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Same-day surgery for artificial urinary sphincter placement safe and efficient: Study
![Same-day surgery for artificial urinary sphincter placement safe and efficient: Study Same-day surgery for artificial urinary sphincter placement safe and efficient: Study](https://medicaldialogues.in/h-upload/2021/10/05/750x450_161459-slide-11332554.webp)
Same day artificial urinary sphincter placement is a safe and efficient procedure for patients, suggests a study published in the Urology Journal.
A group of researchers from the U.S.A conducted a study to analyze our institutional experience transitioning from overnight observation (OBS) to same-day surgery (SDS) for artificial urinary sphincter (AUS) procedures. Prior research has questioned the need for overnight observation (OBS) following AUS surgery.
The researchers retrospectively reviewed AUS surgeries performed by a single surgeon at our tertiary academic medical centre between 08/2013 and 01/2020. Patients were grouped based on discharge status: overnight observation (OBS) vs same-day surgery (SDS). Cost savings associated with SDS were estimated using room and bed charges from a contemporary group of AUS patients.
The results of the study are as follows:
· The researchers identified 525 AUS cases that met inclusion criteria. Men in the same-day surgery (SDS) group (n = 318) were more likely to have undergone a virgin AUS insertion and were slightly younger and healthier.
· Men in the overnight observation (OBS) group (n = 207) were more likely to suffer an immediate postoperative complication and to be readmitted within 90 days of surgery.
· The groups did not vary with respect to multiple other perioperative outcomes measures.
· Among patients who underwent AUS surgery between 09/2017 and 08/2020, those with overnight observation (OBS) status (n = 39) had to mean additional room and bed charges of $ 745 ± 302 vs none for same-day surgery (SDS) patients (n = 183).
Thus, the researchers concluded that same-day surgery (SDS) for AUS insertion is safe, effective, and associated with significant cost savings. Routine overnight observation after AUS insertion appears to be unnecessary.
Reference:
Same-Day Discharge Versus Overnight Observation Protocols – Similar Outcomes Following Artificial Urinary Sphincter Surgery by Dropkin B et.a l published in the Urology.
DOI:https://doi.org/10.1016/j.urology.2021.08.016
Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: editorial@medicaldialogues.in. Contact no. 011-43720751