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Introduction and Hypothesis: Pelvic organ prolapse (POP) treatment has become more common in the world's health care systems, and the demand for pelvic floor disorder rehabilitation has been projected to increase by 35% between 2010 and 2030. Restitution procedures vary, but after the US Food and Drug Administration (FDA) notifications, the global use of mesh in vaginal surgeries has significantly decreased. The aim of this study is to show trends in urogynecological surgeries in Poland.

Methods: Retrospective analysis was performed of data obtained between 2009 and 2017 from the National Health Fund Information Centre website. Vaginal hysterectomies (VH), POP and urinary incontinence (UI) surgeries were considered.

Results: In the study, 327,294 hospitalizations between 2009 and 2017 were considered: 29,821 VH, 265,147 POP and 53,328 UI procedures. Between 2009 and 2015, a rapid increase in the number of POP procedures was observed (r 2 = 0.94, b = 1711, p < 0.001). The following years, however, were characterized by a marked decline in the number of POP surgeries. In addition, the number of vaginal suspensions with mesh dropped by 24.7%, posterior and anterior repair by 8.5%, and posterior repair by 7.5%, but the number of anterior repair procedures increased slightly by 1.5%. Moreover, between 2015 and 2017, the number of vaginal hysterectomies decreased by 9%. The number of UI surgeries had increased between 2011 and 2015 and then remained at a relatively stable level. A similar trend was observed for tape procedures, whereas the popularity of colposuspension has declined noticeably.

Conclusions: The impact of FDA notifications has been observed in Poland as a decrease in TVM surgeries.

Titel:	Current trends in urogynecological surgeries in Poland.
Autor/in / Beteiligte Person:	Skorupska, K ; Rechberger, T ; Bogusiewicz, M ; Adamiak-Godlewska, A ; Kwiatkowska, A ; Miotła, P
Link:	View record at Springer (Volltext)
Zeitschrift:	International urogynecology journal, Jg. 31 (2020-08-01), Heft 8, S. 1627-1632
Veröffentlichung:	London : Springer, 2020
Medientyp:	academicJournal
ISSN:	1433-3023 (electronic)
DOI:	10.1007/s00192-019-04064-y
Schlagwort:	Female Humans Poland Retrospective Studies Surgical Mesh Gynecologic Surgical Procedures Pelvic Organ Prolapse surgery
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Int Urogynecol J] 2020 Aug; Vol. 31 (8), pp. 1627-1632. <i>Date of Electronic Publication: </i>2019 Jul 31. MeSH Terms: Gynecologic Surgical Procedures* ; Pelvic Organ Prolapse* / surgery ; Female ; Humans ; Poland ; Retrospective Studies ; Surgical Mesh References: OECD/European Observatory on Health Systems and Policies (2017), Poland: Country Health Profile 2017, State of Health in the EU, OECD Publishing, Paris/European Observatory on Health Systems and Policies, Brussels. https://doi.org/10.1787/9789264283510-en . ; Kirby AC, Luber KM, Menefee SA. An update on the current and future demand for care of pelvic floor disorders in the United States. Am J Obstet Gynecol. 2013;209:581–5. (PMID: 10.1016/j.ajog.2013.09.011) ; Huang ZM, Xiao H, Ji ZG, Yan WG, Zhang YS. TVT versus TOT in the treatment of female stress urinary incontinence: a systematic review and meta-analysis. Ther Clin Risk Manag. 2018;14:2293–303. (PMID: 10.2147/TCRM.S169014) ; Aubé M, Tu LM. Current trends and future perspectives in pelvic reconstructive surgery. Women’s Health. 2018;14:174550651877649. https://doi.org/10.1177/1745506518776498 . (PMID: 10.1177/1745506518776498) ; Maher C, Feiner B, Baessler K, Schmid C. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2013;4:CD004014. https://doi.org/10.1002/14651858.CD004014.pub5 . (PMID: 10.1002/14651858.CD004014.pub5) ; van IJsselmuiden MN, Detollenaere RJ, Kampen MY, Engberts MK, van Eijndhoven HW. Practice pattern variation in surgical management of pelvic organ prolapse and urinary incontinence in the Netherlands. Int Urogynecol J. 2015;26:1649–56. https://doi.org/10.1007/s00192-015-2755-0 . (PMID: 10.1007/s00192-015-2755-026143226) ; Zacche MM, Mukhopadhyay S, Giarenis I. Trends in prolapse surgery in England. Int Urogynecol J. 2018;29:1689–95. https://doi.org/10.1007/s00192-018-3731-2 . (PMID: 10.1007/s00192-018-3731-230078099) ; Mascarenhas T, Mascarenhas-Saraiva M Jr, Ricon-Ferraz A, Nogueira P, Lopes F, Freitas A. Pelvic organ prolapse surgical management in Portugal and FDA safety communication have an impact on vaginal mesh. Int Urogynecol J. 2015;26:113–22. (PMID: 10.1007/s00192-014-2480-0) ; Skoczylas LC, Turner LC, Wang L, Winger DG, Shepherd JP. Changes in prolapse surgery trends relative to FDA notifications regarding vaginal mesh. Int Urogynecol J. 2014;25:471–7. (PMID: 10.1007/s00192-013-2231-7) ; Husby KR, Lose G, Klarskov N. Trends in apical prolapse surgery between 2010 and 2016 in Denmark. Int Urogynecol J. 2019. https://doi.org/10.1007/s00192-018-3852-7 . ; Haya N, Baessler K, Christmann-Schmid C, de Tayrac R, Dietz V, Guldberg R, et al. Prolapse and continence surgery in countries of the Organization for Economic Cooperation and Development in 2012. Am J Obstet Gynecol. 2015;212:755.e1–755.e27. https://doi.org/10.1016/j.ajog.2015.02.017 . (PMID: 10.1016/j.ajog.2015.02.017) ; Zacche MM, Mukhopadhyay S, Giarenis I. Changing surgical trends for female stress urinary incontinence in England. Int Urogynecol J. 2019;30:203–9. (PMID: 10.1007/s00192-018-3839-4) ; Carlson K, Baverstock R, Civitarese A, Crump RT. Case distribution and complications of mid-urethral sling surgery in a Canadian city before and after the Health Canada advisory on pelvic floor mesh. Int Urogynecol J. 2017;28:1801–6. (PMID: 10.1007/s00192-017-3354-z) Contributed Indexing: Keywords: FDA safety communication; Prolapse surgery trends; Urinary incontinence surgery trends Entry Date(s): Date Created: 20190802 Date Completed: 20210623 Latest Revision: 20210623 Update Code: 20240513 PubMed Central ID: PMC7363671

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Current trends in urogynecological surgeries in Poland.