JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 53

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53

2017 were evaluated. In our institution men were routinely invited to complete the International Consultation
on Incontinence Questionnaire on Male Lower Urinary
Tract Symptoms Long Form (ICIQ-MLUTS) pre-RARP
and at 6, 12 and 18 months post-RARP. All men underwent
urodynamics. Data were analysed by paired t-test.
Results: In total 64/795 (8%) men post-RARP were
referred to the specialist clinic, of these 16/64 (25%) had
had salvage radiation. Median age, BMI and prostate size
were: 66 years (R 52-74), 28 (R 19-35) and 45 grams (R
15-165). Urodynamics identified 41/64 (64%) had stress
incontinence, 2/64 (3%) detrusor overactivity, 11/64 (17%)

mixed symptoms and 10/64 (16%) no urodynamic evidence of incontinence. After evaluation 26/64 (41%) men
proceeded to undergo incontinence surgery. Table 1 illustrates the patient-reported ICIQ-MLUTS LF data pre- and
post-surgery by urodynamic categories.
Conclusions: A significant proportion of men considering surgery for post-RARP incontinence had no urodynamic incontinence or mixed symptoms. The ICIQ-MLUTS
LF was able to identify significant changes from baseline in
men concerned about their post-RARP urinary symptoms.
This study demonstrates the utility of routine collection
of PROMs for counselling men post-RARP.

P5-9: Table 1. Median total ICIQ-MLUTS LF scores pre and post-surgery categorised by four urodynamic categories.

Stress incontinence (Median Total
ICIQ-MLUTS LF score)
Detrusor overactivity (Median Total
ICIQ-MLUTS LF score)
Mixed symptoms (Median Total ICIQMLUTS LF score)
No Urodynamic incontinence (Median
Total ICIQ-MLUTS LF score)

Baseline

6-months

12-months

18-months

17
(Questionnaires returned
N=36/41)
31.5
(Questionnaires returned
N=2/2)
16
(Questionnaires returned
N=8/11)
27
(Questionnaires returned
N=6/10)

25

25

27

39

42

46.5

30

33.5

28

28

29

30

P5-10 Patient global impression of change
(PGIC) and ICIQ − urinary incontinence
scoring systems demonstrate poor reliability
of pad weight assessments following male
sling surgery
Itam S1, Seth J1, Solomon E2, Pakzad M1, Hamid R1,
Greenwell T1, Ockrim J1
1University College Hospital at Westmoreland Street, London, United
Kingdom, 2St Guy's and Thomas' Hospital, London, United Kingdom

Introduction: Stress Urinary Incontinence (SUI) following surgery for prostate cancer or benign prostate disease
can be disabling for patients. The male sling can be an
effective treatment option in men with SUI. The aim of
this study was to assess levels of agreement between
change in ICIQ-UI-SF scores and PGIC questionnaire scores.
Method: We retrospectively reviewed our prospectively
acquired database of all patients who had a male (AdVance)
sling inserted between January 2012 and December 2015.
Preoperative ICIQ-UI -SF questionnaires were completed

and patients were evaluated at intervals post operatively
with ICIQ-UI-SF and PGIC questionnaires.
Results: A total of 37 patients underwent sling insertion
with mean age 68.1 (range 57-78). The questionnaire
response rate was 78%. The median length of follow-up
was 33 months (range 11-70). 18 patients (64%) had significant improvement in their PGIC scores (PGIC 5-7),
which correlated to a mean reduction in ICIQ-UI-SF score
of 7.9 (5.7 to 10.0 95% CI); compared to 10 patients with
minimal PGIC change (PGIC 1-4) in ICIQ-UI-SF score of
0.3 (-3.2 to 3.8 95% CI). In addition, there is statistically
significant difference in ICIQ-UI-SF question 3 (frequency
of leak) and question 5 (impact on QOL) between the two
groups.
Conclusion: There is good agreement between PGIC
and ICIQ-UI-SF questionnaires and both can identify
patients who have improved following surgery.The subjective perception of volume of urine leak doesn't appear to
be a reliable outcome measure indicative of poor reliability of pad weight testing.



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