MP40-11 THE ROLE OF G8 SCREENING TOOL IN THE ASSESSMENT OF SURGICAL OUTCOME OF ELDERLY PATIENTS TREATED WITH ARTIFICIAL URINARY SPHINCTER IMPLANTATION: A PILOT STUDY

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Male Incontinence: Therapy I (MP40)1 Apr 2020MP40-11 THE ROLE OF G8 SCREENING TOOL IN THE ASSESSMENT OF SURGICAL OUTCOME OF ELDERLY PATIENTS TREATED WITH ARTIFICIAL URINARY SPHINCTER IMPLANTATION: A PILOT STUDY Kazuhito Matsushita*, Masaki Shimbo, Kazunori Hattori, and Shigeo Horie Kazuhito Matsushita*Kazuhito Matsushita* More articles by this author , Masaki ShimboMasaki Shimbo More articles by this author , Kazunori HattoriKazunori Hattori More articles by this author , and Shigeo HorieShigeo Horie More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000889.011AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Understanding the influence of age on device outcomes is an important consideration given the demographics of male patients presenting with stress urinary incontinence (SUI) after prostate cancer treatment. G8 screening tool is a robust geriatric tool to identify a geriatric risk profile and for prediction of functional decline and prognostic information for overall survival. We evaluated the role of G8 screening tool in the assessment of the outcome of elderly patients (≥ 75 y.o.) who underwent AUS implantation for severe SUI. METHODS: We prospectively enrolled 41 men ≥ 75 years of age with postprostatectomy incontinence treated with AUS surgery. Age, BMI, Charlson Comorbidity Index (CCI) and pre-operative history of pelvic radiation and bladder neck contractures requiring multiple rounds of instrumentation were recorded for each patient. G8 screening tool was administered to each patient before surgery. Clavien-Dindo Complications (CDC) scoring system was used to report postoperative complications. De novo overactive bladder (OAB) was defined as self-reported OAB symptoms such as urgency with or without urgency urinary incontinence. We used logistic regression to identify the role of G8 score in predicting postoperative complications and de novo OAB developed after AUS implantation. RESULTS: Mean age was 77 (IQR 76, 79) years old. Comorbidity factors included: 1 patient (2.4%) with CCI > 3 points, 10 patients (24.3%) with DM, 21 patients (51.2%) with HTN. G8 screening tool < 15 points was found in 16 patients (39%). In all, 36.5% (15/41) had postoperative complications and 39% (16/41) developed de novo OAB. CDC ≥ 3 was present in 1 patient (2.4%). The mean score of G8 screening tool was 13.8 in patients that developed postoperative complications compared to a mean score of 15.6 in patients that did not (p<0.001). G8 score was independently predictive of development of de novo OAB (p=0.005 OR 2.82 (95% CI 1.36-5.85)) and postoperative complications (p=0.001 OR 0.05 (95% CI 0.01-0.31)) on multivariate analysis. CONCLUSIONS: G8 screening tool appears to be an effective and useful instrument for predicting the risk of complications and de novo OAB in elderly patients who undergo AUS implantation. Source of Funding: none © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e590-e590 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kazuhito Matsushita* More articles by this author Masaki Shimbo More articles by this author Kazunori Hattori More articles by this author Shigeo Horie More articles by this author Expand All Advertisement PDF downloadLoading ...