{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:07:30Z","timestamp":1762506450536,"version":"3.37.3"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,10,18]],"date-time":"2014-10-18T00:00:00Z","timestamp":1413590400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>We explored re\u2010interventions and short and long term adverse events associated with procedures for male incontinence among Medicare beneficiaries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All inpatient and outpatient claims for a simple random sample of Medicare beneficiaries for 2000\u20132011 were queried to identify patients of interest. All male patients with an International Classification of Diseases, 9th Edition (ICD\u20109) diagnosis code for stress incontinence or mixed incontinence were included. Artificial urinary sphincter recipients, patients who underwent a sling operation and those receiving an injection of a bulking agent were identified with Current Procedure Terminology (CPT\u20104) and ICD\u20109 Procedure Codes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The entire cohort of 1,246 patients were operated on between 2001 and 2011. 34.9% of them received an artificial urinary sphincter (AUS), 28.7% with a bulking agent, and 36.4% with a sling. There were no statistically significant differences in demographics or comorbidities between the treatment groups, except that more sling patients were obese (<jats:italic>P<\/jats:italic>\u2009=\u20090.006) and fewer bulk patients had diabetes (<jats:italic>P<\/jats:italic>\u2009=\u20090.007). There are, however, significant changes in procedures selected over time (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><jats:p>In the first year and over the entire follow\u2010up after surgery, patients treated with bulking agents had the most subsequent interventions (40.1% and 52.9%), followed by sling (10.4% and 15.5%), and AUS (2.3% and 20%) (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Post\u2010operative and 90 day complications were low.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>All three treatments seem to be safe among Medicare beneficiaries with multiple comorbidities. The urological, infectious, and neurological complication occurrences were low. <jats:italic>Neurourol. Urodynam. 35:74\u201380, 2016<\/jats:italic>. \u00a9 2014 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.22683","type":"journal-article","created":{"date-parts":[[2014,10,18]],"date-time":"2014-10-18T14:48:17Z","timestamp":1413643697000},"page":"74-80","source":"Crossref","is-referenced-by-count":25,"title":["National study of utilization of male incontinence procedures"],"prefix":"10.1002","volume":"35","author":[{"given":"Bilal","family":"Chughtai","sequence":"first","affiliation":[{"name":"Department of Urology Weill Medical College of Cornell University, New York\u2010Presbyterian Hospital New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Art","family":"Sedrakyan","sequence":"additional","affiliation":[{"name":"Department of Public Health Weill Medical College of Cornell University, New York\u2010Presbyterian Hospital New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abby J.","family":"Isaacs","sequence":"additional","affiliation":[{"name":"Department of Public Health Weill Medical College of Cornell University, New York\u2010Presbyterian Hospital New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jialin","family":"Mao","sequence":"additional","affiliation":[{"name":"Department of Public Health Weill Medical College of Cornell University, New York\u2010Presbyterian Hospital New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Urology Weill Medical College of Cornell University, New York\u2010Presbyterian Hospital New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Te","sequence":"additional","affiliation":[{"name":"Department of Urology Weill Medical College of Cornell University, New York\u2010Presbyterian Hospital New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2960-9931","authenticated-orcid":false,"given":"Steven","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Department of Urology Weill Medical College of Cornell University, New York\u2010Presbyterian Hospital New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,10,18]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"145","article-title":"Male urinary incontinence: Prevalence, risk factors, and preventive interventions","volume":"11","author":"Shamliyan T","year":"2009","journal-title":"Rev Urol"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000145222.94455.73"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.4111\/kju.2012.53.8.511"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000154637.38262.3a"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa011788"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021483"},{"key":"e_1_2_8_8_1","unstructured":"2010 European Association of Urology the Netherlands A Schroder P Abrams K Andersson A Arnheim Guidelines on urinary incontinence"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2005.12.042"},{"key":"e_1_2_8_10_1","first-page":"295","article-title":"A new operation for male incontinence","volume":"131","author":"Kaufman J","year":"1970","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2004.08.019"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.01.048"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/835290"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.03.012"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0b013e328364fae1"},{"key":"e_1_2_8_16_1","unstructured":"VirnigB MadeiraAD. 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