Table 1. Characteristics of men 18 and older who received an Artificial Urethral Sphincter (AUS) between 1988 and 2008, for surgeons with full case histories. Categorization of patients into different levels of surgeon experience is for illustrative purposes only (n=59,266).
Overall | Surgeon experience (no. of cases before the incident case) | P* | |||
---|---|---|---|---|---|
<5 | 5–20 | >20 | |||
Patient and surgical characteristics | N=59,266 | N=21,984 | N=23,972 | N=13,310 | |
Age at implantation | 70 (64, 75) | 69 (64, 74) | 70 (64, 75) | 69 (63, 75) | 0.7 |
Treated in the US | 40,879 (69%) | 15,537 (71%) | 16,826 (70%) | 8,516 (64%) | 0.3 |
Reason for incontinence | |||||
Post RP | 41,629 (70%) | 15,243 (69%) | 17,152 (72%) | 9,234 (69%) | 0.9 |
Neurogenic | 3,456 (6%) | 1,319 (6%) | 1,348 (6%) | 789 (6%) | 0.17 |
Cuff size (cm) | |||||
<=5 | 50,965 (86%) | 17,942 (82%) | 21,095 (88%) | 11,928 (90%) | 0.032 |
5.5–7.5 | 2,235 (4%) | 693 (3%) | 850 (4%) | 692 (5%) | |
>=8 | 785 (1%) | 212 (1%) | 284 (1%) | 289 (2%) | |
Missing | 5,281 (9%) | 3,137 (14%) | 1,743 (7%) | 401 (3%) | |
Location of cuff | 0.017 | ||||
Urethral | 53,200 (90%) | 18,635 (85%) | 21,945 (92%) | 12,620 (95%) | |
Bladder neck | 785 (1%) | 212 (1%) | 284 (1%) | 289 (2%) | |
Missing | 5,281 (9%) | 3,137 (14%) | 1,743 (7%) | 401 (3%) | |
Unadjusted Outcomes | |||||
Removal | 1,746 (3%) | 647 (3%) | 769 (3%) | 330 (2%) | - |
Reimplantation | 916 (2%) | 371 (2%) | 400 (2%) | 145 (1%) | - |
Revision | 7,787 (13%) | 3,234 (15%) | 3,174 (13%) | 1,379 (10%) | - |
Replacement | 3,239 (5%) | 1,261 (6%) | 1,386 (6%) | 592 (4%) | - |
Any Correction | 11,483 (19%) | 4,631 (21%) | 4,779 (20%) | 2,073 (16%) | - |
Associations between patient characteristics and surgeon experience were tested using linear regression (age) and logistic regression (etiology of incontinence: radical prostatectomy or neurogenic, and location of AUS: urethral or bladder neck), and ordinal logistic regression (cuff size).