You have accessJournal of UrologyCME1 May 2022MP52-07 IMPACT OF FRAILTY ON ADVERSE COMPLICATIONS FOLLOWING ARTIFICIAL URINARY SPHINCTER IMPLANTATION Rohan Bhalla, Jackson Cabo, Tanya Marvi, Abimbola Ayangbesan, George Koch, Stephen Hill, Douglas Milam, Melissa Kaufman, and Niels Johnsen Rohan BhallaRohan Bhalla More articles by this author , Jackson CaboJackson Cabo More articles by this author , Tanya MarviTanya Marvi More articles by this author , Abimbola AyangbesanAbimbola Ayangbesan More articles by this author , George KochGeorge Koch More articles by this author , Stephen HillStephen Hill More articles by this author , Douglas MilamDouglas Milam More articles by this author , Melissa KaufmanMelissa Kaufman More articles by this author , and Niels JohnsenNiels Johnsen More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002627.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Frailty is a well-established predictor of postoperative outcomes. We aimed to investigate the association between the modified Frailty Index (mFI) and postoperative complications after artificial urinary sphincter (AUS) surgery. METHODS: Men who underwent AUS surgery at a single institution (1/1/13 – 7/31/2020) were identified and electronic medical records were reviewed. The mFI is a validated measure of predicting patient morbidity and mortality that consists of 11 patient co-morbidities. Each variable is given 1 point with composite scores ranging from 0 (no frailty) to 11 (highest degree of frailty). Operative and non-operative complications were categorized as: mechanical failure, cuff erosion, infection, intractable pain, urinary retention, or other. Multivariable logistic regression was used to identify an association between mFI and postoperative complications. RESULTS: 203 AUS patients met inclusion criteria. The median age was 69.8 years (IQR 65.1-75.0) with 33% (n=67) of patients having a history of radiation and 29.1% (n=59) of patients with a history of diabetes mellitus. The median time from surgery to data collection was 73.4 months (IQR 54.4-89.2). The median cuff size was 4.5cm (IQR 4-5). The complication rate was 26.6% with 18.7% of men requiring a surgical intervention (mechanical failure: n=11, cuff erosion: n=16, infection: n=7, other n=4). The median mFI was 2 (IQR 1-4) for patients with a complication and 2 (IQR 1-3) for those with no complication (Table 1). Multivariable analysis demonstrated no association between mFI and overall complication (OR 1.04, 95% CI 0.83-1.29; p=0.75) or surgical complication (OR 1.04, 95% CI 0.81-1.34; p=0.75). Prior radiation and time since surgery were significantly associated with postoperative complications (Table 2). CONCLUSIONS: The mFI was not associated with an increased risk of AUS complications. However, a prior history of radiation and extended time from surgery were independently associated with complications and the need for surgical intervention. Source of Funding: N/a © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e888 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rohan Bhalla More articles by this author Jackson Cabo More articles by this author Tanya Marvi More articles by this author Abimbola Ayangbesan More articles by this author George Koch More articles by this author Stephen Hill More articles by this author Douglas Milam More articles by this author Melissa Kaufman More articles by this author Niels Johnsen More articles by this author Expand All Advertisement PDF DownloadLoading ...