Report the progress of the treatment of female stress urinary incontinence (SUI) in Brazil through vaginal and abdominal approaches and the direct costs by hospitalization, using DATASUS - a public entity of the Strategic and Participative Management Secretary of Health Ministry, with the responsibility of collecting, processing and disseminating public health information.
Epidemiological study using the Brazilian Public Health Data Center System (DATASUS).
Data collected on all hospital admissions associated with treatment from 2008 to 2019 from the DATASUS. We analyzed the records of hospitalizations associated with an abdominal or vaginal surgical SUI treatment.
Total number of procedures for the treatment of female SUI performed from 2008 to 2019 was 84.378, of which 70,238 were vaginal and 14,140 abdominal. There was an overall decrease in the number of SUI procedures in Brazil over the years analyzed (F=52.72; p<0.0001); only exception was the South region (F=1.38; p=0.267). A declining trend was identified for the abdominal approach, with an increased trend of the vaginal approach (F=170.11; p<0.0001). A declining number of hospitalization days was noted in the vaginal procedures (p=0.002). Despite the fact that no differences were noted between abdominal and vaginal expenses((p=0,054), hospital expenditure increased over the years for both vaginal and abdominal approaches, with no significant differences between either approaches. However, a statistically significant professional expenditure was observed in the abdominal approach (p<0.001). Analyzing hospitalization and professional expenses, the total mean in the period was statistically higher for the abdominal approach (p<0.0001).
The number of procedures to treat female SUI in Brazil has decreased from 2008 to 2019. Total financial expenditure per procedure and length of hospital stay were both higher for the abdominal approach (BC). A preference for a vaginal approach (PVS or MUS) has increased significantly since 2008 and our study favors this approach.
International journal of clinical practice. 2021 Jun 14 [Epub ahead of print]
Maria Claudia Bicudo, Antônio Flávio Rodrigues, Yasser Omar Dalle, André Luiz Farinhas Tomé, Felipe Placco Araujo Glina, Sidney Glina
Urology Division, Faculdade de Medicina do ABC do Centro Universitário de Saúde ABC, Santo André, SP, Brazil.