[Evolution of surgical activity related to the female stress urinary incontinence (SUI) with regard to the ageing of the French female population].
OBJECTIVE
One of the main factors associated with urinary incontinence of women is aging. The total female French population seems to grow for 10 years, with more and more women over 60 years. The authors wanted to assess the evolution of the surgical activity related to the treatment of the urinary incontinence with regard to the aging of the female French population.


METHODS
The number of surgical procedures for the treatment of stress urinary incontinence was obtained by querying the database of the Agence Technique de l'Information sur l'Hospitalisation (ATIH) for the period 2002-2013. The Catalogue Des Actes Médicaux (CDAM) and the Classification Commune des Actes Médicaux (CCAM) were used to extract the codes relating to surgery of the female urinary incontinence during this period. Demographics data were obtained from the website of the National Institute of Demographic studies (INED). The results were then compared.


RESULTS
On the 2002-2010 period, the total female French population increased by 5%. In the class of age over 60 years, it increased by 12.7%. Support-related surgical activity continued to decrease until 2013 with 17.3% interventions less than in 2002.


CONCLUSIONS
The evolution of surgical activity does not seem to follow the evolution of the ageing of the population, even if age is a risk factor essential for the female urinary incontinence. The improvement of risk factors (gynecological, obstetrical), over the past decade, could explain this evolution.


METHODS
3.
Service d'urologie-transplantation, CHU Amiens, université Picardie-Jules-Verne, 80000 Amiens, France. Electronic address: j.malaterre@gmail.com.
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Malaterre
Service d'urologie-transplantation, CHU Amiens, université Picardie-Jules-Verne, 80000 Amiens, France; Laboratoire d'anatomie et d'organogenèse, CHU Amiens, université Picardie-Jules-Verne, Amiens, France.
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Viart
Service d'urologie-transplantation, CHU Amiens, université Picardie-Jules-Verne, 80000 Amiens, France; EA 3801, laboratoire de recherche HeRVI, CHU Amiens, université Picardie-Jules-Verne, Amiens, France.
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Forzini
Département d'information médicale, CHU Amiens, université Picardie-Jules-Verne, 80000 Amiens, France.
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Lewandowski
Service d'urologie-transplantation, CHU Amiens, université Picardie-Jules-Verne, 80000 Amiens, France; EA 3801, laboratoire de recherche HeRVI, CHU Amiens, université Picardie-Jules-Verne, Amiens, France; Biobanque de Picardie, CHU Amiens, université Picardie-Jules-Verne, Amiens, France.
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Saint
D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D005602:France; D006801:Humans; D008875:Middle Aged; D012307:Risk Factors; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000706:statistics & numerical data; D055815:Young Adult
Activité chirurgicale; Epidemiology; Incontinence urinaire d’effort; Stress urinary incontinence; Surgical activity; Épidémiologie