Mp03-09 Urethral Manipulation in Patients With Artificial Urinary Sphincter: A National Survey Among Brazilian Urologists

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Male Incontinence (MP03)1 May 2024MP03-09 URETHRAL MANIPULATION IN PATIENTS WITH ARTIFICIAL URINARY SPHINCTER: A NATIONAL SURVEY AMONG BRAZILIAN UROLOGISTS Cristiano M. Gomes, Vicktor B. P. Pinto, Jose de Bessa, José Antonio P. Prezotti, Jose Ailton F. Silva, Karin M. J. Anzolch, and Alfredo F. Canalini Cristiano M. GomesCristiano M. Gomes , Vicktor B. P. PintoVicktor B. P. Pinto , Jose de BessaJose de Bessa , José Antonio P. PrezottiJosé Antonio P. Prezotti , Jose Ailton F. SilvaJose Ailton F. Silva , Karin M. J. AnzolchKarin M. J. Anzolch , and Alfredo F. CanaliniAlfredo F. Canalini View All Author Informationhttps://doi.org/10.1097/01.JU.0001009488.55564.85.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urethral manipulation (UM) in patients with an artificial urinary sphincter (AUS) demands specific technical considerations, including device manipulation and choice of catheter/equipment diameter. It is a potential cause of urethral erosion, an injury that may have profound clinical and legal consequences. Most practicing urologists are exposed to the risk of being summoned to care for a patient with an AUS, which may happen in an urgent situation. We performed a national survey to assess Brazilian urologists' knowledge and experience with UM in patients with an AUS. METHODS: We conducted an electronic cross-sectional survey, e-mailed to all members of the Brazilian Society of Urology, with a link to a 19-question, closed-ended, multiple choice web survey. The query was divided into three domains: sociodemographic (age, gender, state, time since finishing residency), practice patterns (private or public, frequency of on call days, volume of AUS surgeries) and experience with UM of AUS patients (knowledge, competence, frequency and conditions of evaluation/manipulation these patients). RESULTS: Of 536 respondents (86.5% men; mean age: 47.6±11.3 years) 19.5% identified as functional urologists. Residency completion was<10 years (33.9%), 10-20 (24.0%) and>10 years (42.1%). Most worked in private practice (91.5%) and were involved in emergency care (72.7%). Most participants (53.6%) had evaluated patients with an AUS requiring UM, of which32.8% required the help of an experienced urologist. Unsuccessful UM by a healthcare professional had been attempted prior to the urologist´s evaluation in 17.6% of the cases. 250(46.8%) reported a high level of knowledge regarding AUS components and functionality, and45.2% reported being competent in performing UM in a patient with an AUS (63.7% among self-claimed functional urologists). 283 (52.8%) were not able to correctly indicate the proper catheter diameter to use. Most urologists (89.3%) would welcome additional UM training, including 81.7% among self-declared competent subjects. Self-declared competent participants were more likely to have received proper training in residency, select proper urethral catheter size and do more AUS surgeries (p<0.001 for all comparisons). CONCLUSIONS: This study highlights a significant competence gap among Brazilian urologists regarding UM in patients with an AUS. This gap aligns with their expressed interest in receiving training. Our findings underscore the potential for enhancing patient outcomes and minimizing AUS-associated complications in Brazil and might be reflective of challenges in broader international contexts. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e25 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Cristiano M. Gomes More articles by this author Vicktor B. P. Pinto More articles by this author Jose de Bessa More articles by this author José Antonio P. Prezotti More articles by this author Jose Ailton F. Silva More articles by this author Karin M. J. Anzolch More articles by this author Alfredo F. Canalini More articles by this author Expand All Advertisement PDF downloadLoading ...