Nationwide Database of Surgical Treatment Pattern for Patients With Stress Urinary Incontinence in Korea

• Main Authors: Sung Yong Cho, Seong Jin Jeong, Jeong Kyun Yeo, Seon-Ouck Kim, Jeongyun Jeong, Jong Bo Choi, Joon Chul Kim, Kyu-Sung Lee, Seung-June Oh
• Format: Article
• Language: English
• Published: Korean Continence Society 2014-06-01
• Series: International Neurourology Journal
• Subjects: Stress urinary incontinence; Health insurance; Korea
• Online Access: http://www.einj.org/upload/pdf/inj-18-91.pdf

PurposeNationwide database regarding stress urinary incontinence (SUI) is important for evaluating treatment patterns for SUI and for establishing appropriate national policies regarding SUI management. The purpose of this present study was to investigate surgical treatment patterns for women with SUI and analyze the current status of SUI management in Korea by using a nationwide database.MethodsData used for investigating the surgical trends and changes in Korea were retrieved from the Health Insurance Review & Assessment Service from 2008 to 2011.ResultsThe number of surgical cases of SUI decreased continuously from 2008 to 2011. The proportion of transvaginal surgery using a midurethral sling increased continuously. Sling procedures were most commonly performed for women in their 40s followed by women in their 50s. Transvaginal surgery using a single sling or a readjustable sling was performed from 5.6% to 6.1%, which showed no significant change in the number of surgical cases.ConclusionsThere is a growing need for an appropriate national welfare policy and budget to care for aged and super-aged women in Korea. The early detection and intervention of silent SUI should be actively considered as an important preventive strategy to improve the quality of life in younger women.