{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:44:13Z","timestamp":1777628653164,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to evaluate the national trends in the surgical management of male stress incontinence (SUI) in the Australian population over the 21st century.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data was sourced from the Australian Institute of Health and Welfare (AIHW) national morbidity database and Medicare Benefits Schedule (MBS) statistics reports. Annual data from financial years (FY) 2000\/01 to 2022\/23 was collected. Male SUI procedures are grouped into slings, paraurethral bulking agents (PBA) and artificial urinary sphincters (AUS). The annual procedural counts, revisions and yearly changes were obtained. The estimated subsidy burden was reported as AUD per capita (per 100\u2009000 persons).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between FY2000\/01 and 2022\/23, the aggregate number of male SUI procedures (excluding revisions) increased by 272% (from 288 to 1072). This is largely driven by the increase in AUS procedures, particularly amongst men aged 70\u201374\u2009years. Male sling procedures demonstrated a substantial early increase followed by plateauing in recent years, while PBA declined over the same period. Revision procedures increased by 444% (from 41 to 223), largely due to AUS revisions and replacement. Over the same period, the estimated aggregate subsidy burden has increased from $13\u2009749 to $53\u2009269 per capita.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The surgical management of male SUI in Australia has been transformative over the past two decades. Trends indicate an increase in male SUI procedures, particularly AUS procedures accompanied by an increase in AUS revision and replacement. These trends reflect both expanding surgical demand and durability of continence devices, which has subsequently led to a substantial increase in estimated subsidy burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.70205","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T09:43:13Z","timestamp":1776850993000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Male stress urinary incontinence surgery in Australia: Temporal trends over two decades"],"prefix":"10.1002","volume":"7","author":[{"given":"Omattage Mahasha","family":"Perera","sequence":"first","affiliation":[{"name":"Department of Urology Ipswich Hospital  Ipswich Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2812-1818","authenticated-orcid":false,"given":"Yam Ting","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Urology Ipswich Hospital  Ipswich Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6827-0088","authenticated-orcid":false,"given":"Femi E.","family":"Ayeni","sequence":"additional","affiliation":[{"name":"Nepean Institute of Academic Surgery The University of Sydney School of Medicine  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Urology Princess Alexandra Hospital, University of Queensland  Woolloongabba Queensland Australia"},{"name":"Department of Urology Macquarie University Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Tse","sequence":"additional","affiliation":[{"name":"Department of Urology Macquarie University Hospital  Sydney New South Wales Australia"},{"name":"Department of Urology Concord Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1937-936X","authenticated-orcid":false,"given":"Devang","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Urology Toowoomba Specialists  East Toowoomba Queensland Australia"},{"name":"Faculty of Medicine University of Queensland  Brisbane Queensland Australia"},{"name":"Faculty of Medicine Griffith University  Gold Coast Queensland Australia"},{"name":"Faculty of Medicine University of Southern Queensland  Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/287489"},{"key":"e_1_2_9_3_1","unstructured":"HarrisonWJ LeslieSW DesaiD.Slings for Male Incontinence. StatPearls. StatPearls Publishing Copyright \u00a9 2025 StatPearls Publishing LLC.;2025."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/17562872231187199"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau-23-13"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20844"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12848"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.11.021"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau-22-629"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2022.04.005"},{"key":"e_1_2_9_11_1","unstructured":"World Health Organisation.Ageing and health 2024 [updated 1 October 2024; cited 2025 18 March]. 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