Discussion| Volume 147, P293, January 2021


      I read with interest the article entitled “Changing trends in management following artificial urinary sphincter surgery for male stress incontinence: an analysis of the National Surgery Quality Improvement Program database”. In this study, the authors evaluate the National Surgical Quality Improvement Program (NSQIP) for trends in artificial urinary sphincter in relation to early discharge defined as < 24 hours, and late discharge defined as > 24 hours. The authors are to be commended for emphasizing the importance of expedited return to home and normal function. Indeed we should all be moving toward enhanced recovery protocols where feasible. Upon initial review of this article, I was conceptualizing a comparison of same-day surgery patients to those held overnight for more antibiotics and/or a morning voiding trial. My concern is that this paper is not actually comparing those groups.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Urology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect