Quality of life and patient satisfaction after artificial urinary sphincter
DOI:
https://doi.org/10.5489/cuaj.664Abstract
Background: We assessed satisfaction and quality of life (QOL) in
men with artificial urinary sphincter (AUS) placement.
Methods: We identified 39 men who had AUS placement. A
retrospective chart review was conducted. Validated questionnaires,
including the International Consultation on Incontinence
Questionnaire-Short Form (ICIQ-SF), Post-Operative Patient
Global Impression of Improvement (PGI-I), Incontinence Impact
Questionnaire-Short Form (IIQ-SF), and Urogenital Distress Index
(UDI-SF), were used to measure patient-reported outcome. Global
satisfaction was also assessed.
Results: At chart review, 34 of 39 questionnaires were assessed
for QOL, satisfaction and surgical outcome. Follow-up ranged
from 7 to 60 months (median = 24 months). Surgical revisions
were required in 6 (17.6%) patients due to infection (1), erosion
(1), combined infection and erosion (1), device failure (1) and
second cuff placement (2). Quality of life was assessed using the
IIQ-SF and UDI-SF, with mean scores of 15.4 and 24.8, respectively;
these scores indicated a low negative impact on QOL. The
ICIQ-SF mean score was 8.2, well below the worst possible score.
The number of men using more than 1 pad per day dropped from
27 preoperatively to 10 postoperatively. Most patients (31/34)
described their urinary condition as better, 2 had no change
and 1 was worse. Most patients (31/34, 91.2%) would be willing
to undergo the procedure again, 2 were undecided, and 1
would not. Similarly, 28 patients (82.4%) would recommend the
procedure to a friend, 3 respondents would “with reservation,”
1 respondent was undecided, and 2 would not recommend the
AUS placement.
Conclusion: Treatment of urinary incontinence with the AUS has
a positive effect on QOL with high patient satisfaction and reasonably
low complication rates.
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