O047 Outcomes of bulbar artificial urinary sphincter in older men following prostate cancer

Abstract

Abstract Introduction The gold standard treatment for stress urinary incontinence (SUI) in men is a bulbar artificial urinary sphincter (AUS). With an aging population, we must ensure efficacious solutions for older men with SUI are available. Our study assessed whether age influenced the outcomes of AUS for SUI post-prostate cancer (PCa) treatment. Methods Retrospective notes review of all patients having AUS for SUI following PCa treatment between 2006-2019. A 7-point Patient Global Impression of Improvement assessment (PGII) comparing pre-operative and post-operative conditions (1: very much better, 4: the same and 7: very much worse). This was completed a minimum of 6 months following AUS insertion. PGII score of 1 or 2 was recorded as a successful AUS. Older men were defined as ≥75 years. Statistical analysis was via Students T-Test, Chi-Square, and Mann Whitney with significance determined as P<0.5. Results 184 men, median 69 years (range 31-87) were included. 150 men were aged <75 years and 34 were ≥75 years. Patients had prior prostatectomy and/or radiotherapy. No significant difference in median PGII score (score 2) or overall AUS success between the 2 groups. Overall AUS success was 73.3% in <75 years and 73.5% in ≥75 years. Conclusions No significant difference was seen in success between older and younger men. Bulbar AUS had an overall success rate of 73.4%, described as very much improved or much improved condition, a minimum of 6 months after insertion. Older age should not be a deterrent to offering AUS surgery.