Evaluation of the 24‐h pad weight test as continence rate assessment tool after artificial urinary sphincter implantation for postprostatectomy urinary incontinence: A Swedish retrospective cohort study
Aim Patient‐reported pad‐count as continence rate assessment tool after artificial urinary sphincter (AUS) implantation is common. However, lack of standardized continence definition using this method results in heterogeneous published efficacy outcomes. Data on 24‐h pad weight tests (PWT) after pri...
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| Veröffentlicht in: | Neurourology and urodynamics 2021-08, Vol.40 (6), p.1585-1592 |
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| creator | Reus, Christine Brattås, Izabelle Volz, Daniela Sydén, Filip Grufman, Katarina Hallén Mozer, Pierre Renström‐Koskela, Lotta |
| description | Aim
Patient‐reported pad‐count as continence rate assessment tool after artificial urinary sphincter (AUS) implantation is common. However, lack of standardized continence definition using this method results in heterogeneous published efficacy outcomes. Data on 24‐h pad weight tests (PWT) after primary AUS implantation for postprostatectomy urinary incontinence (PPUI) is scarce.
Our aim was to evaluate the 24‐h PWT as an efficacy assessment tool and correlate it to qualitative outcomes using validated questionnaires.
Methods
This retrospective, single center, follow‐up cohort study, evaluated 180 patients who underwent primary AUS implantation for PPUI from 2005 to 2018. Voiding diaries, 24‐h PWT, validated patient satisfaction and quality of life (QoL) questionnaires were collected pre‐operatively and at 3–6 months postactivation, using the institution's Electronic Medical Records.
Results
The median preoperative and postoperative 24‐h PWT values were 494 (interquartile range [IQR]: 304–780) and 7 (IQR: 0–25) g respectively with a significant improvement in urinary leakage of 489.5 g 99.1% (p |
| doi_str_mv | 10.1002/nau.24723 |
| format | Article |
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Patient‐reported pad‐count as continence rate assessment tool after artificial urinary sphincter (AUS) implantation is common. However, lack of standardized continence definition using this method results in heterogeneous published efficacy outcomes. Data on 24‐h pad weight tests (PWT) after primary AUS implantation for postprostatectomy urinary incontinence (PPUI) is scarce.
Our aim was to evaluate the 24‐h PWT as an efficacy assessment tool and correlate it to qualitative outcomes using validated questionnaires.
Methods
This retrospective, single center, follow‐up cohort study, evaluated 180 patients who underwent primary AUS implantation for PPUI from 2005 to 2018. Voiding diaries, 24‐h PWT, validated patient satisfaction and quality of life (QoL) questionnaires were collected pre‐operatively and at 3–6 months postactivation, using the institution's Electronic Medical Records.
Results
The median preoperative and postoperative 24‐h PWT values were 494 (interquartile range [IQR]: 304–780) and 7 (IQR: 0–25) g respectively with a significant improvement in urinary leakage of 489.5 g 99.1% (p < 0.001). Median preoperative and postoperative I‐QoL results increased from 33.5 (IQR: 19.3–63.6) to 86.4 (IQR: 73.9–94.3) points, with a significant 52.9 points improvement in QoL (p < 0.001). Similarly, the median preoperative and postoperative ICIQ‐SF values decreased from 20 (IQR: 17–21) to 5 (IQR: 3–9) points, showing a significant improvement of 15 points (p < 0.001). We also found a significant correlation between PWT and patient satisfaction.
