Dr. Zillioux on assessing cognitive impairment and manual dexterity in patients undergoing AUS placement

In this video, Jacqueline Zillioux, MD, shares the take-home message from the Journal of Urology study “Prevalence of Cognitive and Manual Dexterity Disorders Among Men Following Artificial Urinary Sphincter Placement.” Zillioux is an assistant professor of urology at the University of Virginia in Charlottesville.

Transcription:

What is the take-home message for the practicing urologist?

I think the take-home message is that cognitive impairment and manual dexterity issues are common in these patients, and we should not only be assessing for these at baseline but also ensuring that the patients have routine and longitudinal follow-up and that some sort of assessment is done at these follow up visits. It might be as simple as saying, "Show me how to cycle this device," which I think a lot of people are doing anyways. But it can also be doing a hand strength test or doing a timed get-up-and-go for frailty test. There are different cognitive screening tests. But the take-home is that we should be paying attention to these on follow-up.

This transcription was edited for clarity.