have day‐case surgery for logistical reasons had standard care with overnight stay and formed the control group for the study. Primary outcome was the proportion of successful same day‐discharges in the day‐case group. We also compared baseline characteristics, complications and continence at 1 year post surgery.ResultsTwelve patients consented for day‐case procedure, and 13 patients had standard overnight care. Mean age was 69.5 years (range 58–79). Twenty‐one patients (84%) had primary AUS, whereas 4 (16%) had a redo procedure. There were no significant differences between the groups in baseline demographics. Median number of pads/24 h was 5 in the day‐case group and 4 in the overnight group. Eight of 12 patients (66.7%) in the day‐case group were successfully discharged on the same day. Failed discharges were due to anaesthetic recovery (n = 2), high post‐void residuals that resolved spontaneously (n = 1) and intraoperative superficial urethral injury (n = 1). All patients in the day‐case group and all but one in the standard of care group were socially continent (0–1 pads) at 1 year post procedure.ConclusionDay‐case catheter‐free discharge of AUS patients is feasible and safe in selected patients with comparable continence outcomes and complication rates to those with standard overnight stays. 10.1002/bco2.412 http://creativecommons.org/licenses/by/4.0/
doi_str_mv	10.1002/bco2.412
format	Artículo Open Access
id	wiley_oa_10_1002_bco2_412
institution	Wiley Open Access
license_str_mv	http://creativecommons.org/licenses/by/4.0/
publishDate	2024
publisher	Wiley
record_format	wiley_oa
spellingShingle	Day‐case artificial urinary sphincter for post‐prostatectomy incontinence: A comparative pilot study Konstantinos Kapriniotis Ioannis Loufopoulos Richard Nobrega Anthony Noah Helena Gresty Tamsin Greenwell Jeremy Ockrim BJUI Compass Day‐case artificial urinary sphincter for post‐prostatectomy incontinence: A comparative pilot study Konstantinos Kapriniotis Ioannis Loufopoulos Richard Nobrega Anthony Noah Helena Gresty Tamsin Greenwell Jeremy Ockrim BJUI Compass AbstractObjectivesImplantation of an artificial urinary sphincter (AUS) to treat post‐prostatectomy incontinence (PPI) has been traditionally offered with an overnight hospital stay. The aim of this prospective, comparative pilot study was to assess the feasibility and outcomes of the AUS procedure in a day‐case setting.Patients and methodsWe included consecutive patients having primary or redo AUS surgery over an 18‐month period. We excluded patients with previous urethral erosion of AUS, urethroplasty or high anaesthetic risk. All patients were offered day‐case surgery. Patients who declined or could not have day‐case surgery for logistical reasons had standard care with overnight stay and formed the control group for the study. Primary outcome was the proportion of successful same day‐discharges in the day‐case group. We also compared baseline characteristics, complications and continence at 1 year post surgery.ResultsTwelve patients consented for day‐case procedure, and 13 patients had standard overnight care. Mean age was 69.5 years (range 58–79). Twenty‐one patients (84%) had primary AUS, whereas 4 (16%) had a redo procedure. There were no significant differences between the groups in baseline demographics. Median number of pads/24 h was 5 in the day‐case group and 4 in the overnight group. Eight of 12 patients (66.7%) in the day‐case group were successfully discharged on the same day. Failed discharges were due to anaesthetic recovery (n = 2), high post‐void residuals that resolved spontaneously (n = 1) and intraoperative superficial urethral injury (n = 1). All patients in the day‐case group and all but one in the standard of care group were socially continent (0–1 pads) at 1 year post procedure.ConclusionDay‐case catheter‐free discharge of AUS patients is feasible and safe in selected patients with comparable continence outcomes and complication rates to those with standard overnight stays. 10.1002/bco2.412 http://creativecommons.org/licenses/by/4.0/
title	Day‐case artificial urinary sphincter for post‐prostatectomy incontinence: A comparative pilot study
topic	BJUI Compass
url	https://bjui-journals.onlinelibrary.wiley.com/doi/10.1002/bco2.412

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