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Catheter Free Day of Surgery Discharge vs Overnight Observation Following Artificial Urinary Sphincter Placement
Introduction To confirm the safety and examine outcomes of a day of surgery discharge following artificial urinary sphincter implantation in a population discharged without a catheter. Methods We retrospectively identified 110 patients, 31 of whom were discharged on the day of surgery, from a single...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148565/ https://www.ncbi.nlm.nih.gov/pubmed/37128518 http://dx.doi.org/10.7759/cureus.36898 |
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author | Myrga, John M Vasan, Robin Miller, David T Staniorski, Christopher J Taylor, Cory Rusilko, Paul |
author_facet | Myrga, John M Vasan, Robin Miller, David T Staniorski, Christopher J Taylor, Cory Rusilko, Paul |
author_sort | Myrga, John M |
collection | PubMed |
description | Introduction To confirm the safety and examine outcomes of a day of surgery discharge following artificial urinary sphincter implantation in a population discharged without a catheter. Methods We retrospectively identified 110 patients, 31 of whom were discharged on the day of surgery, from a single surgeon following artificial urinary sphincter implantation. After institutional board review approval, patient charts were reviewed capturing demographics as well as three, thirty, and ninety-day outcomes. Further outcomes specific to urinary retention were obtained. Results Patients who were discharged the same day were older (71 vs. 68), had shorter operative times (92 minutes vs 109 minutes), and were less likely to have been smokers (6% vs 31%). There were no differences in the proportion of patients who underwent prior radiation or prior implant surgery. There was no significant difference in the number of patients who had emergency department visits, urinary retention, office calls, office visits, or unplanned office visits at all time points following surgery. There was no significant difference in overall urinary retention (15% vs 5%), retention presenting after the initial surgical event (6% vs 5%), or need for a suprapubic tube (0% vs 5%). Conclusions Day of surgery discharge is a safe discharge strategy for patients who have undergone artificial urinary sphincter placement. Furthermore, catheter-free days of discharge surgery did not have a significantly greater risk of urinary retention, office calls, emergency department (ED) visits, or office visits compared to our overnight observation population. This approach should be considered for all patients undergoing artificial urinary sphincter (AUS) implantation. |
format | Online Article Text |
id | pubmed-10148565 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-101485652023-04-30 Catheter Free Day of Surgery Discharge vs Overnight Observation Following Artificial Urinary Sphincter Placement Myrga, John M Vasan, Robin Miller, David T Staniorski, Christopher J Taylor, Cory Rusilko, Paul Cureus Urology Introduction To confirm the safety and examine outcomes of a day of surgery discharge following artificial urinary sphincter implantation in a population discharged without a catheter. Methods We retrospectively identified 110 patients, 31 of whom were discharged on the day of surgery, from a single surgeon following artificial urinary sphincter implantation. After institutional board review approval, patient charts were reviewed capturing demographics as well as three, thirty, and ninety-day outcomes. Further outcomes specific to urinary retention were obtained. Results Patients who were discharged the same day were older (71 vs. 68), had shorter operative times (92 minutes vs 109 minutes), and were less likely to have been smokers (6% vs 31%). There were no differences in the proportion of patients who underwent prior radiation or prior implant surgery. There was no significant difference in the number of patients who had emergency department visits, urinary retention, office calls, office visits, or unplanned office visits at all time points following surgery. There was no significant difference in overall urinary retention (15% vs 5%), retention presenting after the initial surgical event (6% vs 5%), or need for a suprapubic tube (0% vs 5%). Conclusions Day of surgery discharge is a safe discharge strategy for patients who have undergone artificial urinary sphincter placement. Furthermore, catheter-free days of discharge surgery did not have a significantly greater risk of urinary retention, office calls, emergency department (ED) visits, or office visits compared to our overnight observation population. This approach should be considered for all patients undergoing artificial urinary sphincter (AUS) implantation. Cureus 2023-03-30 /pmc/articles/PMC10148565/ /pubmed/37128518 http://dx.doi.org/10.7759/cureus.36898 Text en Copyright © 2023, Myrga et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Urology Myrga, John M Vasan, Robin Miller, David T Staniorski, Christopher J Taylor, Cory Rusilko, Paul Catheter Free Day of Surgery Discharge vs Overnight Observation Following Artificial Urinary Sphincter Placement |
title | Catheter Free Day of Surgery Discharge vs Overnight Observation Following Artificial Urinary Sphincter Placement |
title_full | Catheter Free Day of Surgery Discharge vs Overnight Observation Following Artificial Urinary Sphincter Placement |
title_fullStr | Catheter Free Day of Surgery Discharge vs Overnight Observation Following Artificial Urinary Sphincter Placement |
title_full_unstemmed | Catheter Free Day of Surgery Discharge vs Overnight Observation Following Artificial Urinary Sphincter Placement |
title_short | Catheter Free Day of Surgery Discharge vs Overnight Observation Following Artificial Urinary Sphincter Placement |
title_sort | catheter free day of surgery discharge vs overnight observation following artificial urinary sphincter placement |
topic | Urology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148565/ https://www.ncbi.nlm.nih.gov/pubmed/37128518 http://dx.doi.org/10.7759/cureus.36898 |
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