Male Sling and Artificial Urethral Sphincter for Male Stress Urinary Incontinence Among Certifying American Urologists

Urology
Joceline S LiuChris M Gonzalez

Abstract

To examine case volume characteristics among certifying urologists performing male sling and artificial urinary sphincter (AUS) procedures to evaluate practice patterns in male stress urinary incontinence (SUI). Six-month case log data of certifying urologists (2003-2013) were obtained from the American Board of Urology. Cases specifying Current Procedural Terminology code for male sling, AUS, and removal or revision of either procedure in males ≥18 years were analyzed. Among 1615 urologists (568 certifying and 1047 recertifying) logging at least 1 male incontinence procedure, 2109 (48% of all procedures) male sling and 2284 (52%) AUS cases were identified. The mean age of patients undergoing AUS was 74.9 years and the mean age of patients undergoing sling procedures was 67.3 years (P <.001). An increase in male incontinence procedures from 2003 to 2013 was demonstrated. The rate of male sling procedure increased from 32.7% of incontinence surgeries in 2004 to 45.5% in 2013 (P <.001). Academically affiliated urologists are 1.5 times more likely to perform AUS than male sling for SUI (P <.001). Median number of slings performed was 2 (range 1-40), with 32.7% placing slings exclusively. A small group of certifying urologists (3.4...Continue Reading

References

Jan 27, 2000·JAMA : the Journal of the American Medical Association·J L StanfordA L Potosky
Jun 16, 2007·The Journal of Urology·W Stuart ReynoldsGregory T Bales
Mar 21, 2008·The New England Journal of Medicine·Martin G SandaJohn T Wei
Apr 21, 2009·The Journal of Urology·Richard LeeJaspreet S Sandhu
Mar 19, 2011·World Journal of Urology·Irina SoljanikRicarda M Bauer
Apr 5, 2011·European Urology·Ricarda M BauerChristian G Stief

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