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• W2080618133 abstract "No AccessJournal of UrologyAdult Urology1 Sep 2014Correlation of Patient Perception of Pad Use with Objective Degree of Incontinence Measured by Pad Test in Men with Post-Prostatectomy Incontinence: The SUFU Pad Test Study Victor W. Nitti, Arthur Mourtzinos, Benjamin M. Brucker, and SUFU Pad Test Study Group Victor W. NittiVictor W. Nitti Financial interest and/or other relationship with Allergan, Astellas, AMS, Coloplast, Ipsen, Ono, TheraCoat and Serenity. More articles by this author , Arthur MourtzinosArthur Mourtzinos More articles by this author , Benjamin M. BruckerBenjamin M. Brucker More articles by this author , and SUFU Pad Test Study Group More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.03.031AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Many investigators have used the number of pads to determine the severity of post-prostatectomy incontinence and yet the accuracy of this tool remains unproven. We determined whether the patient perception of pad use and urine loss reflects actual urine loss. We also identified a quality of life measure that distinguishes patients by severity of incontinence. Materials and Methods: We prospectively enrolled 235 men from a total of 18 sites 6 months or more after radical prostatectomy who had incontinence requiring protection. Patients completed a questionnaire on the perception of pad number, size and wetness, a quality of life question, several standardized incontinence questionnaires and a 24-hour pad test that assessed pad number, size and weight. SPSS® was used for statistical analysis. Results: Perception of the number of pads used closely agreed with the number of pads collected during a 24-hour pad test. Perceived and actual pad size had excellent concordance (76%, p <0.001). Patients with wet and soaked pads had statistically and clinically significantly different pad weights that were uniquely different from each other and from those of patients who were almost dry and slightly wet. Response to the quality of life question separated the men into 4 statistically significantly different groups based on mean 24-hour pad weight. Conclusions: Patients accurately described the number, size and degree of wetness of pads collected during a 24-hour pad test. These values correlated well with actual urine loss. The single question, “To what extent does urine loss affect your quality of life?” separated men into distinct categories. References 1 : Multicenter patient self-reporting questionnaire on impotence, incontinence and stricture after radical prostatectomy. J Urol2000; 163: 858. Link, Google Scholar 2 : Urinary and sexual function after radical prostatectomy for clinically localized prostate cancer. JAMA2000; 283: 354. Google Scholar 3 : 5-year urinary and sexual outcomes after radical prostatectomy: results from the prostate cancer outcomes study. J Urol2005; 173: 1701. Link, Google Scholar 4 : Trends in the use of incontinence procedures after Radical prostatectomy: a population based analysis. J Urol2013; 189: 602. Link, Google Scholar 5 : New perineal bone-anchored male sling: lessons learned. Urology2004; 64: 58. Google Scholar 6 : The male sling for post-prostatectomy incontinence: mean followup of 18 months. 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Google Scholar © 2014 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byWein A (2020) Re: Pelvic Floor Muscle Training in Radical Prostatectomy: A Randomized Controlled Trial of the Impacts on Pelvic Floor Muscle Function and Urinary IncontinenceJournal of Urology, VOL. 204, NO. 1, (191-191), Online publication date: 1-Jul-2020.Viers B, VanDyke M, Pagliara T, Shakir N, Scott J and Morey A (2017) Improving Male Sling Selectivity and Outcomes—A Potential Role for Physical Demonstration of Stress Urinary Incontinence Severity?Urology Practice, VOL. 5, NO. 6, (458-465), Online publication date: 1-Nov-2018.Clifford T, Shah S, Bazargani S, Miranda G, Cai J, Wayne K, Djaladat H, Schuckman A and Daneshmand S (2016) Prospective Evaluation of Continence Following Radical Cystectomy and Orthotopic Urinary Diversion Using a Validated QuestionnaireJournal of Urology, VOL. 196, NO. 6, (1685-1691), Online publication date: 1-Dec-2016.Mock S, Dmochowski R, Brown E, Reynolds W, Kaufman M and Milam D (2015) The Impact of Urethral Risk Factors on Transcorporeal Artificial Urinary Sphincter Erosion Rates and Device SurvivalJournal of Urology, VOL. 194, NO. 6, (1692-1696), Online publication date: 1-Dec-2015.Simhan J, Morey A, Singla N, Tausch T, Scott J, Lemack G and Roehrborn C (2014) 3.5 cm Artificial Urinary Sphincter Cuff Erosion Occurs Predominantly in Irradiated PatientsJournal of Urology, VOL. 193, NO. 2, (593-597), Online publication date: 1-Feb-2015.Steers W (2014) This Month in Adult UrologyJournal of Urology, VOL. 192, NO. 3, (629-631), Online publication date: 1-Sep-2014. Volume 192Issue 3September 2014Page: 836-842 Advertisement Copyright & Permissions© 2014 by American Urological Association Education and Research, Inc.Keywordsurinary incontinencequestionnairesprostatectomyurinary bladderquality of lifeAcknowledgmentsSUFU Pad Test Study Group: Timothy Boone, Methodist Hospital, Houston, Texas; Jacques Corcos, McGill University, Montreal, Quebec, Canada; Elise De, Urological Institute of Northeastern New York, Albany, New York; Victor Nitti, New York University and Matthew Rutman, Columbia University, New York, New York; Jonathan Fialkov, Iowa Clinic, West Des Moines, Iowa; Gamal Ghoniem, Cleveland Clinic, Weston, Florida; David Ginsberg, University of Southern California and Ariana Smith, University of California, Los Angeles, California; Nedra Hood, Emory University, Atlanta, Georgia; William Jaffe, University of Pennsylvania, Philadelphia, Pennsylvania; Jerlyn Latini, University of Michigan, Ann Arbor, Michigan; Kurt McCammon, Urology of Virginia PC, Norfolk and William Steers, University of Virginia, Charlottesville, Virginia; Arthur Mourtzinos, Lahey Clinic, Burlington, Massachusetts; Veronica Triaca, Concord Hospital Center for Urologic Care, Concord, New Hampshire; and J. Christian Winters, Louisiana State University, New Orleans, Louisiana.MetricsAuthor Information Victor W. Nitti Financial interest and/or other relationship with Allergan, Astellas, AMS, Coloplast, Ipsen, Ono, TheraCoat and Serenity. More articles by this author Arthur Mourtzinos More articles by this author Benjamin M. Brucker More articles by this author SUFU Pad Test Study Group More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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