Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Häufige urologisch-sexualmedizinische Themen in der Praxis sind das Thema des MMW-Webinars am 5. Juni von 17.30 bis 19 Uhr. Konkret geht es um die Frage, wann bei Harnwegsinfektionen auf Antibiotika verzichtet werden kann, und um ein Update zur Therapie von Libido- und Potenzstörungen des Mannes. Der dritte Vortrag behandelt sexuell übertragbare Krankheiten. Stellen Sie Ihre Fragen an die Experten und sammeln Sie 2 CME-Punkte. Jetzt gleich anmelden!
Erweiterte Suche
Anmelden
nach oben
International Urogynecology Journal
Erschienen in: International Urogynecology Journal 5/2023

20.12.2022 | Review Article

The impact of surgeon operative volume on risk of reoperation within 5 years of mid-urethral sling: a systematic review

verfasst von: Sophie Cartier, Gina-Marie Cerantola, Alexander A. Leung, Erin Brennand

Erschienen in: International Urogynecology Journal | Ausgabe 5/2023

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

Undesired outcomes after mid-urethral sling (MUS), such as mesh exposure or surgical failure, can necessitate further procedures. The objective of this review is to evaluate the association between surgeon operative volume and the risk of reoperation after MUS.

Methods

Eligible studies were selected through an electronic literature search from database and references of the studies included. Databases were searched for original studies reporting on the MUS procedure, reoperation, and operative volume. Random effects models were used to estimate the pooled OR of reoperation according to surgeon volume. Outcomes were divided into two categories: mesh removal and/or revision and subsequent surgery for treatment of SUI.

Results

A total of 2,304 abstracts were screened, and 51 studies were assessed through full-text reading. Seven studies were included in the systematic review. High-volume and low-volume surgeons were defined differently in various studies. The odds ratio of the mesh removal/revision procedure was 1.26 (95%CI 1.03–1.53) among those who received their surgery from a low-volume surgeon compared with those who received their surgery from a high-volume surgeon as defined by the studies. The odds ratio of repeated incontinence procedures was 1.18 (95% CI 1.01–1.37).

