SynthesisInternational urology and nephrology2026
Same-day catheter-free discharge versus overnight observation after artificial urinary sphincter surgery: a systematic review and meta-analysis.
Synthesis in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- The estimated economic burden of urinary incontinence-related complications in older adults Canada.The Canadian journal of urology · 2026Review
- Combined Anterior Transmembranous Posterior Urethral Bulbar (CATPUB) cuff placement: A novel surgical technique for AUS implantation after severe pelvic trauma - a retrospective cohort study.Therapeutic advances in urologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThe aim of this study was to compare postoperative outcomes of same-day catheter-free discharge (SDS) and overnight observation (OBS) following artificial urinary sphincter (AUS) implantation.
methodsA systematic literature search was performed in PubMed, Scopus, Cochrane Library, Google Scholar, and ClinicalTrials.gov up to April 2025. Studies comparing SDS and OBS in men undergoing AUS surgery were included. Main outcomes were postoperative urinary retention, emergency department (ED) visits within 90 days, and suprapubic catheter (SPC) placement. Risk ratios (RR) and 95% confidence intervals (CI) were pooled using a fixed-effects model. Risk of bias was assessed using the ROBINS-I tool.
resultsSix studies were included in the systematic review (n = 2424 patients), and four studies (n = 1085) were eligible for meta-analysis. There was no significant difference between SDS and OBS in urinary retention (RR = 1.44, 95% CI 0.81-2.56, p = 0.21) or ED visits within 90 days (RR = 0.91, 95% CI 0.59-1.42, p = 0.69). However, SDS was associated with a significantly reduced risk of SPC placement (RR = 0.28, 95% CI 0.09-0.81, p = 0.02). Risk of bias was moderate to serious in most included studies.
conclusionsSame-day catheter-free discharge after AUS implantation demonstrated comparable short-term safety outcomes to overnight observation, with a reduced risk of suprapubic catheter placement. Further high-quality prospective studies are needed to validate these findings.
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Registered trials
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