Original Article

Surgeon preference for surgical treatment of stress urinary incontinence among urogynecologic surgeons, comparison after 15 years


Pelviperineology 2015;34(3):75-78

Innovation in the treatment of stress urinary incontinence (SUI) in the last twenty years has changed practice patterns. The aim of our study was to compare surgeons’ preference for surgical treatment for SUI between two surveys collected from American Urogynecologic Society’s (AUGS) administered fifteen years apart. This was a cross-sectional study performed at the AUGS annual meeting in 1998 and 2013. Paper survey consisting of nineteen questions was self-administered to all participants at the annual meeting. Simple descriptive and inferential statistics were performed as well as appropriate tests of difference. Database of 136 responders in 1998 and 137 responders in 2013 were available for analysis. Female responders in 1998 and 2013 were 46% and 56%, respectively. The reportedly preferred procedure for treatment of SUI in 1998 was transabdominal retropubic urethropexy consisting of 67.5% of all surgeries performed for SUI. In 2013, the mid-urethral synthetic sling was reported as the most preferred of all surgeries for SUI (89%). Interestingly, open retropubic urethropexy was the preferred surgical approach for primary SUI in 1998 regardless of planned vaginal or abdominal concomitant procedures. In 2013, midurethral sling was reportedly the most preferred procedure regardless of need for concomitant surgeries. From 1998 until 2013, there were notable changes in the reported surgical management of stress urinary incontinence. Documentation of this transformation holds important implications as new technologies are constantly introduced and practice patterns continue to evolve. Consideration of these changes in practices should inform curricular development for surgical training.

Keywords: Stress urinary incontinence; Surgeon; Survey.