Conclusions

The odds of a repeat incontinence procedure appear higher if the surgery is performed by a low-volume surgeon, although these results need to be interpreted with caution as the definition of low-volume vs high-volume surgeon varied between studies. As such, operative volume should be included in surgical reporting, and future research should utilize surgical volume as either a continuous exposure or a standardized value of low- vs high-volume MUS surgeons.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Cox A, Herschorn S, Lee L. Surgical management of female SUI: is there a gold standard? Nat Rev Urol. 2013;10(2):78–89.CrossRefPubMed
2.
Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4–20.CrossRefPubMed
3.
Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric. 2019;22(3):217–22.CrossRefPubMed
4.
Abufaraj M, Xu T, Cao C, Siyam A, Isleem U, Massad A, et al. Prevalence and trends in urinary incontinence among women in the United States, 2005–2018. Am J Obstet Gynecol. 2021;225(2):166 e1–e12.CrossRefPubMed
5.
Pizzol D, Demurtas J, Celotto S, Maggi S, Smith L, Angiolelli G, et al. Urinary incontinence and quality of life: a systematic review and meta-analysis. Aging Clin Exp Res. 2021;33(1):25–35.CrossRefPubMed
6.
Committee CA, No O. 387-Mid-urethral slings for stress urinary incontinence. J Obstet Gynaecol Can. 2019;41(9):1389–91.CrossRef
7.
Morton S, Wilczek Y, Harding C. Complications of synthetic mesh inserted for stress urinary incontinence. BJU Int. 2021;127(1):4–11.CrossRefPubMed
8.
MacCraith E, Cunnane EM, Joyce M, Forde JC, O’Brien FJ, Davis NF. Comparison of synthetic mesh erosion and chronic pain rates after surgery for pelvic organ prolapse and stress urinary incontinence: a systematic review. Int Urogynecol J. 2020;32(3):573–80.CrossRefPubMed
9.
Kim P, Cantrell AB, Wallach SJ, Rothschild J, Durbin-Johnson B, Kurzrock EA. Reoperation rates for stress urinary incontinence and pelvic organ prolapse in women after undergoing mid-urethral sling with or without concomitant colporrhaphy in academic centers within the United States. J Obstet Gynaecol. 2022;42(6):2381–6.CrossRefPubMed
10.
Chughtai B, Barber MD, Mao J, Forde JC, Normand ST, Sedrakyan A. Association between the amount of vaginal mesh used with mesh erosions and repeated surgery after repairing pelvic organ prolapse and stress urinary incontinence. JAMA Surg. 2017;152(3):257–63.CrossRefPubMed
11.
Berger AA, Tan-Kim J, Menefee SA. Long-term risk of reoperation after synthetic mesh midurethral sling surgery for stress urinary incontinence. Obstet Gynecol (New York 1953). 2019;134(5):1047–55.CrossRef
12.
Gurol-Urganci I, Geary RS, Mamza JB, Duckett J, El-Hamamsy D, Dolan L, et al. Long-term rate of mesh sling removal following midurethral mesh sling insertion among women with stress urinary incontinence. JAMA. 2018;320(16):1659–69.CrossRefPubMedPubMedCentral
13.
Tulokas S, Rahkola-Soisalo P, Gissler M, Mikkola TS, Mentula MJ. Long-term re-procedure rate after mid-urethral slings for stress urinary incontinence. Int Urogynecol J. 2020;31(4):727–35.CrossRefPubMedPubMedCentral
14.
Wright JD. The volume-outcome paradigm for gynecologic surgery: clinical and policy implication. Clin Obstet Gynecol. 2020;63(2):252–65.CrossRefPubMed
15.
Elrod JK, Fortenberry JJL. Centers of excellence in healthcare institutions: what they are and how to assemble them. BMC Health Serv Res. 2017;17(Suppl 1):425.CrossRefPubMedPubMedCentral
16.
Moawad NS, Canning A. Centers of excellence in minimally invasive gynecology: raising the bar for quality in women's health. World J Obstet Gynecol. 2014;3(1):1–6.CrossRef
17.
Mowat A, Maher C, Ballard E. Surgical outcomes for low-volume vs high-volume surgeons in gynecology surgery: a systematic review and meta-analysis. Am J Obstet Gynecol. 2016;215(1):21–33.CrossRefPubMed
18.
Welk B, Al-Hothi H, Winick-Ng J. Removal or revision of vaginal mesh used for the treatment of stress urinary incontinence. JAMA Surg. 2015;150(12):1167–75.CrossRefPubMed
19.
Brennand EA, Quan H. Evaluation of the effect of surgeon's operative volume and specialty on likelihood of revision after mesh midurethral sling placement. Obstet Gynecol. 2019;133(6):1099–108.CrossRefPubMedPubMedCentral
20.
Howard DL, McGlynn A, Greer JA. Military surgeon volume and stress incontinence surgery complications: a retrospective cohort study. J Minim Invasive Gynecol. 2018;25(5):855–60.CrossRefPubMed
21.
Developed by the Joint Writing Group of the American Urogynecologic Society and the International Urogynecological Association. Joint position statement on the management of mesh-related complications for the FPMRS specialist. Int Urogynecol J. 2020;31(4):679–94.
22.
Cundiff GW. Le Collège des médecins du Québec devrait-il déterminer l'utilisation adéquate des bandelettes sous-urétrales au Canada? Une analyse du rapport d'enquête. J Obstet Gynaecol Can. 2021;43(3):285–7.CrossRefPubMed
23.
24.
Egger MS, George D, Altman DG. Principles of and procedures for systematic reviews. Systematic reviews in health care. London: BMJ Publishing Group. 2001.
25.
Jonsson Funk M, Siddiqui NY, Pate V, Amundsen CL, Wu JM. Sling revision/removal for mesh erosion and urinary retention: long-term risk and predictors. Am J Obstet Gynecol. 2013;208(1):73.e1–7.CrossRefPubMed
26.
Anger JT, Rodríguez LV, Wang Q, Pashos CL, Litwin MS. The role of provider volume on outcomes after sling surgery for stress urinary incontinence. J Urol. 2007;177(4):1457–62.CrossRefPubMed
27.
Baxter H, Carter E, Marris K, Nugent R, Weaver E. Effect of surgeon volume on long-term quality of life outcomes following tension-free vaginal tape surgery. Int Urogynecol J. 2021;33(8):2099–106.CrossRefPubMed
28.
Berger AA, Tan-Kim J, Menefee SA. Surgeon volume and reoperation risk after midurethral sling surgery. Am J Obstet Gynecol. 2019;221(5):523.e1–8.CrossRefPubMed
29.
Welk B, Winick-Ng J. Repeat Surgical intervention for stress urinary incontinence after a failed mid urethral sling. Urol Pract. 2016;3(6):475–80.CrossRef
30.
Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL. Surgeon volume and operative mortality in the United States. N Engl J Med. 2003;349(22):2117–27.CrossRefPubMed
Metadaten
Titel
The impact of surgeon operative volume on risk of reoperation within 5 years of mid-urethral sling: a systematic review
verfasst von
Sophie Cartier
Gina-Marie Cerantola
Alexander A. Leung
Erin Brennand
Publikationsdatum
20.12.2022
Verlag
Springer International Publishing
Erschienen in
International Urogynecology Journal / Ausgabe 5/2023
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-022-05426-9

