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Article Dans Une Revue World Journal of Urology Année : 2021

Artificial urinary sphincter implantation in non-neurogenic men: a place for out-patient surgery

Résumé

Objective To assess feasibility, safety and risk factors for failure associated with out-patient surgery for artificial urinary sphincter (AUS) implantation/revision in non-neurogenic men. Materials In the present retrospective monocentric study conducted between May 2016 and March 2020, 81 patients undergoing AUS implantation or revision during an out-patient surgery were included. The primary outcome was the success rate of out-patient surgery. Success was assessed using two distinct definitions, a narrow definition, where success was defined as a one-day hospitalization and the absence of any unscheduled consultation or re-hospitalization within the 3 days following surgery, a broad definition, where success was defined as a one-day hospitalization and the absence of any unscheduled re-hospitalization within the 3 days following surgery. In parallel, risk factors for failure of out-patient surgery, as well as efficacy and safety were assessed. Results Eighty-one patients were enrolled, with a mean age of 71.2 years ± 5.9. Out-patient surgery was successfully completed in 58 men (71.6% [95% CI 60.5–81.1]) and in 76 men (93.8% [95% CI 86.2–97.9]) according to the narrow and the broad definition, respectively. After multivariate analysis, anticoagulant therapy (OR 25.97 [95% CI 4.44–152.04]) and low socio-professional status (OR 22.1 [95% CI 3.701–131.95]) were statistically associated with failure of out-patient surgery. The continence rate after a 90-day follow-up was 79%. Conclusion AUS implantation/revision in non-neurogenic men could be safely proposed in out-patient surgery. Special attention may however be paid to patients undergoing anticoagulant therapy or belonging to a low socio-professional category.
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Dates et versions

hal-04480126 , version 1 (27-02-2024)

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Citer

Jordan Nasri, F. Beraud, Denis Seguier, Gauthier Delporte, Helene Behal, et al.. Artificial urinary sphincter implantation in non-neurogenic men: a place for out-patient surgery. World Journal of Urology, 2021, World Journal of Urology, 39, p. 3541-3547. ⟨10.1007/s00345-021-03673-x⟩. ⟨hal-04480126⟩
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