Low serum albumin correlates with adverse events following surgery for male urinary incontinence: Analysis of the American College of Surgeons National Surgical Quality Improvement Project

Urology Jan 24, 2020

Ginsburg KB, et al. - Researchers determined the incidence as well as risk factors related to artificial urinary sphincter (AUS) and male urethral sling placement, revision, and removal. They used the American College of Surgeons National Surgery Quality Improvement Program database and searched for CPT codes of patients undergoing AUS and sling placement, revision, and removal. This study included 2,792 patients in total who underwent surgical treatment for stress urinary incontinence from 2008 to 2016. The most frequently experienced adverse event was increased length of stay (12.7%), followed by other postoperative complications (4.9%), readmission (4%), reoperation (2.3%), and death (0.3%). An increase predicted likelihood of length of stay > 1 day, readmission, reoperation, other postoperative complications, was observed among patients with preoperative hypoalbuminemia vs those with normal preoperative serum albumin, this was noted after adjusting for other factors. Findings revealed good tolerability of surgical management for stress urinary incontinence, with acceptable levels of perioperative adverse events. A link was identified between low serum albumin (< 3.5 ng/dL) and perioperative adverse events.
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