The surgical trends and time-frame comparison of primary surgery for stress urinary incontinence, 2006–2010 vs 1997–2005

a population-based nation-wide follow-up descriptive study

Chia Jen Wu, Yat Ching Tong, Sheng Mou Hsiao, Ching Chung Liang, So Jung Liang, Shih Feng Weng, Ming Ping Wu

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Introduction and hypothesis: The purpose of our study was to describe the surgical trends for female stress urinary incontinence (SUI) during 2006–2010, and a time-frame comparison with 1997–2005, based upon the National Health Insurance (NHI) claims data in Taiwan.

Methods: Women who underwent various primary surgeries for SUI during 2006–2010 were identified, with a total of 15,099 inpatients. The variables included surgical types, patient age, surgeon age and gender, specialty, and hospital accreditation levels. Chi-squared tests and SAS version 9.3.1 were used for statistical analysis.

Results: During the follow-up study, midurethral sling (MUS) application increased significantly from 53.09 % in 2006 to 78.74 % in 2010. It was associated concomitantly with a decrease in retropubic urethropexy (RPU) from 29.68 % to 12.99 %, and pubovaginal sling treatment (PVS) from 9.33 % to 3.46 %. MUS was most commonly used among all patients’ and surgeons’ age groups, and different accreditation hospital levels. MUS was more commonly used by gynecologists (71.38 %) than urologists (57.91 %); while PVS and periurethral injection were more commonly performed by urologists than gynecologists. Similar surgical trends were found during time-frame comparison, 2006–2010 vs 1997–2005. SUI surgeries increased in patients aged ≥60, surgeons aged ≥ 50, and in regional hospitals.

Conclusion: This follow-up study depicts the increase in popularity of MUS and offers evidence of surgical trends and a paradigm shift for female SUI surgery. More older women were willing to seek healthcare and undergo surgery. The surgical skills and knowledge spread from medical centers into regional hospitals. The time-frame shift may have a profound impact on patients, as well as the healthcare providers.

Original languageEnglish
Pages (from-to)1683-1691
Number of pages9
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume25
Issue number12
DOIs
Publication statusPublished - Nov 18 2014

Fingerprint

Suburethral Slings
Stress Urinary Incontinence
Accreditation
Population
National Health Programs
Taiwan
Health Personnel
Inpatients
Age Groups
Delivery of Health Care
Injections
Therapeutics
Surgeons
Urologists

Keywords

  • Midurethral sling
  • National Health Insurance
  • Pubovaginal sling
  • Retropubic urethropexy
  • Stress urinary incontinence
  • Surgery

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynaecology
  • Medicine(all)

Cite this

The surgical trends and time-frame comparison of primary surgery for stress urinary incontinence, 2006–2010 vs 1997–2005 : a population-based nation-wide follow-up descriptive study. / Wu, Chia Jen; Tong, Yat Ching; Hsiao, Sheng Mou; Liang, Ching Chung; Liang, So Jung; Weng, Shih Feng; Wu, Ming Ping.

In: International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 25, No. 12, 18.11.2014, p. 1683-1691.

Research output: Contribution to journalArticle

Wu, Chia Jen ; Tong, Yat Ching ; Hsiao, Sheng Mou ; Liang, Ching Chung ; Liang, So Jung ; Weng, Shih Feng ; Wu, Ming Ping. / The surgical trends and time-frame comparison of primary surgery for stress urinary incontinence, 2006–2010 vs 1997–2005 : a population-based nation-wide follow-up descriptive study. In: International Urogynecology Journal and Pelvic Floor Dysfunction. 2014 ; Vol. 25, No. 12. pp. 1683-1691.
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abstract = "Introduction and hypothesis: The purpose of our study was to describe the surgical trends for female stress urinary incontinence (SUI) during 2006–2010, and a time-frame comparison with 1997–2005, based upon the National Health Insurance (NHI) claims data in Taiwan.Methods: Women who underwent various primary surgeries for SUI during 2006–2010 were identified, with a total of 15,099 inpatients. The variables included surgical types, patient age, surgeon age and gender, specialty, and hospital accreditation levels. Chi-squared tests and SAS version 9.3.1 were used for statistical analysis.Results: During the follow-up study, midurethral sling (MUS) application increased significantly from 53.09 {\%} in 2006 to 78.74 {\%} in 2010. It was associated concomitantly with a decrease in retropubic urethropexy (RPU) from 29.68 {\%} to 12.99 {\%}, and pubovaginal sling treatment (PVS) from 9.33 {\%} to 3.46 {\%}. MUS was most commonly used among all patients’ and surgeons’ age groups, and different accreditation hospital levels. MUS was more commonly used by gynecologists (71.38 {\%}) than urologists (57.91 {\%}); while PVS and periurethral injection were more commonly performed by urologists than gynecologists. Similar surgical trends were found during time-frame comparison, 2006–2010 vs 1997–2005. SUI surgeries increased in patients aged ≥60, surgeons aged ≥ 50, and in regional hospitals.Conclusion: This follow-up study depicts the increase in popularity of MUS and offers evidence of surgical trends and a paradigm shift for female SUI surgery. More older women were willing to seek healthcare and undergo surgery. The surgical skills and knowledge spread from medical centers into regional hospitals. The time-frame shift may have a profound impact on patients, as well as the healthcare providers.",
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AB - Introduction and hypothesis: The purpose of our study was to describe the surgical trends for female stress urinary incontinence (SUI) during 2006–2010, and a time-frame comparison with 1997–2005, based upon the National Health Insurance (NHI) claims data in Taiwan.Methods: Women who underwent various primary surgeries for SUI during 2006–2010 were identified, with a total of 15,099 inpatients. The variables included surgical types, patient age, surgeon age and gender, specialty, and hospital accreditation levels. Chi-squared tests and SAS version 9.3.1 were used for statistical analysis.Results: During the follow-up study, midurethral sling (MUS) application increased significantly from 53.09 % in 2006 to 78.74 % in 2010. It was associated concomitantly with a decrease in retropubic urethropexy (RPU) from 29.68 % to 12.99 %, and pubovaginal sling treatment (PVS) from 9.33 % to 3.46 %. MUS was most commonly used among all patients’ and surgeons’ age groups, and different accreditation hospital levels. MUS was more commonly used by gynecologists (71.38 %) than urologists (57.91 %); while PVS and periurethral injection were more commonly performed by urologists than gynecologists. Similar surgical trends were found during time-frame comparison, 2006–2010 vs 1997–2005. SUI surgeries increased in patients aged ≥60, surgeons aged ≥ 50, and in regional hospitals.Conclusion: This follow-up study depicts the increase in popularity of MUS and offers evidence of surgical trends and a paradigm shift for female SUI surgery. More older women were willing to seek healthcare and undergo surgery. The surgical skills and knowledge spread from medical centers into regional hospitals. The time-frame shift may have a profound impact on patients, as well as the healthcare providers.

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KW - Retropubic urethropexy

KW - Stress urinary incontinence

KW - Surgery

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