HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Waetjen, L. E. Articles by Brown, J. S. Search for Related Content PubMed PubMed Citation Articles by Waetjen, L. E. Articles by Brown, J. S.

Stress Urinary Incontinence Surgery in the United States

From the Department of Obstetrics and Gynecology, University of California, Davis, Sacramento; and the Departments of Obstetrics, Gynecology and Reproductive Sciences and Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.

Address reprint requests to: L. Elaine Waetjen, MD, University of California, Davis, Department of Obstetrics and Gynecology, 4860 Y Street, Suite 2500, Sacramento, CA 95817; E-mail: lewaetjen{at}ucdavis.edu.

OBJECTIVE: To describe the prevalence, regional rates and demographic characteristics, morbidity, and mortality of stress urinary incontinence surgeries in the United States.

METHODS: We used data from the 1998 National Hospital Discharge Survey and the 1998 National Census to calculate rates of surgeries for stress urinary incontinence by age, race, and region of the United States. From these data we estimated morbidity and mortality associated with incontinence surgery.

RESULTS: In 1998, approximately 135,000 women had inpatient surgery for stress urinary incontinence in the United States. The mean age of these women was 54.0 (±13.3) years. The South had the highest rate of surgery (14.8 per 10,000 women), whereas the Northeast had the lowest (9.8 per 10,000). In the 79% of discharges for which race was stated, the surgery rate for whites (11.6 per 10,000) was almost five times greater than for blacks (2.6 per 10,000), whereas the perioperative complication rate for blacks was twice that for whites (20.6% compared with 9.7%). Almost 70% of incontinence surgeries were done in combination with other major gynecologic procedures. For all incontinence surgeries, approximately 18% had complications, and mortality was rare (0.01%).

CONCLUSION: Stress urinary incontinence surgery is common, especially among white women. Differences in regional and racial surgical rates may represent differences in physician practice, patient expectations, and access to or utilization of care.

This article has been cited by other articles:

				R. G. Rogers Urinary Stress Incontinence in Women N. Engl. J. Med., March 6, 2008; 358(10): 1029 - 1036. [Full Text] [PDF]

				K. Strohbehn Shades of Dry -- Curing Urinary Stress Incontinence N. Engl. J. Med., May 24, 2007; 356(21): 2198 - 2200. [Full Text] [PDF]

				M. E. Albo, H. E. Richter, L. Brubaker, P. Norton, S. R. Kraus, P. E. Zimmern, T. C. Chai, H. Zyczynski, A. C. Diokno, S. Tennstedt, et al. Burch Colposuspension versus Fascial Sling to Reduce Urinary Stress Incontinence N. Engl. J. Med., May 24, 2007; 356(21): 2143 - 2155. [Abstract] [Full Text] [PDF]

				D. T. Gilmour, S. Das, and G. Flowerdew Rates of urinary tract injury from gynecologic surgery and the role of intraoperative cystoscopy. Obstet. Gynecol., June 1, 2006; 107(6): 1366 - 1372. [Abstract] [Full Text] [PDF]

				A. N. Morse, L. C. Labin, S. B. Young, M. P. Aronson, and J. H. Gurwitz Exclusion of Elderly Women From Published Randomized Trials of Stress Incontinence Surgery Obstet. Gynecol., September 1, 2004; 104(3): 498 - 503. [Abstract] [Full Text] [PDF]