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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...

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Autores principales: Jha, Swati, Hillard, Tim, Monga, Ash, Duckett, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2018
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.
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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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