Conclusion
The 24‐h PWT provides a reliable and objective assessment of continence rates, with a strong correlation to qualitative outcomes, after primary AUS implantation for PPUI. Its use could help reduce reported outcome heterogeneity across studies.</description><identifier>ISSN: 0733-2467</identifier><identifier>EISSN: 1520-6777</identifier><identifier>DOI: 10.1002/nau.24723</identifier><identifier>PMID: 34082480</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc</publisher><subject>artificial urinary sphincter ; Cohort analysis ; Electronic medical records ; Life Sciences ; pad test ; Patient satisfaction ; Patients ; postprostatectomy urinary incontinence ; Quality of life ; Questionnaires ; Sphincter ; Urinary incontinence</subject><ispartof>Neurourology and urodynamics, 2021-08, Vol.40 (6), p.1585-1592</ispartof><rights>2021 The Authors. published by Wiley Periodicals LLC</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4373-9bc5d22aafbddd365b7d3f8c28bc7fdc4602bacbcfcfb44d8ae718ee8e32c7453</citedby><cites>FETCH-LOGICAL-c4373-9bc5d22aafbddd365b7d3f8c28bc7fdc4602bacbcfcfb44d8ae718ee8e32c7453</cites><orcidid>0000-0002-0128-9534</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fnau.24723$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fnau.24723$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,552,780,784,885,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://hal.sorbonne-universite.fr/hal-03250115$$DView record in HAL$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:146722669$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Reus, Christine</creatorcontrib><creatorcontrib>Brattås, Izabelle</creatorcontrib><creatorcontrib>Volz, Daniela</creatorcontrib><creatorcontrib>Sydén, Filip</creatorcontrib><creatorcontrib>Grufman, Katarina Hallén</creatorcontrib><creatorcontrib>Mozer, Pierre</creatorcontrib><creatorcontrib>Renström‐Koskela, Lotta</creatorcontrib><title>Evaluation of the 24‐h pad weight test as continence rate assessment tool after artificial urinary sphincter implantation for postprostatectomy urinary incontinence: A Swedish retrospective cohort study</title><title>Neurourology and urodynamics</title><description>Aim
Patient‐reported pad‐count as continence rate assessment tool after artificial urinary sphincter (AUS) implantation is common. However, lack of standardized continence definition using this method results in heterogeneous published efficacy outcomes. Data on 24‐h pad weight tests (PWT) after primary AUS implantation for postprostatectomy urinary incontinence (PPUI) is scarce.
Our aim was to evaluate the 24‐h PWT as an efficacy assessment tool and correlate it to qualitative outcomes using validated questionnaires.
Methods
This retrospective, single center, follow‐up cohort study, evaluated 180 patients who underwent primary AUS implantation for PPUI from 2005 to 2018. Voiding diaries, 24‐h PWT, validated patient satisfaction and quality of life (QoL) questionnaires were collected pre‐operatively and at 3–6 months postactivation, using the institution's Electronic Medical Records.
Results
The median preoperative and postoperative 24‐h PWT values were 494 (interquartile range [IQR]: 304–780) and 7 (IQR: 0–25) g respectively with a significant improvement in urinary leakage of 489.5 g 99.1% (p < 0.001). Median preoperative and postoperative I‐QoL results increased from 33.5 (IQR: 19.3–63.6) to 86.4 (IQR: 73.9–94.3) points, with a significant 52.9 points improvement in QoL (p < 0.001). Similarly, the median preoperative and postoperative ICIQ‐SF values decreased from 20 (IQR: 17–21) to 5 (IQR: 3–9) points, showing a significant improvement of 15 points (p < 0.001). We also found a significant correlation between PWT and patient satisfaction.
Conclusion
The 24‐h PWT provides a reliable and objective assessment of continence rates, with a strong correlation to qualitative outcomes, after primary AUS implantation for PPUI. Its use could help reduce reported outcome heterogeneity across studies.</description><subject>artificial urinary sphincter</subject><subject>Cohort analysis</subject><subject>Electronic medical records</subject><subject>Life Sciences</subject><subject>pad test</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>postprostatectomy urinary incontinence</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Sphincter</subject><subject>Urinary incontinence</subject><issn>0733-2467</issn><issn>1520-6777</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>D8T</sourceid><recordid>eNp1kk9u1DAUxiMEokNhwQ0ssYFFWsd24gy7UVUo0ggW0LXlOM_EJYmD7cxodhyBg3EKTsIbUg0CiY1tff69f59elj0v6EVBKbsc9XzBhGT8QbYqSkbzSkr5MFtRyXnORCXPsicx3lFKay7Wj7MzLmjNRE1X2Y_rne5nnZwfibckdUCY-Pnte0cm3ZI9uM9dIgliIjoS48fkRhgNkKAToBQhxgFGRLzvibYJAtEhOeuM0z2Zgxt1OJA4dW40x083TL0e01LQ-kAmH9MU8MCEJvnhcArCiFO912RDPu6hdbEjARLyE9JuB9hT50MiMc3t4Wn2yOo-wrP7-zy7fXP96eom3354--5qs82N4JLn68aULWNa26ZtW16VjWy5rQ2rGyNta0RFWaNNY6yxjRBtrUEWNUANnBkpSn6e5UveuIdpbtQU3IAdK6-dupe-4AuUqIqyEMi_WvhO93_BN5utOmqUs5IWRbkrkH25sGjK1xmNV4OLBnp0DfwcFSu5rDijtUT0xT_onZ_DiJMjVfI1XVe0_FPcoGsxgD11UFB1XB-F66N-rw-ylwu7dz0c_g-q95vbJeIX5NHNGA</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Reus, Christine</creator><creator>Brattås, Izabelle</creator><creator>Volz, Daniela</creator><creator>Sydén, Filip</creator><creator>Grufman, Katarina