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.
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© 2020 Published by Elsevier Inc.
