You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Pelvic Prolapse1 Apr 2018MP33-01 COST IMPACT OF ELECTIVE CESAREAN DELIVERY ON FUTURE PELVIC FLOOR DISORDERS Devin Patel, Justin Houman, James Weinberger, Lauren Wood, Jennifer Anger, and Karyn Eilber Devin PatelDevin Patel More articles by this author , Justin HoumanJustin Houman More articles by this author , James WeinbergerJames Weinberger More articles by this author , Lauren WoodLauren Wood More articles by this author , Jennifer AngerJennifer Anger More articles by this author , and Karyn EilberKaryn Eilber More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.1072AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We sought to analyze the cost impact of Cesarean versus spontaneous vaginal delivery on two common forms of pelvic floor disorders (PFDs): stress urinary incontinence (SUI) and pelvic organ prolapse (POP). METHODS We compared average cost of delivery method to the lifetime risk and cost of PFD in women <65 years of age. In this analysis, direct costs were defined based on reimbursements. Initial cost of maternal care included those incurred at delivery and three months post-partum. Future costs of PFD included those incurred after delivery up to 65 years of age. Costs of maternal care were obtained from MarketScan® databases of reimbursement. A previously reported incremental cost of illness model was used to estimate direct (inpatient and outpatient reimbursement and prescription drugs) and indirect (disability claims and imputed wages for work absence) costs for SUI. Personal costs for SUI (supplies, laundry, dry cleaning) were assumed for one year and estimated based on previous data. The cost of POP was determined by multiplying the number of POP operations by the direct costs per surgery. Previously reported data on incidence of POP and SUI in women following Cesarean and vaginal delivery was used to calculate attributable risk. RESULTS The average estimated cost for vaginal delivery was $7,089 and for Cesarean delivery was $9,905. For SUI, the average direct cost was estimated as $5,642, the average indirect cost as $4,208 and the average personal cost as $750. The average direct cost of POP surgery was $4,658. Following Cesarean delivery, the absolute risk for SUI and POP was estimated as 7% and 5%, respectively. Following vaginal delivery, the absolute risk for SUI and POP was estimated as 13% and 14%, respectively. The average woman undergoing Cesarean delivery would undergo an immediate excess cost of $2,816. The potential savings for SUI and POP in women <65 years of age would be $636 and $419, respectively, for a total of $1,055. CONCLUSIONS Although elective Cesarean is associated with reduced incidence of PFDs, the increased immediate cost of Cesarean delivery does not offset future cost savings. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e427-e428 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Devin Patel More articles by this author Justin Houman More articles by this author James Weinberger More articles by this author Lauren Wood More articles by this author Jennifer Anger More articles by this author Karyn Eilber More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...