Male Sling and Artificial Urethral Sphincter for Male Stress Urinary Incontinence Amongst Certifying American Urologists

To examine case volume characteristics among certifying urologists performing male sling and AUS to evaluate practice patterns in male stress urinary incontinence (SUI).

Six-month case log data of certifying urologists (2003-2013) was obtained from the American Board of Urology (ABU).

Cases specifying CPT code for male sling, AUS, and removal or revision of either modality in males ≥18 years were analyzed.

Among 1615 urologists (568 certifying and 1047 recertifying) logging at least one male incontinence procedure, 2109 (48% of all procedures) male sling and 2284 (52%) AUS cases were identified. Mean age of patients undergoing AUS was 74. 9 years and 67. 3 years in sling patients (p

Overall the number of male incontinence procedures has increased over time, with a growing proportion of male slings. Most slings and AUS cases are performed by a small number of high-volume surgeons.

Urology. 2015 Sep 04 [Epub ahead of print]

Joceline S Liu, Matthias D Hofer, Jaclyn Milose, Daniel T Oberlin, Sarah C Flury, Allen F Morey, Chris M Gonzalez

Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. , Department of Urology, University of Texas Southwestern, Dallas, TX, USA. , Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. , Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. , Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. , Department of Urology, University of Texas Southwestern, Dallas, TX, USA. , Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. 

PubMed