Presentation Authors: AHMET KELES*, RAHMI ONUR, Istanbul, Turkey, MURAT AYDOS, BURHAN COŞKUN, Bursa, Turkey, ORHAN KOCA, MURAT DİNÇER, Istanbul, Turkey, ABDURRAHIM IMAMOGLU, Ankara, Turkey, AHMET KARAKEÇİ, Elazığ, Turkey
Introduction: We aimed to examine the relationship between the education level and cognitive function of patients and the success/ revision rates of artificial urinary sphincter (AUS) implantation in men with post-prostatectomy incontinence (PPI).
Methods: Between January 2010 to March 2018, a total of 164 patients with mean age 68.8Â±8,5 years with moderate to severe stress urinary incontinence (SUI) who underwent AUS (AMS 800,Minnetonka,USA) implantation were included into the study.All men had failed previous rehabilitation by pelvic floor training.Pre and post-operative incontinence was evaluated by International Consultation on Incontinence Questionnaire-short form (ICIQ-SF), whereas number of pads were measured. Health related quality of life and subjective satisfaction rate of the patients was evaluated with the Patient Global Impression of Improvement (PGI-I) questionnaire The education level was determined by assessing the International Standard Classification of Education (ISCED 2011).Cognitive function was examined by using the Mini Mental Status Examination (MMSE) test.Treatment success was defined as a need for â‰¤1/pad/day at last follow up. Complications were assessed using Clavien-Dindo grading system.
Results: Treatment success at last follow up was 79.3%. The ICIQ-SF score statistical significant improved from 18,1Â±2,9 to 4.4Â±5.4 (P < .001). Table 1 shows description of cohorts of patients.The median outcome reproted subjectively on the PGI-I scale was 2.1Â±1.5 (1-7) and &[Prime]much better&[Prime].Patients education level had no statistically significant relationship to AUS success and revision rates.Although the patients with moderate cognitive impairment had significantly low AUS success rate (p < 0,05), there was no significant relationship between cognitive status and revision requirement (Table 2).
Conclusions: Our study indicated that AUS implantation is a safe and effective treatment option for non obese and cognitively intact, patients in all educational level.