Aims: We sought to compare in-office physical exam findings via standing cough test (SCT) versus 24-hour pad weights among men seeking treatment for postprostatectomy stress urinary incontinence (SUI). Methods: A retrospective review of a single surgeon database of incontinence procedures was performed. Documentation of SUI severity (grades 0-4) was completed by SCT preoperatively utilizing the Male Stress Incontinence Grading Scale (MSIGS). All patients had pads per day (PPD) and 24-hour pad weights obtained. We determined the Spearman's correlation coefficient between these variables. Results: We identified 104 men who underwent anti-incontinence surgery (AdVance Sling or artificial urinary sphincter [AUS]). In the sling group (65 patients), nearly all (97%) had minimal incontinence with SCT (MSIGS = 0-2). In the AUS group (39 patients), most patients (69%) had an MSIGS 3 or 4 with SCT. Spearman's coefficient between quantification of SCT and pad weight for the overall group was ρ =.68 (P <.0001) demonstrating a strong positive correlation. PPD was also strongly correlated with pad weight (ρ =.55, P <.0001). As seen previously, SCT and PPD were correlated (ρ =.47, P <.0001). In a multivariable model predicting pad weight, the effect of SCT was greater than PPD (β = 83 [54-111], P <.0001 vs 45 , P =.0004). Conclusions: SCT findings strongly correlate to 24-hour pad weights in the evaluation of male SUI. The SCT shows promise as a rapid, reliable, noninvasive measure of SUI severity before anti-incontinence surgery.
|Original language||English (US)|
|Number of pages||5|
|Journal||Neurourology and urodynamics|
|State||Published - Jan 1 2020|
- artificial urinary sphincter
ASJC Scopus subject areas
- Clinical Neurology