Lee Joseph, Dwyer Peter L
Department of Urogynaecology, Mercy Hospital for Women, University of Melbourne, Heidelberg, Victoria, Australia.
Aust N Z J Obstet Gynaecol. 2010 Dec;50(6):543-9. doi: 10.1111/j.1479-828X.2010.01217.x. Epub 2010 Nov 18.
Urinary incontinence has a high burden of suffering in Australia. There has been a significant shift towards less invasive surgery for stress urinary incontinence (SUI) over the last 15 years. Elderly women are underrepresented in surgical treatment of SUI.
To identify patterns in the surgical treatment of women with SUI in Australia from January 1994 to December 2009.
Gender- and age-specific data from Medicare Australia between January 1994 and December 2009 were extracted. Surgical procedures were identified using Medicare Benefit Schedules codes. Pattern of SUI surgery was analysed during the 15-year period.
Using data from Medicare Australia, we reported trends in female SUI surgery across Australia from 1994 to 2009. The overall number of female SUI operations has increased, almost doubling over a 3-year period following the introduction of the midurethral sling (MUS). The per capita rate increase in all SUI surgery is most prominent in women over the age of 55 years increasing 87%, compared with only 1% in younger women over the 15-year period. MUS have overtaken Burch Colposuspension as the most popular operation for female SUI across all age groups, accounting for 85.5% of all procedures performed in 2009 with 14 MUS for every one colposuspension.
Stress incontinence procedures performed in Australia have almost doubled with the introduction of the MUS with the greatest increase in women aged over 55 years. MUS has overtaken the Burch Colposuspension as the most popular operation for stress urinary incontinence for women in Australia.
尿失禁在澳大利亚给患者带来沉重痛苦负担。在过去15年里，压力性尿失禁（SUI）的手术治疗已显著转向侵入性较小的手术方式。老年女性在SUI手术治疗中的占比不足。
确定1994年1月至2009年12月澳大利亚女性SUI手术治疗模式。
提取1994年1月至2009年12月澳大利亚医疗保险机构的性别和年龄特异性数据。使用医疗保险福利计划代码识别外科手术程序。分析15年间SUI手术模式。
利用澳大利亚医疗保险机构的数据，我们报告了1994年至2009年澳大利亚女性SUI手术的趋势。女性SUI手术总数有所增加，在引入尿道中段吊带术（MUS）后的3年里几乎翻倍。所有SUI手术的人均增长率在55岁以上女性中最为显著，增长了87%，而在15年间年轻女性仅增长了1%。在所有年龄组中，MUS已超过Burch阴道悬带术，成为女性SUI最常用的手术方式，2009年所有手术中MUS占85.5%，每进行1例阴道悬带术就有14例MUS手术。
随着MUS的引入，澳大利亚进行的压力性尿失禁手术数量几乎翻倍，55岁以上女性增长最为显著。在澳大利亚，MUS已超过Burch阴道悬带术，成为女性压力性尿失禁最常用的手术方式。
