Wu et al. Lifetime risk of stress incontinence or pelvic organ prolapse surgery
Why should you read about this topic?
To understand better the public health impact of pelvic floor disorders, particularly with our aging population
What were the authors trying to do?
Estimate the lifetime risk of surgery for stress urinary incontinence or pelvic organ prolapse.
Who participated and in what setting?
Women (N=10,177,480) with commercial insurance and Medicare claims and encounters entered into a database for 2007-2011, excluding those with surgery in the prior three years.
What was the study design?
Population-based (administrative database) retrospective cohort
What were the main outcome measures?
Surgery for urinary incontinence or pelvic organ prolapse
What were the results?
Lifetime (cumulative to age 80) risk of urinary incontinence or pelvic organ prolapse surgery was 20%. Age-specific annual incidence peaks in the early 70s.
What is the most interesting image in the paper?
What were the study strengths and weaknesses?
Strength: large population-based study. Weakness: administrative database
What does the study contribute for your practice?
For women in the US, lifetime risk of surgery for stress incontinence or pelvic organ prolapse is 20%