MP71-05 RISK FACTORS FOR 30-DAY REOPERATION SURGERY AFTER ARTIFICIAL URINARY SPHINCTER IMPLANTATION

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP71-05 RISK FACTORS FOR 30-DAY REOPERATION SURGERY AFTER ARTIFICIAL URINARY SPHINCTER IMPLANTATION Zhenyue Huang, Arshia Aalami Harandi, Chris Du, and Jason Kim Zhenyue HuangZhenyue Huang More articles by this author , Arshia Aalami HarandiArshia Aalami Harandi More articles by this author , Chris DuChris Du More articles by this author , and Jason KimJason Kim More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003339.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Artificial urinary sphincter (AUS) implantation is the gold standard for surgical treatment of male stress urinary incontinence but carries a 50% long-term revision rate. Prior studies have noted hypertension, diabetes, cardiovascular disease, peri-operative anticoagulation use, and low pre-operative serum albumin as risk factors for AUS complications. We sought to investigate risk factors for short-term AUS reoperation using the National Surgical Quality Improvement Program (NSPIQ) database. METHODS: Patients who underwent AUS implantation between 2012-2022 were queried from the NSQIP database using CPT code 53445. The primary outcome was reoperation within 30 days. Patient characteristics and pre-operative laboratory findings were compared between outcome groups. Binary logistic regression was utilized to calculate unadjusted (univariate) and adjusted (multivariate) odds ratio for variables that were significantly different between outcomes (SPSS v 27.0). RESULTS: 1,884 cases were identified. Forty-three (2.3%) cases required reoperation within 30-days. Patients requiring reoperation within 30-days were older (71.9 vs 69.5, p=.033) and more likely to be insulin-dependent diabetics (IDDM) (18.6% vs 7.6%, p=.05). There was a higher percentage of African American patients in the reoperation group (20.5% vs 10.8%, p=.041). No significant associations were found between preoperative laboratory values and 30-day reoperation rates. Univariate logistic regression found that African Americans and IDDM had a 2-fold and nearly 3-fold increased odds of reoperation within 30-days, respectively (p=.041, p=.011). When adjusting for covariates, only IDDM remained significant (aOR: 2.68, p=.020). CONCLUSIONS: Short-term risk factors for reoperation after AUS may include increased age, IDDM, and African American race. Preoperative diabetic counseling may improve short term AUS management. Further research is required to elucidate the causes of this racial disparity. Source of Funding: n/a © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1014 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Zhenyue Huang More articles by this author Arshia Aalami Harandi More articles by this author Chris Du More articles by this author Jason Kim More articles by this author Expand All Advertisement PDF downloadLoading ...