{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T17:22:27Z","timestamp":1788801747963,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Many experience incontinence following prostate cancer treatment. Patients suffering from stress incontinence may benefit from an artificial urinary sphincter (AUS) or urethral sling, however, rates of these procedures following radical prostatectomy (RP) and radiotherapy (RT) are not well\u2010defined. We aimed to assess rates of post\u2010RP and post\u2010RT utilization of AUS and urethral sling in a contemporary, national cohort from the large, federated database TriNetX.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively assessed men \u2265\u200918 years old who were diagnosed with prostate cancer and eventually treated with RP or RT between 2005 and 2015 on TriNetX. Patients with any prior history of AUS or sling before prostate cancer treatment were excluded. Primary outcomes of interest were rates of AUS and sling utilization 6 months to 10 years after RP, RT, or both. We secondarily assessed rates of cystourethroscopy before incontinence procedure and patient factors associated with utilization of AUS or sling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between 2005 and 2015, 13\u2009392, 24\u2009173, and 2353 prostate cancer patients were treated with RP, RT, or both treatments, respectively. After RP, within 6 months to 10 years, 244 patients (1.82%) underwent AUS implantation and 234 patients (1.75%) underwent sling placement, compared to 84 patients (0.35%) undergoing AUS implantation and 13 patients (0.05%) undergoing sling placement after RT. Of patients treated with both, 87 (3.70%) patients underwent AUS implantation and 26 (1.10%) underwent sling placement. One\u2010half to three\u2010fourths of these patients underwent cystourethroscopy before AUS\/sling placement. RP, receiving care at an academic center, and being 45\u201369 years old compared to 70+ years old at prostate cancer treatment were significantly associated with AUS\/sling utilization. Rates of utilization also varied across race\/ethnicity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AUS and urethral sling utilization amongst post\u2010RP and post\u2010RT prostate cancer survivors is low and variation in utilization exists based on patient characteristics. Our study emphasizes the importance of awareness of guidelines on incontinence after prostate treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70125","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T08:18:57Z","timestamp":1754381937000},"page":"1621-1627","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Utilization of Incontinence Procedures Following Prostate Cancer Treatment: A Population\u2010Level Analysis"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0408-8380","authenticated-orcid":false,"given":"Ryan","family":"Davis","sequence":"first","affiliation":[{"name":"Department of Urology Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ginsberg","sequence":"additional","affiliation":[{"name":"Department of Urology Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7094-482X","authenticated-orcid":false,"given":"Jeffrey C.","family":"Loh\u2010Doyle","sequence":"additional","affiliation":[{"name":"Department of Urology Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,5]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2023.0050"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.3.354"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2018.12.003"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-017-1660-5"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000004088"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2021.01.024"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24825"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2023.07.022"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000618"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24816"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22790"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.08.246"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.04.005"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41391-022-00558-x"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.26475"},{"key":"e_1_2_12_17_1","unstructured":"\u201cExplore Real\u2010world Data From TriNetX in Your Own Environment \u201d TriNetX accessed February 9 2025 https:\/\/trinetx.com\/solutions\/real-world-datasets\/#s_1."},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.08.091"},{"key":"e_1_2_12_19_1","volume-title":"Variation in the Care of Surgical Conditions: Prostate Cancer: A Dartmouth Atlas of Health Care Series","author":"Hyams E. 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