Google searches for stress urinary incontinence treatment options: a worldwide trend analysis in the synthetic mesh controversy era
- 26.06.2023
- Original Article
Erschienen in:
- Verfasst von
- Sonia Guérin
- Zine‐Eddine Khene
- Benoit Peyronnet
- Karim Bensalah
- Philippe E. Zimmern
- Erschienen in
- World Journal of Urology | Ausgabe 8/2023
Abstract
Purpose
To analyze trends in worldwide public interest in the treatment options for stress urinary incontinence around the latest FDA 2019 ban on vaginal mesh for prolapse.
Methods
We used the web-based tool Google Trends to analyse online searches related to the following terms: ‘pelvic floor muscle exercises’, ‘continence pessary’, ‘pubovaginal slings’, ‘Burch colposuspension’, ‘midurethral slings’, ‘injectable bulking agents’. Data were expressed as relative search volume on a scale of 0–100. Comparisons of annual relative search volume and average annual percentage change, were analyzed to assess loss or gain of interest. Finally, we assessed the impact of the last FDA alert.
Results
The mean annual relative search volume for midurethral slings was 20% in 2006 and significantly decreased until 8% in 2022 (p < 0.01). A regular decrease interest was recorded for autologous surgeries but a regain of interest for pubovaginal slings was registered since 2020 (+ 2.8%; p < 0.01). Conversely, a steep interest was noted for injectable bulking agents (average annual percentage change: + 4.4%; p < 0.01) and conservative therapies (p < 0.01). When trends were compared before and after the FDA 2019 alert, a lower research volume was found for midurethral slings, while a higher research volume was observed all others treatments (all p < 0.05).
Conclusion
The online public researches about midurethral slings have considerably decreased following warnings on the use of transvaginal mesh. There seems to be a growing interest in conservative measures, bulking agents, and recently pubovaginal slings.
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- Titel
- Google searches for stress urinary incontinence treatment options: a worldwide trend analysis in the synthetic mesh controversy era
- Verfasst von
-
Sonia Guérin
Zine‐Eddine Khene
Benoit Peyronnet
Karim Bensalah
Philippe E. Zimmern
- Publikationsdatum
- 26.06.2023
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
World Journal of Urology / Ausgabe 8/2023
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726 - DOI
- https://doi.org/10.1007/s00345-023-04474-0
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