ArticleInternational urogynecology journal2019
Changing surgical trends for female stress urinary incontinence in England.
Article in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- A modified mid-urethral sling technique for stress urinary incontinence: Three-year results of a prospective randomized trial in comparison with original transobturator tape procedure.International urogynecology journal · 2023Trial
- Hydrogel-Based Therapies for Female Stress Urinary Incontinence: From Bulking Agents to Regenerative Platforms-A Narrative Review.Current urology reports · 2026Review
- Autologous Semitendinosus Hamstring Tendon Transplant for Female Urinary Stress Incontinence Treatment (Anat-SUBLIM: Anatomy for Suburethral Ligamentoplasty): A Cadaver Model.International urogynecology journal · 2026Article
- Patient-Reported Long-Term Outcomes of Laparoscopic Sacrocolpopexy.International urogynecology journal · 2026Article
- Attitudes towards stress urinary incontinence surgery in Ireland: navigating the pause on mid-urethral sling use.Irish journal of medical science · 2025Article
- Long-Term Outcomes Associated with the Use of a Soft, Partially Absorbable Transobturator Mid-Urethral Tape for the Treatment of Stress Urinary Incontinence.Journal of clinical medicine · 2025Article
- Article
- Effectiveness and Safety of Shorter Incontinence Slings.International urogynecology journal · 2025Article
- Current Treatment of Stress Urinary Incontinence by Bulking Agents and Laser Therapy-An Update.Journal of clinical medicine · 2024Review
- A time-frame comparison study of surgical volume shifts on female primary stress urinary incontinence surgery.International urogynecology journal · 2023Article
- Does the Polydimethylsiloxane Urethral Injection (MacroplastiqueMedicina (Kaunas, Lithuania) · 2023Article
- Update on Urethral Bulking for Stress Urinary Incontinence in Women.Current urology reports · 2022Review
- Morphological and histological changes in the urethra after intraurethral nonablative erbium YAG laser therapy: an experimental study in beagle dogs.Lasers in medical science · 2022Article
- Up-to-Date Procedures in Female Stress Urinary Incontinence Surgery: A Concise Review on Bulking Agents Procedures.Medicina (Kaunas, Lithuania) · 2022Review
- Pixel-COLasers in medical science · 2022Article
- What a mesh! An Australian experience using national female continence surgery trends over 20 years.World journal of urology · 2021Article
- Urethral bulking agents: a retrospective review of primary versus salvage procedure outcomes.World journal of urology · 2021Article
- Female stress urinary incontinence surgery: 'Resurgence of the Titans'.Turkish journal of urology · 2021Article
- An unusual late complication with tension-free vaginal tape (TVT): A case report.Case reports in women's health · 2020Article
- Urethral bulking agent found in a urethral caruncle which did not respond to topical oestrogens: A case report.Case reports in women's health · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisStress urinary incontinence (SUI) surgery has significantly evolved with the introduction of synthetic midurethral slings (MUS). However, following reports from the US Food and Drug Administration and European Commission, the use of vaginal meshes in urogynaecology has been largely scrutinised. We analysed trends in female SUI surgery in England from 2000 to 2017.
methodsThe Hospital Episode Statistics database was retrieved from the Health and Social Care Information Centre website. Specific four-character codes of the evolving OPCS-4 coding system were used to quantify SUI operations.
resultsWe analysed 180,773 admissions from 2000 to 2017. A steep rise in MUS use was noted until 2008-2009, followed by a consistent drop, with a nadir of 6383 procedures in 2016-2017. Removal of MUS has become increasingly popular, with a peak of 591 in 2012-2013. Numbers for traditional continence operations remained low. Colposuspensions markedly decreased to 189 in 2012-2013, with a slight positive trend only in the last few years, while autologous sling use costantly dropped from 262 to 124 throughout the study period. Admissions for urethral bulking agents increased from 650 to 1324 in the last 2 years.
conclusionsMUS represents the most commonly performed procedure for SUI, despite an obvious reduction in the last 8 years. Urethral bulking agents are becoming more popular, while the numbers of colposuspensions and autologous slings are still low. Training programmes should take into account current shifts in surgical practice.
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