Table 1 Outcomes from index admissions to introduce tension-free vaginal (TVT), trans-obturator (TOT) and suprapubic sling (SS) surgical mesh products in the treatment of stress urinary incontinence.

From: Complications following vaginal mesh procedures for stress urinary incontinence: an 8 year study of 92,246 women

 

Unconfounded cohort

Confounded cohort

TVT

TOT

SS

TVT

TOT

SS

Patients

41,880

25,509

613

14,768

9195

221

Elective admissions (%)

41,831 (99.9)

25,490 (99.9)

611 (99.7)

14,722 (99.7)

9180 (99.8)

220 (99.5)

Number of hospitals

175

170

67

172

158

54

Age, years: median (lower quartile, upper quartile)

50 (44, 60)

51 (44, 61)

52 (45, 62)

51 (44, 62)

51 (45, 63)

50 (41, 63)

Endoscopic examination of bladder/urethra (%)

11,466 (27.4)

5477 (21.5)

125 (20.4)

3781 (25.6)

1825 (19.8)

53 (24.0)

Catheterisations (%)

928 (2.2)

444 (1.7)

11 (1.8)

759 (5.1)

324 (3.5)

27 (12.2)

Length of stay, days median (lower quartile, upper quartile)

1 (0, 1)

1 (0, 1)

2 (0, 4)

2 (1, 3)

2 (1, 3)

3 (2, 7)

In-hospital deaths

0

0

0

0

0

0

Procedures with in-hospital complications (%)

1232 (2.9)

356 (1.4)

30 (4.9)

880 (6.0)

342 (3.7)

23 (10.4)

Complication attribution:

- Procedural (%)†

656 (53.2)

90 (25.3)

19 (63.3)

453 (51.5)

161 (47.1)

17 (73.9)

- Device (%)†

83 (6.7)

28 (7.9)

4 (13.3)

62 (7.0)

21 (6.1)

0

- Complications with urinary symptoms (%)*

416 (33.8)

172 (48.3)

4 (13.3)

210 (23.3)

99 (28.9)

2 (8.7)

- Other complications (%)*

140 (11.4)

76 (21.3)

6 (20.0)

204 (23.9)

76 (22.2)

6 (26.1)

  1. Key: *Percentage of procedures with a complication, Index admissions without concomitant procedures which may influence outcomes, Index admissions with concomitant procedures which may influence outcomes.