Weitere Artikel der Ausgabe 5/2023

International Urogynecology Journal 5/2023 Zur Ausgabe

Original Article

Pelvic floor dysfunctions in women with systemic lupus erythematosus: A cross-sectional study

IUJ Video

Surgical teaching of the retropubic midurethral sling: a virtual reality training system

Commentary

A commentary on “Perioperative complication rates of colpocleisis performed with or without concomitant hysterectomy; a large population-based study”

Original Article

A digital health program for treatment of urinary incontinence: retrospective review of real-world user data

IUJ Video

Robotically assisted laparoscopic lateral suspension: a step-by-step approach aiming to standardize a novel procedure

Review Article

Australian Pelvic Floor Questionnaire: translation, cultural adaptation, and validation

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Alter der Mutter beeinflusst Risiko für kongenitale Anomalie

28.05.2024 Kinder- und Jugendgynäkologie Nachrichten

Welchen Einfluss das Alter ihrer Mutter auf das Risiko hat, dass Kinder mit nicht chromosomal bedingter Malformation zur Welt kommen, hat eine ungarische Studie untersucht. Sie zeigt: Nicht nur fortgeschrittenes Alter ist riskant.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mammakarzinom: Brustdichte beeinflusst rezidivfreies Überleben

26.05.2024 Mammakarzinom Nachrichten

Frauen, die zum Zeitpunkt der Brustkrebsdiagnose eine hohe mammografische Brustdichte aufweisen, haben ein erhöhtes Risiko für ein baldiges Rezidiv, legen neue Daten nahe.

Mehr Lebenszeit mit Abemaciclib bei fortgeschrittenem Brustkrebs?

24.05.2024 Mammakarzinom Nachrichten

In der MONARCHE-3-Studie lebten Frauen mit fortgeschrittenem Hormonrezeptor-positivem, HER2-negativem Brustkrebs länger, wenn sie zusätzlich zu einem nicht steroidalen Aromatasehemmer mit Abemaciclib behandelt wurden; allerdings verfehlte der numerische Zugewinn die statistische Signifikanz.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen
Bildnachweise