Post-radical prostatectomy stress incontinence occurs in up to 20% of patients.
Postprostatectomy incontinence is initially treated with undergarments, pads, or drip collectors.
Patients with persistent leakage are often treated with a transurethral bulking agent (Contigen) or placement of an artificial genito-urinary sphincter (AGUS).
We have compared the direct costs of each treatment at our institution over 10 years.
The Mayo Clinic estimating office provided the Medicare and non-Medicare charges for patients receiving both collagen injection (outpatient) and AGUS placement (2-day hospitalization) during August 1995.
The Mayo Store provided the current price of all undergarments, pads, and drip collectors carried.
Two local grocery stores provided the cost of Depends undergarments.
The following items were the least expensive carried at the Mayo Clinic Store : Entrust undergarments, Active Style pads, and Conveen drip collectors at $0.99, $0.52, $1.05 each, respectively.
The average cost of Depends undergarments was $0.52 each.
The cost of wearing 5 of the least expensive undergarments or pads per day for 10 years is $9497.
The average estimated Medicare and non-Medicare cost for outpatient (general anesthesia) collagen injection is $4300 and $5625, respectively.
The average Medicare and non-Medicare cost for AGUS placement is $15,400 and $20,300, respectively.
Factoring in our current 22. (...)
Mots-clés Pascal : Prostatectomie, Complication, Postopératoire, Incontinence urinaire, Traitement, Epaississant, Paroi, Sphincter artificiel, Analyse avantage coût, Homme, Chirurgie, Appareil urinaire pathologie, Prostate pathologie, Appareil génital mâle pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction, Economie santé
Mots-clés Pascal anglais : Prostatectomy, Complication, Postoperative, Urinary incontinence, Treatment, Thickening agent, Wall, Artificial sphincter, Cost benefit analysis, Human, Surgery, Urinary system disease, Prostate disease, Male genital diseases, Urinary tract disease, Bladder disease, Voiding dysfunction, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0278197
Code Inist : 002B25H. Création : 27/11/1998.