Related Experiment Video
Updated: Sep 8, 2025
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
Same-day catheter-free discharge versus overnight observation after artificial urinary sphincter surgery: a
Bagrat Grigoryan1,2, George Kasyan3,4, Michael Baboudjian5
1Moscow Urology Center, Botkin Hospital, Moscow, Russia. bagratgrigoryan15@gmail.com.
Introduction And Hypothesis:
The aim of this study was to compare postoperative outcomes of same-day catheter-free discharge (SDS) and overnight observation (OBS) following artificial urinary sphincter (AUS) implantation.
Methods:
A systematic literature search was performed in PubMed, Scopus, Cochrane Library, Google Scholar, and ClinicalTrials.gov up to April 2025. Studies comparing SDS and OBS in men undergoing AUS surgery were included. Main outcomes were postoperative urinary retention, emergency department (ED) visits within 90 days, and suprapubic catheter (SPC) placement. Risk ratios (RR) and 95% confidence intervals (CI) were pooled using a fixed-effects model. Risk of bias was assessed using the ROBINS-I tool.
Results:
Six studies were included in the systematic review (n = 2424 patients), and four studies (n = 1085) were eligible for meta-analysis. There was no significant difference between SDS and OBS in urinary retention (RR = 1.44, 95% CI 0.81-2.56, p = 0.21) or ED visits within 90 days (RR = 0.91, 95% CI 0.59-1.42, p = 0.69). However, SDS was associated with a significantly reduced risk of SPC placement (RR = 0.28, 95% CI 0.09-0.81, p = 0.02). Risk of bias was moderate to serious in most included studies.
Conclusions:
Same-day catheter-free discharge after AUS implantation demonstrated comparable short-term safety outcomes to overnight observation, with a reduced risk of suprapubic catheter placement. Further high-quality prospective studies are needed to validate these findings.
More Related Videos
10:07Cystometric and External Urethral Sphincter Measurements in Awake Rats with Implanted Catheter and Electrodes Allowing for Repeated Measurements
Published on: January 30, 2018
03:51Author Spotlight: Advanced Treatment of Seminal Duct Blockage Employing Endoscopy-Mediated Semen Channel Refluviation
Published on: December 8, 2023
Related Concept Videos
01:26Cardiac Catheterization IV: Nursing Management
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
01:29Suctioning the Nasopharyngeal Airway
Equipment Required
01:22Imaging Studies VI: Voiding Cystourethrography and Cystography
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...