{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T21:35:06Z","timestamp":1788298506956,"version":"build-2803163510"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T00:00:00Z","timestamp":1721865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Implantation of an artificial urinary sphincter (AUS) to treat post\u2010prostatectomy incontinence (PPI) has been traditionally offered with an overnight hospital stay. The aim of this prospective, comparative pilot study was to assess the feasibility and outcomes of the AUS procedure in a day\u2010case setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>We included consecutive patients having primary or redo AUS surgery over an 18\u2010month period. We excluded patients with previous urethral erosion of AUS, urethroplasty or high anaesthetic risk. All patients were offered day\u2010case surgery. Patients who declined or could not have day\u2010case surgery for logistical reasons had standard care with overnight stay and formed the control group for the study. Primary outcome was the proportion of successful same day\u2010discharges in the day\u2010case group. We also compared baseline characteristics, complications and continence at 1\u00a0year post surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve patients consented for day\u2010case procedure, and 13 patients had standard overnight care. Mean age was 69.5\u00a0years (range 58\u201379). Twenty\u2010one patients (84%) had primary AUS, whereas 4 (16%) had a redo procedure. There were no significant differences between the groups in baseline demographics. Median number of pads\/24\u2009h was 5 in the day\u2010case group and 4 in the overnight group. Eight of 12 patients (66.7%) in the day\u2010case group were successfully discharged on the same day. Failed discharges were due to anaesthetic recovery (<jats:italic>n<\/jats:italic>\u00a0=\u20092), high post\u2010void residuals that resolved spontaneously (<jats:italic>n<\/jats:italic>\u00a0=\u20091) and intraoperative superficial urethral injury (<jats:italic>n<\/jats:italic>\u00a0=\u20091). All patients in the day\u2010case group and all but one in the standard of care group were socially continent (0\u20131 pads) at 1\u00a0year post procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Day\u2010case catheter\u2010free discharge of AUS patients is feasible and safe in selected patients with comparable continence outcomes and complication rates to those with standard overnight stays.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bco2.412","type":"journal-article","created":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T09:08:15Z","timestamp":1721898495000},"page":"959-964","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Day\u2010case artificial urinary sphincter for post\u2010prostatectomy incontinence: A comparative pilot study"],"prefix":"10.1002","volume":"5","author":[{"given":"Konstantinos","family":"Kapriniotis","sequence":"first","affiliation":[{"name":"Department of Urology, University College London Hospital UCLH@ Westmoreland Street  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Loufopoulos","sequence":"additional","affiliation":[{"name":"Department of Urology, University College London Hospital UCLH@ Westmoreland Street  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Nobrega","sequence":"additional","affiliation":[{"name":"Department of Urology, University College London Hospital UCLH@ Westmoreland Street  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1488-6581","authenticated-orcid":false,"given":"Anthony","family":"Noah","sequence":"additional","affiliation":[{"name":"Department of Urology, University College London Hospital UCLH@ Westmoreland Street  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Gresty","sequence":"additional","affiliation":[{"name":"Department of Urology, University College London Hospital UCLH@ Westmoreland Street  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9074-7604","authenticated-orcid":false,"given":"Tamsin","family":"Greenwell","sequence":"additional","affiliation":[{"name":"Department of Urology, University College London Hospital UCLH@ Westmoreland Street  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1208-9826","authenticated-orcid":false,"given":"Jeremy","family":"Ockrim","sequence":"additional","affiliation":[{"name":"Department of Urology, University College London Hospital UCLH@ Westmoreland Street  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2021.07.025"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.06.017"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2022.05.012"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.11.034"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23221"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13048"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/UA.UA_25_17"},{"key":"e_1_2_9_9_1","unstructured":"British G. 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