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Standing cough test stratification of moderate male stress urinary incontinence

Overview of attention for article published in International braz j urol, March 2021
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Standing cough test stratification of moderate male stress urinary incontinence
Published in
International braz j urol, March 2021
DOI 10.1590/s1677-5538.ibju.2020.0551
Pubmed ID

Roger K. Khouri Jr., Yooni A. Yi, Nicolas M. Ortiz, Adam S. Baumgarten, Ellen E. Ward, Maia E. VanDyke, Steven J. Hudak, Allen F. Morey


Patient-reported history of pads per day (PPD) is widely recognized as a fundamental element of decision-making for anti-incontinence procedures. We hypothesize that SUI severity is often underestimated among men with moderate SUI. We sought to compare patient history of incontinence severity versus objective in-office physical examination findings. We retrospectively reviewed our single-surgeon male SUI surgical database from 2007-2019. We excluded patients with incomplete preoperative or postoperative data and those who reported either mild or severe SUI, thus having more straightforward surgical counseling. For men reported to have moderate SUI, we determined the frequency of upgrading SUI severity by recording the results of an in-office standing cough test (SCT) using the Male Stress Incontinence Grading Scale (MSIGS). The correlation of MSIGS with sling success rate was calculated. Failure was defined as >1 PPD usage or need for additional incontinence procedure. Among 233 patients with reported moderate SUI (2-3 PPD), 89 (38%) had MSIGS 3-4 on SCT, indicating severe SUI. Among patients with 2-3 PPD preoperatively, sling success rates were significantly higher for patients with MSIGS 0-2 (76/116, 64%) compared to MSIGS 3-4 (6/18, 33%) (p <0.01). Many men with self-reported history of moderate SUI actually present severe SUI observed on SCT. The SCT is a useful tool to stratify moderate SUI patients to more accurately predict sling success.

Mendeley readers

The data shown below were compiled from readership statistics for 7 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 7 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 2 29%
Researcher 1 14%
Other 1 14%
Student > Master 1 14%
Unknown 2 29%
Readers by discipline Count As %
Medicine and Dentistry 2 29%
Nursing and Health Professions 1 14%
Neuroscience 1 14%
Engineering 1 14%
Unknown 2 29%