Hallén</creator><creator>Mozer, Pierre</creator><creator>Renström‐Koskela, Lotta</creator><general>Wiley Subscription Services, Inc</general><general>Wiley</general><scope>24P</scope><scope>WIN</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0002-0128-9534</orcidid></search><sort><creationdate>202108</creationdate><title>Evaluation of the 24‐h pad weight test as continence rate assessment tool after artificial urinary sphincter implantation for postprostatectomy urinary incontinence: A Swedish retrospective cohort study</title><author>Reus, Christine ; Brattås, Izabelle ; Volz, Daniela ; Sydén, Filip ; Grufman, Katarina Hallén ; Mozer, Pierre ; Renström‐Koskela, Lotta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4373-9bc5d22aafbddd365b7d3f8c28bc7fdc4602bacbcfcfb44d8ae718ee8e32c7453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>artificial urinary sphincter</topic><topic>Cohort analysis</topic><topic>Electronic medical records</topic><topic>Life Sciences</topic><topic>pad test</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>postprostatectomy urinary incontinence</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Sphincter</topic><topic>Urinary incontinence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reus, Christine</creatorcontrib><creatorcontrib>Brattås, Izabelle</creatorcontrib><creatorcontrib>Volz, Daniela</creatorcontrib><creatorcontrib>Sydén, Filip</creatorcontrib><creatorcontrib>Grufman, Katarina Hallén</creatorcontrib><creatorcontrib>Mozer, Pierre</creatorcontrib><creatorcontrib>Renström‐Koskela, Lotta</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Neurourology and urodynamics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reus, Christine</au><au>Brattås, Izabelle</au><au>Volz, Daniela</au><au>Sydén, Filip</au><au>Grufman, Katarina Hallén</au><au>Mozer, Pierre</au><au>Renström‐Koskela, Lotta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of the 24‐h pad weight test as continence rate assessment tool after artificial urinary sphincter implantation for postprostatectomy urinary incontinence: A Swedish retrospective cohort study</atitle><jtitle>Neurourology and urodynamics</jtitle><date>2021-08</date><risdate>2021</risdate><volume>40</volume><issue>6</issue><spage>1585</spage><epage>1592</epage><pages>1585-1592</pages><issn>0733-2467</issn><eissn>1520-6777</eissn><abstract>Aim
Patient‐reported pad‐count as continence rate assessment tool after artificial urinary sphincter (AUS) implantation is common. However, lack of standardized continence definition using this method results in heterogeneous published efficacy outcomes. Data on 24‐h pad weight tests (PWT) after primary AUS implantation for postprostatectomy urinary incontinence (PPUI) is scarce.
Our aim was to evaluate the 24‐h PWT as an efficacy assessment tool and correlate it to qualitative outcomes using validated questionnaires.
Methods
This retrospective, single center, follow‐up cohort study, evaluated 180 patients who underwent primary AUS implantation for PPUI from 2005 to 2018. Voiding diaries, 24‐h PWT, validated patient satisfaction and quality of life (QoL) questionnaires were collected pre‐operatively and at 3–6 months postactivation, using the institution's Electronic Medical Records.
Results
The median preoperative and postoperative 24‐h PWT values were 494 (interquartile range [IQR]: 304–780) and 7 (IQR: 0–25) g respectively with a significant improvement in urinary leakage of 489.5 g 99.1% (p < 0.001). Median preoperative and postoperative I‐QoL results increased from 33.5 (IQR: 19.3–63.6) to 86.4 (IQR: 73.9–94.3) points, with a significant 52.9 points improvement in QoL (p < 0.001). Similarly, the median preoperative and postoperative ICIQ‐SF values decreased from 20 (IQR: 17–21) to 5 (IQR: 3–9) points, showing a significant improvement of 15 points (p < 0.001). We also found a significant correlation between PWT and patient satisfaction.
Conclusion
The 24‐h PWT provides a reliable and objective assessment of continence rates, with a strong correlation to qualitative outcomes, after primary AUS implantation for PPUI. Its use could help reduce reported outcome heterogeneity across studies.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34082480</pmid><doi>10.1002/nau.24723</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0128-9534</orcidid><oa>free_for_read</oa></addata></record> |
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| source | SWEPUB Freely available online; Wiley Online Library All Journals |
| subjects | artificial urinary sphincter Cohort analysis Electronic medical records Life Sciences pad test Patient satisfaction Patients postprostatectomy urinary incontinence Quality of life Questionnaires Sphincter Urinary incontinence |
| title | Evaluation of the 24‐h pad weight test as continence rate assessment tool after artificial urinary sphincter implantation for postprostatectomy urinary incontinence: A Swedish retrospective cohort study |
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