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EDITORIAL COMMENT

      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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