Efficacy of surgical treatment for post-prostatectomy urinary incontinence: a systematic review and network meta-analysis

Park, Jae Joon; Hong, Yejoon; Kwon, Allison; Shim, Sung Ryul; Kim, Jae Heon

doi:10.1097/js9.0000000000000170

Cited by 7 publications

(2 citation statements)

References 54 publications

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“…Simulation now serves as a key element for transition towards hands-on surgical training. The bene t has been widely demonstrated in the past decade, either using the EyeSI simulator [3,17,18,19,20,21] or throughout other wetlabs [22,23]. However, our study enlightens regional disparities to access simulation (drylabs and wetlabs).…”

Section: Discussionmentioning

confidence: 82%

Preclinical Training of Future Ocular Surgeons: a French Opinion-Based Study

KITIC,

BOURGES

2023

Preprint

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Purpose : To assess ophthalmology residents satisfaction regarding surgical training during residency in France. Methods : A questionnaire consisting of 28 questions was designed and sent to residents of ophthalmology across the 27 French regions. Results : A total of 30.3% of ophthalmology residents in France completed our questionnaire. All French regions participated. They rated 5,27/10 ± 2.42 the global surgical training during residency. They had performed at least one step of any type of ocular surgery for 93.4% of them, while 80.7% had completed at least one full cataract surgery, by the second half of the 3rd semester on average (Paris : 2.59 semesters ± 1.36 ; regions : 4.05 semesters ± 1.96, p < 0.0001). Only 48.9% identified a surgical mentor during their residency, but 82.2% did not clearly identify surgical goals & objectives during their training. Simulation was available for any type of ocular surgery to all residents in the Paris (Île-de-France) region and to 78.1% in other regions (p < 0.005). Residents who accessed drylabs and wetlabs gave a satisfaction score of 7.31/10±1.89 and 6.39/10±2.15 to it respectively. Simulation was a mandatory part of the curriculum for 35.2% of the resident. They commented on on reduced access to subspecialized surgery. They were willing for more access to simulation and surgery on real patients, as well for closer mentoring and clearly defined surgical goals within the curriculum. Conclusion : Ophthalmology residents seemed globally satisfied with their surgical training nationwide, although we observed disparities across region. They largely acknowledged a lack of standard procedures nationwide. They acclaimed simulation during the initial phase of residency, progressively switching towards surgery on real patients. An “operating license” during residency could be a viable way for the resident to demonstrate that they have acquired enough surgical abilities to perform surgery on real patients.

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Section: Discussionmentioning

confidence: 82%

Preclinical Training of Future Ocular Surgeons: a French Opinion-Based Study

KITIC,

BOURGES

2023

Preprint

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“…Patients with significant LUTS/BPH may undergo prostatectomy. A recent study published in the International Journal of Surgery examined the efficacy of surgical intervention for post-prostatectomy urinary incontinence 1 . In this study, body mass index (BMI) was considered a potential confounding factor.…”

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confidence: 99%

The predictive role of body roundness index on the occurrence of lower urinary tract symptoms attributed to benign prostatic hyperplasia

Xiong,

Wu,

Zhang

et al. 2024

International Journal of Surgery

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Controversies in Post-Prostatectomy Incontinence Management: Role of Urodynamics Testing and Sequence of Continence Surgery with Salvage Radiation Therapy

Chung

2024

Curr Bladder Dysfunct Rep

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Purpose of Review This paper evaluates the current evidence on the role of urodynamics in prostatectomy incontinence (PPI) and should male sling (MS) or artificial urinary sphincter (AUS) surgery be performed before or after patients receiving radiation therapy in terms of continence outcomes. Recent Findings The prevalence of PPI is more common in patients undergoing radical prostatectomy than benign prostatic surgery, and the presence of postoperatively de novo overactive bladder and urge incontinence is not common even without the addition of radiation therapy. Hence, the question arises whether patients presenting with PPI should undergo formal urodynamics testing to exclude detrusor overactivity prior to continence surgery. There is a consensus that the spontaneous recovery of continence is less likely in the setting of salvage radiation therapy. The decision to undertake surgery is likely dictated by patient preference and the urgency for salvage radiation therapy. While the exact choice of MS or AUS, and the sequence of continence surgery in relation to salvage radiation therapy are debatable, irradiated patients are considered a high-risk group with substantially higher risks of postoperative complications. Summary Urodynamics should be organized in non-classic SUI or mixed incontinence symptoms with PPI and those who had radiation therapy since it can provide useful information in counselling patients regarding continence outcomes and postoperative expectations. It is important to place greater emphasis on preoperative evaluation and surgical vigilance in irradiated patients with PPI.

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Efficacy of surgical treatment for post-prostatectomy urinary incontinence: a systematic review and network meta-analysis

Cited by 7 publications

References 54 publications

Preclinical Training of Future Ocular Surgeons: a French Opinion-Based Study

Preclinical Training of Future Ocular Surgeons: a French Opinion-Based Study

The predictive role of body roundness index on the occurrence of lower urinary tract symptoms attributed to benign prostatic hyperplasia

Controversies in Post-Prostatectomy Incontinence Management: Role of Urodynamics Testing and Sequence of Continence Surgery with Salvage Radiation Therapy

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