Abstract
The objective of this study was to describe the distribution of stress urinary incontinence (SUI) surgery across age groups in the USA in 2003. Patients were grouped into four age categories: reproductive, perimenopausal, postmenopausal, and elderly. Data from the 2003 National Hospital Discharge Survey and National Census were used to estimate surgical rates by age group. In 2003, 129,778 women underwent 165,776 surgical procedures for SUI. Of these women, 12.2, 53.0, 30.4, and 4.5% belonged to reproductive, perimenopausal, postmenopausal, and elderly age groups, respectively. Surgical rates (per 10,000 women) were 4, 17, 19, and 9 in these age groups, respectively. Complications occurred most frequently in reproductive age women. Overall, SUI surgical rates were similar for perimenopausal and postmenopausal women and exceeded that in the elderly population. The greatest percentage of surgical procedures occurred in perimenopausal women. Women at all stages of reproductive life may seek surgical treatment for SUI.
Similar content being viewed by others
References
Anger JT, Saigal CS, Litwin MS (2006) The prevalence of urinary incontinence among community dwelling adult women: results from the National Health and Nutrition Examination Survey. J Urol 175:601–604
Aggazzotti G, Pesce F, Grassi D, Fantuzzi G, Righi E, De Vita D, Santacroce S, Artibani W (2000) Prevalence of urinary incontinence among institutionalized patients: a cross-sectional epidemiologic study in a midsized city in northern Italy. Urology 56:245–249
Resnick NM (1995) Urinary incontinence. Lancet 346:94–99
Hunskaar S, Vinsnes A (1991) The quality of life in women with urinary incontinence as measured by the sickness impact profile. J Am Geriatr Soc 39:378–382
Wyman JF, Harkins SW, Choi SC, Taylor JR, Fantl JA (1987) Psychosocial impact of urinary incontinence in women. Obstet Gynecol 70:378–381
Wilson L, Brown JS, Shin GP, Luc KO, Subak LL (2001) Annual direct cost of urinary incontinence. Obstet Gynecol 98:398–406
Grodstein F, Fretts R, Lifford K, Resnick N, Curhan G (2003) Association of age, race, and obstetric history with urinary symptoms among women in the Nurses’ Health Study. Am J Obstet Gynecol 189:428–434
Hannestad YS, Rortveit G, Sandvik H, Hunskaar S (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. J Clin Epidemiol 53:1150–1157
Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506
Dennison C, Pokras R (2000) Design and operation of the National Hospital Discharge Survey: 1988 redesign. Vital Health Stat 1(39):1–42
Peyrat L, Haillot O, Bruyere F, Boutin JM, Bertrand P, Lanson Y (2002) Prevalence and risk factors of urinary incontinence in young and middle-aged women. BJU Int 89:61–66
Maral I, Ozkardes H, Peskircioglu L, Bumin MA (2001) Prevalence of stress urinary incontinence in both sexes at or after age 15 years: a cross-sectional study. J Urol 165:408–412
Irwin DE, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S, Coyne K, Kelleher C, Hampel C, Artibani W, Abrams P (2006) Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol 50:1306–1314
Hunskaar S, Lose G, Sykes D, Voss S (2004) The prevalence of urinary incontinence in women in four European countries. BJU Int 93:324–330
Black NA, Griffiths JM, Pope C, Stanley J, Bowling A, Abel PD (1996) Sociodemographic and symptomatic characteristics of women undergoing stress incontinence surgery in the UK. Br J Urol 78:847–855
Margalith I, Gillon G, Gordon D (2004) Urinary incontinence in women under 65: quality of life, stress related to incontinence and patterns of seeking health care. Qual Life Res 13:1381–1390
Sharp VJ, Bradley CS, Kreder KJ (2006) Incontinence surgery in the older woman. Curr Opin Urol 16:224–228
Carey JM, Leach GE (2004) Transvaginal surgery in the octogenarian using cadaveric fascia for pelvic prolapse and stress incontinence: minimal one-year results compared to younger patients. Urology 63:665–670
Bergman A, Elia G (1995) Three surgical procedures for genuine stress incontinence: five-year follow-up of a prospective randomized study. Am J Obstet Gynecol 173:66–71
Harris RL, Yancey CA, Wiser WL, Morrison JC, Meeks GR (1995) Comparison of anterior colporrhaphy and retropubic urethropexy for patients with genuine stress urinary incontinence. Am J Obstet Gynecol 173:1671–1674
Groutz A, Blaivas JG, Hyman MJ, Chaikin DC (2001) Pubovaginal sling surgery for simple stress urinary incontinence: analysis by an outcome score. J Urol 165:1597–1600
Nilsson CG, Falconer C, Rezapour M (2004) Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol 104:1259–1262
Mundy AR (1983) A trial comparing the Stamey bladder neck suspension procedure with colposuspension for the treatment of stress incontinence. Br J Urol 55:687–690
Leach GE, Dmochowski RR, Appell RA, Blaivas JG, Hadley HR, Luber KM, Mostwin JL, O’Donnell PD, Roehrborn CG (1997) Female stress urinary incontinence clinical guidelines panel summary report on surgical management of female stress urinary incontinence. The American Urological Association. J Urol 158:875–880
Kondo A, Isobe Y, Kimura K, Kamihira O, Matsuura O, Gotoh M, Ozawa H (2006) Efficacy, safety and hospital costs of tension-free vaginal tape and pubovaginal sling in the surgical treatment of stress incontinence. J Obstet Gynaecol Res 32:539–544
Rodrigues P, Hering F, Meler A, Campagnari JC, D’Imperio M (2004) Pubo-fascial versus vaginal sling operation for the treatment of stress urinary incontinence: a prospective study. Neurourol Urodyn 23:627–631
Cespedes RD, Cross CA, McGuire EJ (1997) Pubovaginal fascial slings. Tech Urol 3:195–201
Ward KL, Hilton P (2004) A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up. Am J Obstet Gynecol 190:324–331
Nilsson CG, Kuuva N (2001) The tension-free vaginal tape procedure is successful in the majority of women with indications for surgical treatment of urinary stress incontinence. BJOG 108:414–419
Gillum BS, Graves EJ, Wood E (1998) National hospital discharge survey. Vital Health Stat 133:1–51
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Shah, A.D., Kohli, N., Rajan, S.S. et al. The age distribution, rates, and types of surgery for stress urinary incontinence in the USA. Int Urogynecol J 19, 89–96 (2008). https://doi.org/10.1007/s00192-007-0392-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-007-0392-y