ArticleThe Journal of urology2022
Predictors of Regret among Older Men after Stress Urinary Incontinence Treatment Decisions.
Article in The Journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 20 citations in OpenAlex.
- Treatment Regret in Patients Undergoing Minimally Invasive Treatments for Benign Prostatic Hyperplasia.Journal of clinical medicine · 2026Article
- Decision satisfaction and regret in patients undergoing ATOMS® adjustable sling for male urinary stress incontinence: data from a third level referral centre.International urology and nephrology · 2026Observational
- The Artificial Urinary Sphincter Clinical Outcomes Trial: Primary Results.The Journal of urology · 2026Observational
- Predicting 6-month decisional regret among family surrogate decision-makers of ICU patients: development and internal validation of prediction models.Frontiers in public health · 2026Observational
- Decisional Regret and Long-term Quality of Life After Artificial Urinary Sphincter Implantation Following Radical Prostatectomy.European urology open science · 2026Article
- Should We Be Treating Affective Symptoms, Like Anxiety and Depression Which May Be Related to LUTD in Patients With OAB? ICI-RS 2024.Neurourology and urodynamics · 2025Review
- Frailty and decisional regret after elective noncardiac surgery: a multicentre prospective cohort study.British journal of anaesthesia · 2024Article
- How older men live with stress urinary incontinence: Patient experience and navigation to treatment.Neurourology and urodynamics · 2024Article
- Surgical treatment of male stress urinary incontinence: a knot still to be unravelled.Translational andrology and urology · 2023Article
- Application of the decisional regret scale (DRS) in men undergoing anti-incontinence procedures for stress urinary incontinence.Translational andrology and urology · 2023Article
- Artificial Urinary Sphincters for Moderate Post-Prostatectomy Incontinence: Current Research and Proposed Approach.Cancers · 2023Review
- Article
- A narrative review on surgical treatment options for male stress urinary incontinence.Translational andrology and urology · 2023Review
- Patient decision-making for surgical treatment of post-prostatectomy stress urinary incontinence: a mixed-methods exploratory pilot study.Translational andrology and urology · 2023Article
- Characterizing patient experiences with repeat artificial urinary sphincter revisions through quantitative surveys and qualitative patient interviews.Therapeutic advances in urologyArticle
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
purposeWhen seeking treatment for male stress urinary incontinence (mSUI), patients are faced with weighing complex risks and benefits in making treatment decisions within their individual context. We sought to quantify the frequency of decisional regret among this population and to determine factors associated with regret. MATERIALS AND
methodsA cohort of 130 males aged ≥65 years seen for initial mSUI consultation at the University of California, San Francisco Medical Center and the San Francisco Veterans Affairs Medical Center between June 2015 and March 2020 was developed. Using retrospective chart review and telephone interviews, we ascertained decisional regret as well as other patient-, disease- and treatment-related characteristics. Decisional regret was analyzed by treatment type and patient-, disease- and treatment-related factors. Multivariable logistic regression models were built to examine the factors most associated with decisional regret.
resultsAmong the entire cohort, 22% reported moderate to severe decisional regret. Regret was highest among those electing conservative management, with 34.7% having decisional regret (vs with surgery: 8.3% sling, 8.2% sphincter; p <0.001). In multivariable analysis, depression, lower rating of shared decision making and higher current incontinence scores were significantly associated with decisional regret.
conclusionsRecognition of depression, improved efforts at shared decision making and more individualized treatment counseling have the potential to improve patient satisfaction with treatment choice. In addition, given high levels of regret among those electing conservative treatment, we may be underutilizing mSUI surgery in this population.
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