Outcomes of artificial urinary sphincter placement in octogenarians

Objective To evaluate the impact of patient age on device outcomes among patients undergoing primary artificial urinary sphincter. Methods A total of 1081 male patients who underwent primary artificial urinary sphincter placement from 1983 to 2011 were analyzed, including 91 men (8%) who were aged &...

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Bibliographic Details
Published in:International journal of urology 2016-05, Vol.23 (5), p.419-423
Main Authors: Ziegelmann, Matthew J, Linder, Brian J, Rivera, Marcelino E, Viers, Boyd R, Rangel, Laureano J, Elliott, Daniel S
Format: Article
Language:English
Subjects:
age
Aged, 80 and over
artificial urinary sphincter
Atrophy
Body Mass Index
Diabetes Mellitus
Equipment Failure
Humans
Hydroxyethylrutoside
Male
octogenarian
outcomes
Retrospective Studies
Ureteral Diseases - surgery
urinary incontinence
Urinary Incontinence - etiology
Urinary Sphincter, Artificial
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Summary:Objective To evaluate the impact of patient age on device outcomes among patients undergoing primary artificial urinary sphincter. Methods A total of 1081 male patients who underwent primary artificial urinary sphincter placement from 1983 to 2011 were analyzed, including 91 men (8%) who were aged >80 years at the time of surgery. Revisions and explanations were compared between men stratified by decade of life. Hazard ratios adjusting for competing risks were used to determine the association with age and artificial urinary sphincter device outcomes (infection/erosion, urethral atrophy and malfunction), while overall device failure was estimated using Kaplan–Meier and Cox regression analysis. Results Patients aged >80 years were more likely to have coronary disease (P = 0.009), diabetes mellitus (P = 0.04), hypertension (P = 0.002) and lower body mass index (P < 0.0001). On multivariable analysis, patients aged >80 years were significantly more likely to experience device erosion or infection compared with a reference of patients aged 80 years are more likely to experience erosion or infection compared with younger patients. Despite this, the overall device failure rate is low, and artificial urinary sphincter might be considered for appropriately selected and counseled octogenarians.
ISSN:0919-8172
1442-2042
DOI:10.1111/iju.13062