title: Nationwide database of surgical treatment pattern for patients with stress urinary incontinence in Korea.
abstract: OBJECTIVE
  Nationwide database regarding stress urinary incontinence (SUI) is important for evaluating treatment patterns for SUI and for establishing appropriate national policies regarding SUI management. The purpose of this present study was to investigate surgical treatment patterns for women with SUI and analyze the current status of SUI management in Korea by using a nationwide database.
  
  
  METHODS
  Data used for investigating the surgical trends and changes in Korea were retrieved from the Health Insurance Review & Assessment Service from 2008 to 2011.
  
  
  RESULTS
  The number of surgical cases of SUI decreased continuously from 2008 to 2011. The proportion of transvaginal surgery using a midurethral sling increased continuously. Sling procedures were most commonly performed for women in their 40s followed by women in their 50s. Transvaginal surgery using a single sling or a readjustable sling was performed from 5.6% to 6.1%, which showed no significant change in the number of surgical cases.
  
  
  CONCLUSIONS
  There is a growing need for an appropriate national welfare policy and budget to care for aged and super-aged women in Korea. The early detection and intervention of silent SUI should be actively considered as an important preventive strategy to improve the quality of life in younger women.
authors.affiliation: Department of Urology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Sung Yong
authors.initials: SY
authors.lastname: Cho
authors.affiliation: Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea.
authors.forename: Seong Jin
authors.initials: SJ
authors.lastname: Jeong
authors.affiliation: Department of Urology, Inje University Seoul Paik Hospital, Seoul, Korea.
authors.forename: Jeong Kyun
authors.initials: JK
authors.lastname: Yeo
authors.affiliation: Department of Urology, Research Institute of Medical Sciences, Chonnam National University Medical School, Gwangju, Korea.
authors.forename: Seon-Ouck
authors.initials: SO
authors.lastname: Kim
authors.affiliation: Department of Urology, Center for Health Promotion, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Jeongyun
authors.initials: J
authors.lastname: Jeong
authors.affiliation: Department of Urology, Ajou University School of Medicine, Suwon, Korea.
authors.forename: Jong Bo
authors.initials: JB
authors.lastname: Choi
authors.affiliation: Department of Urology, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Bucheon, Korea.
authors.forename: Joon Chul
authors.initials: JC
authors.lastname: Kim
authors.affiliation: Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Kyu-Sung
authors.initials: KS
authors.lastname: Lee
authors.affiliation: Department of Urology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Seung-June
authors.initials: SJ
authors.lastname: Oh
keywords: Health insurance; Korea; Stress urinary incontinence