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National BSUG audit of stress urinary incontinence surgery in England
INTRODUCTION AND HYPOTHESIS: The aim of the British Society of Urogynaecology (BSUG) 2013 audit for stress urinary incontinence (SUI) surgery was to conduct a national clinical audit looking at the intra- and postoperative complications and provide outcomes for these procedures. This audit was suppo...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6647110/ https://www.ncbi.nlm.nih.gov/pubmed/29995163 http://dx.doi.org/10.1007/s00192-018-3705-4 |
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author | Jha, Swati Hillard, Tim Monga, Ash Duckett, Jonathan |
author_facet | Jha, Swati Hillard, Tim Monga, Ash Duckett, Jonathan |
author_sort | Jha, Swati |
collection | PubMed |
description | INTRODUCTION AND HYPOTHESIS: The aim of the British Society of Urogynaecology (BSUG) 2013 audit for stress urinary incontinence (SUI) surgery was to conduct a national clinical audit looking at the intra- and postoperative complications and provide outcomes for these procedures. This audit was supported by the Healthcare Quality Improvement Partnership (HQIP) and National Health Service (NHS) England. METHODS: Data were collected for all continence procedures performed in 2013 through the BSUG database. All clinicians in England performing SUI surgery were invited to submit data to a central database. Outcomes data for the different continence procedures were collected and included intraoperative and postoperative complications and the change in continence scores at postoperative follow-up Changing trends in stress incontinence surgery were also assessed. RESULTS: We recorded 4993 urinary incontinence procedures from 177 consultants at 110 centres in England: 94.6% were midurethral slings; 86.7% (4331) were submitted by BSUG members with the remaining 13.3% submitted by non-BSUG members. Postoperative follow-up data were available for 3983 (80%) patients: 92.3% (3676) were very much better/much better postoperatively, and 4806 (96.3%) proceeded with no reported complications. There were 187 cases (3.7%) in which a perioperative complication was recorded. Pain persisting >30 days was reported in 1.9% of all patients. CONCLUSIONS: Surgery for SUI has good outcomes in the short term. Midurethral synthetic slings have been shown to be safe and effective as a treatment option, with >90% being very much/much better at their postoperative follow-up. |
format | Online Article Text |
id | pubmed-6647110 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-66471102019-08-06 National BSUG audit of stress urinary incontinence surgery in England Jha, Swati Hillard, Tim Monga, Ash Duckett, Jonathan Int Urogynecol J Original Article INTRODUCTION AND HYPOTHESIS: The aim of the British Society of Urogynaecology (BSUG) 2013 audit for stress urinary incontinence (SUI) surgery was to conduct a national clinical audit looking at the intra- and postoperative complications and provide outcomes for these procedures. This audit was supported by the Healthcare Quality Improvement Partnership (HQIP) and National Health Service (NHS) England. METHODS: Data were collected for all continence procedures performed in 2013 through the BSUG database. All clinicians in England performing SUI surgery were invited to submit data to a central database. Outcomes data for the different continence procedures were collected and included intraoperative and postoperative complications and the change in continence scores at postoperative follow-up Changing trends in stress incontinence surgery were also assessed. RESULTS: We recorded 4993 urinary incontinence procedures from 177 consultants at 110 centres in England: 94.6% were midurethral slings; 86.7% (4331) were submitted by BSUG members with the remaining 13.3% submitted by non-BSUG members. Postoperative follow-up data were available for 3983 (80%) patients: 92.3% (3676) were very much better/much better postoperatively, and 4806 (96.3%) proceeded with no reported complications. There were 187 cases (3.7%) in which a perioperative complication was recorded. Pain persisting >30 days was reported in 1.9% of all patients. CONCLUSIONS: Surgery for SUI has good outcomes in the short term. Midurethral synthetic slings have been shown to be safe and effective as a treatment option, with >90% being very much/much better at their postoperative follow-up. Springer International Publishing 2018-07-11 2019 /pmc/articles/PMC6647110/ /pubmed/29995163 http://dx.doi.org/10.1007/s00192-018-3705-4 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Jha, Swati Hillard, Tim Monga, Ash Duckett, Jonathan National BSUG audit of stress urinary incontinence surgery in England |
title | National BSUG audit of stress urinary incontinence surgery in England |
title_full | National BSUG audit of stress urinary incontinence surgery in England |
title_fullStr | National BSUG audit of stress urinary incontinence surgery in England |
title_full_unstemmed | National BSUG audit of stress urinary incontinence surgery in England |
title_short | National BSUG audit of stress urinary incontinence surgery in England |
title_sort | national bsug audit of stress urinary incontinence surgery in england |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6647110/ https://www.ncbi.nlm.nih.gov/pubmed/29995163 http://dx.doi.org/10.1007/s00192-018-3705-4 |
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