title: Patient reported outcome measures in male incontinence surgery.
abstract: BACKGROUND
  Patient reported outcome measures (PROMs) were used to evaluate outcomes of the artificial urinary sphincter (AUS) and the AdVance™ (American Medical Systems, Minnetonka, MN, US) male sling system (AVMS) for the symptomatic management of male stress urinary incontinence.
  
  
  METHODS
  All male patients with stress urinary incontinence referred to our specialist clinic over a two-year period completed the ICIQ-UI SF (International Consultation on Incontinence Questionnaire on Urinary Incontinence Short Form) and the ICIQ-MLUTS LF (International Consultation on Incontinence Questionnaire on Male Lower Urinary Tract Symptoms Long Form) at consultation as well as at subsequent follow-up appointments. The Wilcoxon signed-rank test for non-parametric paired data was used for pre and postoperative comparisons. The chi-squared test was used for categorical variables.
  
  
  RESULTS
  Thirty-seven patients (forty surgical cases) completed a preoperative and at least one follow-up questionnaire. There was a statistically significant improvement in PROMs postoperatively, regardless of mode of surgery (p<0.01). Analysis of the ICIQ-MLUTS LF showed that patients with higher preoperative scores (>25) had greater improvement with an AUS than with the AVMS (p<0.01).
  
  
  CONCLUSIONS
  This prospective study shows that completion and collection of PROMs as part of routine clinical practice is achievable and useful in the assessment of male stress incontinence surgery. PROMs are important instruments to assess effectiveness of healthcare intervention and they are useful adjuncts in surgical studies.
authors.affiliation: Cambridge University Hospitals NHS Foundation Trust, UK.
authors.forename: M G B
authors.initials: MG
authors.lastname: Tran
authors.forename: J
authors.initials: J
authors.lastname: Yip
authors.forename: K
authors.initials: K
authors.lastname: Uveili
authors.forename: S M
authors.initials: SM
authors.lastname: Biers
authors.forename: N
authors.initials: N
authors.lastname: Thiruchelvam
mesh_terms: D000368:Aged; D016009:Chi-Square Distribution; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D063868:Patient Outcome Assessment; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology; D011446:Prospective Studies; D011788:Quality of Life; D057566:Self Report; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D016741:Urinary Sphincter, Artificial; D014563:Urodynamics; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods*