Evidence map›Paper›PMID 33209655›Full record

ArticleTranslational andrology and urology2020

Single perineal incision for artificial urinary sphincter: analysis of technique, outcomes, and experience.

Nahid Punjani, Ernest Chan, Garson Chan, Haider Abed, Jeffrey Campbell, Gerald Brock

Abstract read
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In one paragraph

Article in Translational andrology and urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Nahid PunjaniCenter for Reproductive Medicine and Surgery, Weill Cornell Medicine, New York, NY, USA.
Ernest ChanDivision of Urology, Department of Surgery, Schulich School of Medicine & Dentistry, Western University, London, ON, USA.
Garson ChanDivision of Urology, Department of Surgery, Schulich School of Medicine & Dentistry, Western University, London, ON, USA.
Haider AbedDivision of Urology, Department of Surgery, Schulich School of Medicine & Dentistry, Western University, London, ON, USA.
Jeffrey CampbellDivision of Urology, Department of Surgery, Schulich School of Medicine & Dentistry, Western University, London, ON, USA.
Gerald BrockDivision of Urology, Department of Surgery, Schulich School of Medicine & Dentistry, Western University, London, ON, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo describe a large series of male patients who underwent a minimally invasive single perineal incision artificial urinary sphincter (AUS) placement in patients with stress urinary incontinence.

methodsA retrospective cohort study was performed with data collected from men undergoing AUS placement by a single high-volume surgeon over a 12-year period (2005 to 2017). Demographic and outcomes data related to AUS placement were recorded from electronic medical records, which included subjective histories and questionnaires. Institutional ethics approval was received.

resultsA total of 145 AUS were placed over the study period. Of these, 84 were performed through a single perineal incision for both device and reservoir placement. Almost all (n=81, 96%) reported pre-operative incontinence of more than 3 pads per day. Postoperatively, 75% were satisfied with their continence, with 21 (25%) complaining of recurrent incontinence. A total of 5 (6%) patients developed a post-operative infection, 10 (12%) had device erosion and 11 (13%) had device malfunction, but only 3 (4%) had reservoir dysfunction. A total of 24 (29%) patients required revision of their device at median of 20 months (IQR, 6-32.5 months).

conclusionsSingle perineal incision is a feasible, safe, and potentially superior approach for AUS placement and warrants consideration as an accepted approach due to its more rapid surgical times, lower morbidity related to a single incision with minimal fascial defect, and favorable complication rates.

Indexed as

Artificial urinary sphincter (AUS)post-prostatectomy incontinence (PPI)single incision

Identifiers

PMID33209655
PMCPMC7658167

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