Trends in inpatient urinary incontinence surgery in the USA, 1998-2007.

Introduction And Hypothesis: This study was conducted to assess national rates in stress urinary incontinence (SUI) surgery in the USA from 1998 to 2007.

Methods: We utilized the 1998-2007 Nationwide Inpatient Sample and assessed women aged 20 years and older who underwent SUI surgery based on the International Classification of Diseases, 9th Revision (ICD-9) procedure and diagnosis codes.

Results: The total number of SUI surgeries performed during this 10-year period was 759,821.

Vaginal hysterectomy for the prolapsed uterus.

Although most gynecologists are comfortable performing vaginal hysterectomy in the patient without significant uterovaginal prolapse, vaginal hysterectomy for the prolapsed uterus poses unique challenges and requires an increased awareness of deviations in pelvic anatomy that may result. This review article discusses the background of vaginal hysterectomy performed for uterovaginal prolapse, the pathophysiology of uterovaginal prolapse, preoperative assessment of the patient with uterovaginal prolapse, surgical technique, ureteral anatomy, techniques to avoid injury to the ureter at the time of vaginal hysterectomy for uterovaginal prolapse, and other relevant considerations.

A reliable, valid instrument to assess patient knowledge about urinary incontinence and pelvic organ prolapse.

The objective of this study is to develop a reliable, validated questionnaire to assess patient knowledge about urinary incontinence (UI) and pelvic organ prolapse (POP). We designed a written questionnaire comprised of UI and POP scales and administered it to 133 gynecologic and 61 urogynecologic patients. We performed a principal components factor analysis for UI and POP items and assessed construct validity, internal consistency, and stability of each scale.

Do racial differences in knowledge about urogynecologic issues exist?

The objective of this study is to assess knowledge about urinary incontinence and pelvic organ prolapse in white versus nonwhite women. We hypothesize that there are racial differences in patient knowledge about these issues. One hundred twenty-six women presenting to our institution's gynecology clinic completed a two-scale, validated questionnaire assessing knowledge about incontinence and prolapse.

Surgery for stress urinary incontinence in the United States: does race play a role?

The objective of this study was to evaluate the prevalence, demographics and complications of stress urinary incontinence (SUI) surgery across races in the United States (US) in 2003. We hypothesized that there would be racial differences in surgical rates. Data from the 2003 National Census and National Hospital Discharge Survey were used.

The age distribution, rates, and types of surgery for stress urinary incontinence in the USA.

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.

The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA.

The objective of this study was to describe the distribution of pelvic organ prolapse (POP) surgery across age groups in the USA in 2003. Patients were grouped into four age categories: Reproductive age, perimenopausal, postmenopausal, and elderly. Data from the 2003 National Hospital Discharge Survey and National Census were used to estimate surgical rates by age group.

Racial characteristics of women undergoing surgery for pelvic organ prolapse in the United States.

Objective: This study was undertaken to compare the prevalence, demographics, and complications of pelvic organ prolapse surgery across races in the United States.

Study Design: Data from the 2003 National Census and the 2003 National Hospital Discharge Survey were used to determine rates of prolapse surgery, demographic characteristics, morbidity, and mortality across races.

Results: In 2003, 199,698 women underwent prolapse surgery.

Physical activity and urinary incontinence among healthy, older women.

Objective: To examine the association between physical activity and risk of developing urinary incontinence (UI).

Methods: Prospective analysis from the Nurses' Health Study of women aged 54-79 years. Physical activity was reported in 1986 and biennially afterward.