E-Posters-Resident Surgical Experience Treating Stress Urinary Incontinence at an Academic Medical Center

Resident Surgical Experience Treating Stress Urinary Incontinence at an Academic Medical Center - Robert Edward Shapiro, MD

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This study examined the resident surgical experience in treating stress urinary incontinence (SUI) at an academic medical center. The researchers conducted a retrospective review of case logs from obstetrics and gynecology (Ob/Gyn) and urology residents over a five-year period. They analyzed the use of synthetic mesh in SUI procedures using Current Procedural Terminology (CPT) codes.<br /><br />A total of 402 procedures were logged between 2013 and 2018. Synthetic mesh slings were the most common procedure, accounting for 71% of cases. Laparoscopic and abdominal culposuspensions were performed in 16% and 12% of cases, respectively, while autologous pubovaginal slings made up only 1% of cases.<br /><br />Statistical analysis showed a significant difference in the quantities of various procedures. Mesh slings were performed significantly more often than the other three procedures. The trend in the number of mesh-based procedures did not diminish over the study period.<br /><br />Synthetic mid-urethral mesh slings are considered the standard of care for SUI by the American Urogynecologic Society. However, there have been increasing concerns over patient safety with synthetic meshes despite validation by the FDA.<br /><br />This study highlights that the resident surgical experience at this medical center primarily involves the use of synthetic mesh for SUI treatment. Despite the public scrutiny, no change in the proportions of surgical procedures was observed between 2013 and 2018. This underscores the continued utility of synthetic mesh at this academic medical center.<br /><br />In conclusion, this study provides insights into the types of procedures taught to residents for SUI treatment. Mesh slings were performed more frequently than other approaches, indicating their ongoing use in the surgical management of SUI.

Keywords

resident surgical experience

stress urinary incontinence

academic medical center

retrospective review

synthetic mesh

CPT codes

mesh slings

laparoscopic culposuspensions

abdominal culposuspensions

surgical management