Has the use of preoperative urodynamics for stress urinary incontinence surgery changed following the VALUE study?

2020 ◽  
Vol 39 (6) ◽  
pp. 1824-1830
Author(s):  
Matthew B. Clements ◽  
Jacqueline M. Zillioux ◽  
Conner William Pike ◽  
David E. Rapp
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Incontinence Surgery ◽  
Stress Urinary Incontinence Surgery ◽  
Urinary Incontinence Surgery

scholarly journals Contemporary trends for urological training and management of stress urinary incontinence in Ireland

2021 ◽  
Author(s):  
Eoin MacCraith ◽  
James C. Forde ◽  
Fergal J. O’Brien ◽  
Niall F. Davis
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Fold Increase ◽  
Incontinence Surgery ◽  
Stress Urinary Incontinence Surgery ◽  
Urethral Bulking ◽  
Urological Training ◽  
Sui Surgery ◽  
Urinary Incontinence Surgery ◽  
Urethral Bulking Agent

Abstract Introduction and hypothesis The aim of this study is to evaluate the trends in stress urinary incontinence (SUI) surgery since the 2018 pause on use of the polypropylene (PP) mid-urethral sling (MUS) and to quantify the effect this has had on surgical training. Methods Two anonymous surveys were sent to all current urology trainees and to all consultant surgeons who specialise in stress urinary incontinence surgery. Results Prior to the pause, 86% (6 out of 7) of consultant urologists and 73% (11 out of 15) of consultant gynaecologists would “always”/“often” perform MUS for SUI. After that, 100% (22 out of 22) of consultants reported that they “never” perform MUS. There has been a modest increase in the use of urethral bulking agent (UBA) procedures among urologists, with 43% (3 out of 7) now “often” performing this, compared with 71% (5 out of 7) “never” performing it pre-2018. Trainee exposure to SUI surgery reduced by 75% between 2016 and 2020. Despite a ten-fold increase in UBA procedures logged by trainees, the decline in MUS has resulted in a major reduction in total SUI surgeries. Coinciding with this decrease in surgeries, there was a 56% reduction in trainees’ self-assessed competence at SUI surgery. Thirteen percent of trainees are interested in specialising in Female Urology and those trainees had significantly greater exposure to SUI procedures during their training than those who did not (p = 0.0072). Conclusions This study has identified a downward trend in SUI surgery, which is concerning for the undertreatment of females with SUI. A decline in SUI surgery training has resulted in reduced trainee confidence and interest in this subspecialty.

Stress Urinary Incontinence Surgery in the United States

2003 ◽  
Vol 101 (4) ◽  
pp. 671-676
Author(s):  
L. Elaine Waetjen ◽  
Leslee L. Subak ◽  
Hui Shen ◽  
Feng Lin ◽  
Tsung-Hsi Wang ◽  
...  
Keyword(s):  
United States ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
The United States ◽  
Incontinence Surgery ◽  
Stress Urinary Incontinence Surgery ◽  
Urinary Incontinence Surgery

Vaginal hysterectomy and risk of pelvic organ prolapse and stress urinary incontinence surgery

2011 ◽  
Vol 23 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Catharina Forsgren ◽  
Cecilia Lundholm ◽  
Anna L. V. Johansson ◽  
Sven Cnattingius ◽  
Jan Zetterström ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Vaginal Hysterectomy ◽  
Pelvic Organ ◽  
Incontinence Surgery ◽  
Stress Urinary Incontinence Surgery ◽  
Urinary Incontinence Surgery

Stress urinary incontinence surgery with sling Miniarc: A 4-year results

2015 ◽  
Vol 39 (1) ◽  
pp. 47-52 ◽  
Author(s):  
J. Jiménez-Calvo ◽  
M. Montesino-Semper ◽  
A. Hualde-Alfaro ◽  
L. Torres-Varas ◽  
A. Sotil-Arrieta ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Incontinence Surgery ◽  
Stress Urinary Incontinence Surgery ◽  
Urinary Incontinence Surgery

Hysterectomy and risk of stress-urinary-incontinence surgery: nationwide cohort study

The Lancet ◽  
2007 ◽  
Vol 370 (9597) ◽  
pp. 1494-1499 ◽  
Author(s):  
Daniel Altman ◽  
Fredrik Granath ◽  
Sven Cnattingius ◽  
Christian Falconer
Keyword(s):  
Urinary Incontinence ◽  
Cohort Study ◽  
Stress Urinary Incontinence ◽  
Incontinence Surgery ◽  
Stress Urinary Incontinence Surgery ◽  
Urinary Incontinence Surgery
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