title: Dramatic increase (1997-2007) in the number of procedures for stress urinary incontinence in Belgium.
abstract: OBJECTIVE
  We wondered if the tension-free vaginal tape approach, introduced in 1998, influenced the rate of anti-incontinence surgery.
  
  
  METHODS
  We determined the rates of anti-incontinence surgery in Belgium between 1997 and 2007, using the Belgian National Health Insurance Fund register covering the entire adult female population of nearly 4,420,000 women in Belgium.
  
  
  RESULTS
  The rate per 1,000 women of anti-incontinence surgery increased from 0.54 in 1997 to 2.03 in 2004, after which a plateau was reached (2.01 in 2007). This nearly fourfold increase coincided with the introduction in 1998 on the Belgian market of the tension-free vaginal tape (+66% more interventions between 1998 and 2001). After the introduction of the transobturator tape in 2001, the rate increased even more dramatically (+118% between 2001 and 2004).
  
  
  CONCLUSIONS
  Rates of anti-incontinence surgery increased by 272% in Belgium between 1997 and 2007. This increase coincided with the availability of tension-free mesh sling operations.
authors.affiliation: Division of Uro-gynaecology, Universitair Ziekenhuis Brussel, Brussels, Belgium. hendrik.cammu@uzbrussel.be
authors.forename: Hendrik
authors.initials: H
authors.lastname: Cammu
authors.forename: Freya
authors.initials: F
authors.lastname: Saeys
authors.forename: Patrick
authors.initials: P
authors.lastname: Haentjens
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001530:Belgium / Q000453:epidemiology; D059019:Clinical Coding; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000639:trends*; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000639:trends*; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000601:surgery*
references.citation: BJOG. 2008 Jan;115(2):135-43
references.pmid: 17999691
references.citation: Scand J Prim Health Care. 2002 Jun;20(2):102-7
references.pmid: 12184708
references.citation: BMJ. 2002 Jul 13;325(7355):67
references.pmid: 12114234
references.citation: BMJ. 1993 Mar 27;306(6881):832-4
references.pmid: 8490377
references.citation: Scand J Urol Nephrol. 1995 Mar;29(1):75-82
references.pmid: 7618052
references.citation: Eur Urol. 2008 Feb;53(2):288-308
references.pmid: 18031923
references.citation: Nat Clin Pract Urol. 2008 Apr;5(4):194-201
references.pmid: 18317496
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2009 Feb;20(2):131-2
references.pmid: 19009226
references.citation: Ned Tijdschr Geneeskd. 2005 Jul 23;149(30):1704-6
references.pmid: 16104119
references.citation: N Engl J Med. 2008 Mar 6;358(10):1029-36
references.pmid: 18322284
references.citation: J Urol. 2003 Aug;170(2 Pt 1):507-11
references.pmid: 12853810
references.citation: Am J Obstet Gynecol. 2009 May;200(5):521.e1-6
references.pmid: 19375571