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Surgery for stress urinary incontinence in Finland 1987-2009.

Abstract：

INTRODUCTION AND HYPOTHESIS:To estimate the incidence rates of stress urinary incontinence (SUI) surgery among Finnish women from 1987 to 2009 by age, and to evaluate the trends in SUI surgery. METHODS:We conducted a retrospective register-based study. All SUI procedures on adult women over age 18 years in Finland were identified from the nationwide Care Register for Health Care. Age-specific incidence rates per 1,000 women were calculated for each year. The cumulative incidence of SUI surgery was calculated. RESULTS:There were 38,340 procedures for SUI in 1987-2009. The overall age-adjusted incidence rate increased 2.6-fold from 0.5/1,000 women in 1987 to 1.3/1,000 in 2002, but declined thereafter by 2009 to 0.8/1,000. There was a six-fold increase in the incidence rate in the age group 60-69 years and a ten-fold increase in the age group 70-79 years from 1987 to 2002. These marked increases in operation rates coincided with the increased use of tension-free vaginal tape (TVT). In 2002, TVT accounted for 96 % of all SUI procedures. Mid-urethral slings with transobturator techniques surpassed TVT in popularity in 2007. The life-long cumulative incidence of SUI surgery was 9.9 % in 2002 and 6.3 % in 2009. CONCLUSIONS:The incidence rates of SUI surgery increased significantly in Finland, especially among women aged 60 to 79 years. Mid-urethral slings have become the dominant procedure.

journal_name

Int Urogynecol J

journal_title

International urogynecology journal

authors

Kurkijärvi K,Aaltonen R,Gissler M,Mäkinen J

doi

10.1007/s00192-015-2926-z

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

1021-7

issue

7

eissn

0937-3462

issn

1433-3023

pii

10.1007/s00192-015-2926-z

journal_volume

27

pub_type

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