Standing cough test stratification of moderate male stress urinary incontinence


Avery R. Wolfe, Roger K. Khouri Jr, Maia E. VanDyke, Samantha W. Nealon, Shervin Badkhshan, Sarah C. Sanders, Steven J. Hudak and Allen F. Morey*

Persistent stress urinary incontinence (SUI) affects 20% of men following prostatectomy, and up to 10% of men treated with pelvic radiation (Averbeck et al., 2019, Arcila-Ruiz et al., 2018). Men with mild SUI (4 PPD) are clearly better served by artificial urinary sphincter (AUS) placement (Bauer et al., 2017, Chua et al., 2019, Ficarra et al., 2012). Counseling patients with so-called moderate SUI (2-3 PPD), however, is less straightforward as these men are technically candidates for either intervention but tend to have variable degrees of SUI, and thus, variable outcomes (Fuchs et al., 2018, Hoffman et al., 2019, Khouri et al., 2021).

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