Newswire (Published: Friday, February 12, 2021, Received: Friday, February 12, 2021, 6:46:18 PM CST)

Word Count: 517

2021 FEB 12 (NewsRx) -- By a News Reporter-Staff News Editor at Biotech News Daily -- New research on Biomedical Engineering - Artificial Urinary Sphincter is the subject of a report. According to news originating from Maywood, Illinois, by NewsRx correspondents, research stated, “Stress urinary incontinence following radical prostatectomy is common and potentially debilitating. Surgical therapy with a urethral sling or an artificial urinary sphincter is an effective option with high patient satisfaction in men in whom conservative measures fail to treat post-prostatectomy incontinence.”

Our news journalists obtained a quote from the research from Loyola University Medical Center, “We sought to characterize the contemporary utilization of surgical therapy of post-prostatectomy incontinence using an all payer database. We used the Healthcare Cost and Utilization Project databases for Florida from 2006 to 2015 and identified men who underwent radical prostatectomy between 2006 and 2012 using ICD procedure codes. Patients were tracked longitudinally for placement of an ambulatory or inpatient urethral sling, or an artificial urinary sphincter between 2006 and 2015. Patient and clinical data were extracted and analyzed with descriptive statistics. A multivariable logistic regression model was constructed to determine risk adjusted predictors of subsequent incontinence surgery. During the study period 29,287 men underwent radical prostatectomy, of whom 1,068 (3.6%) were treated with subsequent incontinence surgery a median of 23.5 months after prostatectomy. On multivariate analysis risk factors for incontinence surgery included age groups 61 to 70 years (OR 1.25, p=0.008) and 71 to 80 years (OR 1.34, p=0.022), Medicare insurance (OR 1.33, p<0.005) and an increased Charlson Comorbidity Index (OR 1.13 per unit increase, p<0.005). Of patients who underwent radical prostatectomy 3.6% subsequently underwent stress urinary incontinence surgery. Post-prostatectomy incontinence surgery is likely under performed and delayed in performance based on the previously reported prevalence of severe post-prostatectomy incontinence and the natural history of symptoms.”

According to the news editors, the research concluded: “Efforts to increase prompt repair of refractory or severe incontinence can greatly improve patient quality of life after radical prostatectomy.”

This research has been peer-reviewed.

For more information on this research see: Use of Surgery for Post-prostatectomy Incontinence. Journal of Urology, 2020;203(4):786-791. Journal of Urology can be contacted at: Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins, Two Commerce Sq, 2001 Market St, Philadelphia, PA 19103, USA. (Elsevier - www.elsevier.com; Journal of Urology - http://www.journals.elsevier.com/journal-of-urology/)

The news correspondents report that additional information may be obtained from Marc Nelson, Loyola University Medical Center, Maywood, IL 60153, United States. Additional authors for this research include Ryan Dornbier, Eric Kirshenbaum, Emanuel Eguia, Patrick Sweigert, Marshall Baker, Ahmer Farooq, Kevin T. McVary, Chris M. Gonzalez, Gopal Gupta and Larissa Bresler.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1097/ju.0000000000000618. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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