Abstract

Erectile dysfunction (ED) and urinary incontinence are well-known side effects of radical prostatectomy (RP) that, when refractory to medical therapy, can be addressed by major genitourinary reconstructive surgery (GURS) (e.g., urethral slings, artificial urinary sphincters (AUS), penile prostheses (PP)). Though these procedures have been evaluated in single institution studies, population-based analyses regarding their utilization have been sporadic. Thus, we sought to characterize post-RP GURS in a contemporary, population-based cohort of men with private insurance. Using MarketScan Commercial Claims data, we identified men undergoing RP in 2009 based on CPT coding. Our primary outcome was receipt of GURS (i.e., slings, AUS, PP) based on procedure codes documented in claims from 2009 through 2013. Other factors of interest included patient age, comorbidity, and geographic region. Associations between factors of interest and receipt of GURS were investigated using two-sided unpaired t and χ-squared tests, for continuous and categorical variables, respectively.

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