E-Posters-10208

10208_Stewart

Pdf Summary

A study conducted in Washington State aimed to determine if the introduction of mesh midurethral slings (MUS) had increased the rate at which women underwent surgery for stress urinary incontinence (SUI). The study also compared complication rates of SUI surgeries before and after the introduction of MUS. The study utilized a retrospective cohort design and involved 144,496 women who underwent surgeries for SUI, hysterectomy, and prolapse repair from 1987 to 2011. The results showed that the use of MUS significantly increased the number of women undergoing SUI surgery. Despite being slightly older and having more medical comorbidities, women in the MUS cohort had similar complication rates to those in the pre-MUS cohort. The length of hospital stay was also shorter for the MUS cohort. Furthermore, fewer women in the MUS cohort required reoperation for recurrent SUI within two years. The study concluded that the introduction of MUS has increased access to surgery for SUI without increasing perioperative complications. This supports the continued availability of MUS as a treatment option for SUI. The study also provided data on the distribution of SUI surgeries by year and found no significant differences in complications between the MUS and pre-MUS cohorts. The rates of blood transfusion, surgical site infection, urinary retention, readmission within 30 days, device complication/mesh erosion, and urinary retention at two years were similar between the two groups. Overall, the study suggests that MUS is a safe and effective treatment for SUI.

Keywords

Washington State

mesh midurethral slings

MUS

surgery

stress urinary incontinence

complication rates

retrospective cohort design

hysterectomy

prolapse repair

perioperative complications