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The purpose of this study was to evaluate the frequency at which reproductive-aged women undergo surgical management for stress urinary incontinence (SUI) and to identify factors associated with this decision. The researchers collected data from 149 women between the ages of 25-45 who received care at a large medical center between 2011-2016. They found that 36 of these women underwent surgical management for SUI, while 109 were managed conservatively. <br /><br />The study found that evaluation by female pelvic medicine and reconstructive surgery (FPMRS) was associated with a decreased likelihood of surgical management. Increasing age was associated with a 10% increased odds of undergoing surgical management for SUI. Body mass index (BMI) was also found to be a factor, with a higher BMI associated with a decreased likelihood of surgery. <br /><br />The study did not find a significant association between race/ethnicity, parity, or type of contraception and the decision to undergo surgical management. However, the researchers noted that the sample size may have been too small to detect these associations. <br /><br />Overall, the study suggests that surgical management for SUI in reproductive-aged women is relatively uncommon, with more conservative management being favored. The researchers recommend further examination of the factors associated with the decision to proceed with surgery using a larger sample size.
Keywords
reproductive-aged women
surgical management
stress urinary incontinence
factors
frequency
female pelvic medicine and reconstructive surgery
age
body mass index
conservative management
sample size
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