MP63-02 PURE STRESS URINARY INCONTINENCE: ANALYSIS OF THE PREVALENCE, ESTIMATION OF COSTS AND FINANCIAL IMPACT

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Incontinence: Evaluation (Urodynamic Testing)1 Apr 2017MP63-02 PURE STRESS URINARY INCONTINENCE: ANALYSIS OF THE PREVALENCE, ESTIMATION OF COSTS AND FINANCIAL IMPACT Emanuele Rubilotta, Matteo Balzarro, Silvia Bassi, Paolo Corsi, Marco Pirozzi, Trabacchin Nicolò, Antonio Benito Porcaro, Antonio D'Amico, and Walter Artibani Emanuele RubilottaEmanuele Rubilotta More articles by this author , Matteo BalzarroMatteo Balzarro More articles by this author , Silvia BassiSilvia Bassi More articles by this author , Paolo CorsiPaolo Corsi More articles by this author , Marco PirozziMarco Pirozzi More articles by this author , Trabacchin NicolòTrabacchin Nicolò More articles by this author , Antonio Benito PorcaroAntonio Benito Porcaro More articles by this author , Antonio D'AmicoAntonio D'Amico More articles by this author , and Walter ArtibaniWalter Artibani More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1954AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Aim of our study was to evaluate the prevalence of ‘pure' SUI (P-SUI), in a cohort underwent urodynamic test (UD) for urinary incontinence (UI), and the correspondence with UD findings. We also estimated the amount of costs of UD, and if the UD data could change the surgical indications. METHODS We did a retrospective evaluation of the UD-database selecting 544 women with UI between January 2012 and July 2016. Pure SUI was defined by the International Continence Society criteria (table 1). Two very experienced urologists evaluated data. Data researched were: - Prevalence of clinical and UD P-SUI - Correspondence between clinical P-SUI and UD findings - Accurate estimation in € of a single UD examination, including the human resources and materials used - Total amount of UD costs in € in P-SUI patients - Number of surgical procedures avoided due to UD results - Related avoided surgical costs in € in P-SUI patients RESULTS SUI was present in 323/544 (59.4%), in this group the prevalence of P-SUI was 20.7% (67/323) while the prevalence of complicated SUI was 79.3% (256/323). The correspondence between the clinical diagnosis of P-SUI and the UD findings was 88% (59/67 patients). For this reason after UD the number of patients with diagnosis of P-SUI decreased to 59/323 with a rate of 18.3%. The cost of each UD study was 383 € and the total amount for this cohort of patients was 25.661 €. As consequence of a change of the therapeutic treatment after UD findings we did not performed the scheduled middle urethral sling in 6 patients with a total amount saved of 10.800 €. CONCLUSIONS UD study detected a relevant prevalence of P-SUI as 1/5 of the amount of the SUI women. The correspondence between clinical and UD findings was high. A total amount cost of P-SUI patients is not negligible respect to the total UD budget. Nevertheless, UD was able to avoid an inappropriate procedure in 9% of the patients. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e836 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Emanuele Rubilotta More articles by this author Matteo Balzarro More articles by this author Silvia Bassi More articles by this author Paolo Corsi More articles by this author Marco Pirozzi More articles by this author Trabacchin Nicolò More articles by this author Antonio Benito Porcaro More articles by this author Antonio D'Amico More articles by this author Walter Artibani More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...