MP87-10 PERIOPERATIVE COMPLICATIONS OF ARTIFICIAL URINARY SPHINCTER PLACEMENT AMONG THE ELDERLY

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Male Incontinence: Therapy I1 Apr 2016MP87-10 PERIOPERATIVE COMPLICATIONS OF ARTIFICIAL URINARY SPHINCTER PLACEMENT AMONG THE ELDERLY Valary Raup, Pamela Lu, Bjoern Loeppenberg, Malte Vetterlein, Christian Meyer, Quoc-Dien Trinh, and Jairam Eswara Valary RaupValary Raup More articles by this author , Pamela LuPamela Lu More articles by this author , Bjoern LoeppenbergBjoern Loeppenberg More articles by this author , Malte VetterleinMalte Vetterlein More articles by this author , Christian MeyerChristian Meyer More articles by this author , Quoc-Dien TrinhQuoc-Dien Trinh More articles by this author , and Jairam EswaraJairam Eswara More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2360AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Artificial urinary sphincter (AUS) placement is a durable treatment for stress urinary incontinence. However, the use of AUS in the elderly has not been specifically examined. We sought to evaluate the perioperative outcomes of AUS placement among the elderly. METHODS The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Participant User Files (2007-2012) was queried using Current Procedural Terminology (CPT) codes for AUS placement (35445). Advanced age was defined as >70 years old. Prolonged length of stay (pLOS), prolonged operative time (pOT), 30-day complications, and need for reoperation were analyzed. pOT and pLOS were defined as an operating time and a hospital length-of-stay greater than the 75th percentile, respectively (pOT=114 minutes and pLOS=1 day). RESULTS 607 patients who underwent initial AUS placement were identified, with a median age at time of surgery of 71 years (18-89). Of these patients, 307 were >70 years old (50.6%). AUS placement was associated with a post-operative complication rate of 3.3% (20/607). Advanced age was found to be associated with a higher rate of overall post-operative complications (p=0.0230), specifically superficial skin infections (p=0.0428), wound dehiscence (p=0.0428), and cardiac complications (p=0.0428). Advanced age was also associated with prolonged operative time (p=0.0269). CONCLUSIONS AUS placement was found to be a very safe procedure with a post-operative complication rate of only 3.3%. Advanced age was associated with prolonged operative time and overall post-operative complications after AUS placement, specifically superficial wound and cardiac complications. Given the increased risk of cardiac events, AUS placement should be undertaken with caution in elderly patients, and every effort should be made to medically optimize these patients pre-operatively. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e1118 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Valary Raup More articles by this author Pamela Lu More articles by this author Bjoern Loeppenberg More articles by this author Malte Vetterlein More articles by this author Christian Meyer More articles by this author Quoc-Dien Trinh More articles by this author Jairam Eswara More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...