Transvaginal Sling Procedures for SUI in Decline Following Warnings
Canadian study documents a fall in the annual rate of transvaginal sling procedures for female stress incontinence after 2009.
PHILADELPHIA—Use of transvaginal sling (TVS) procedures for stress urinary incontinence (SUI) has been in decline following warnings from the FDA and Health Canada about complications associated with transvaginal mesh, investigators reported at the International Continence Society's 2018 annual meeting.
Joseph R. Labossiere, MD, and colleagues at the University of Toronto identified 120,999 women who underwent SUI surgery from 1994 to 2016. From 2000 to 2009, annual rate of TVS procedures increased from 19 to 129 per 100,000 population. The annual rate declined after 2009 to 60 procedures per 100,000 population in 2016.
“These data suggest that the regulatory warnings had a significant effect on how patients and physicians approach surgical management of SUI,” Dr Labossiere's team concluded in their study abstract.
In other study findings, the annual rate of any SUI procedure from 1994 to 2000 was 95 procedures per 100,000 population. From 2000 to 2009, annual rates of any SUI procedure increased from 95 to 147 procedures per 100,000 population. After 2009, annual rates of any SUI procedure declined to 64 procedures per 100,000 population.
Lobossiere JR, Wallis C, Carr L, et al. 22-year population-level trends in the surgical management of female stress incontinence. Data presented at the International Continence Society's 2018 annual meeting in Philadelphia, August 28–31. Abstract 236.