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Editorial Comment: Patient-identified Treatment Attributes Among Older Men With Stress Urinary Incontinence: A Qualitative Look at What Matters to Patients Making Treatment Decisions

      This is a timely and important article! We have been ignoring qualitative research for too long. While this project concentrates on semistructured qualitative interviews, other study designs such as mixed method studies may bring added value to the practical implementation of science to the care of our patients along with randomized controlled trials.
      • O'Cathain A.
      • Thomas K.J.
      • Drabble S.J.
      • Rudolph A.
      • Hewison J.
      What can qualitative research do for randomised controlled trials? A systematic mapping review.
      This group is ahead of their time in adding to the quantitative outcomes spoken about for the last 50 years in the treatment of incontinence (improvement in the # of pads used per day, improvement in pad weight, change in urodynamic parameters). It’s clear from this paper that these don’t necessarily mean as much to our patients we may think. We are reminded that the patient’s primary concerns may be completely different than ours and based on things we have no knowledge about such as social situations, work requirements, fear and angst of further surgical procedures and loss of disease-free time.
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      References

        • O'Cathain A.
        • Thomas K.J.
        • Drabble S.J.
        • Rudolph A.
        • Hewison J.
        What can qualitative research do for randomised controlled trials? A systematic mapping review.
        BMJ Open. 2013; 3
        • Medendorp A.R.
        • Anger J.T.
        • Jin C.
        • et al.
        The impact of frailty on artificial urinary sphincter placement and removal procedures.
        Urology. 2019; 129: 210-216
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        • Lee K.S.
        Long-term outcomes of primary implantation and revisions of artificial urinary sphincter in men with stress urinary incontinence.
        Neurourol Urodyn. 2017; 36: 1930-1937