{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:03:31Z","timestamp":1791241411441,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,5,22]],"date-time":"2014-05-22T00:00:00Z","timestamp":1400716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2014,8]]},"abstract":"\n Objective<\/jats:title>\n \n To quantify changes in surgical practice in the treatment of stress urinary incontinence (\n SUI<\/jats:styled-content>\n ), urge urinary incontinence (\n UUI<\/jats:styled-content>\n ) and post\u2010prostatectomy stress incontinence (\n PPI<\/jats:styled-content>\n ) in\n E<\/jats:styled-content>\n ngland, using the\n H<\/jats:styled-content>\n ospital\n E<\/jats:styled-content>\n pisode\n S<\/jats:styled-content>\n tatistics (\n HES<\/jats:styled-content>\n ) database.\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n We used public domain information from the\n HES<\/jats:styled-content>\n database, an administrative dataset recording all hospital admissions and procedures in\n E<\/jats:styled-content>\n ngland, to find evidence of change in the use of various surgical procedures for urinary incontinence from 2000 to 2012.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n For the treatment of\n SUI<\/jats:styled-content>\n , a general increase in the use of synthetic mid\u2010urethral tapes, such as tension\u2010free vaginal tape (\n TVTO<\/jats:styled-content>\n ) and transobturator tape (\n TOT<\/jats:styled-content>\n ), was observed, while there was a significant decrease in colposuspension procedures over the same period. The number of procedures to remove\n TVT<\/jats:styled-content>\n and\n TOT<\/jats:styled-content>\n has also increased in recent years. In the treatment of overactive bladder and\n UUI<\/jats:styled-content>\n , there has been a significant increase in the use of botulinum toxin A and neuromodulation in recent years. This coincided with a steady decline in the recorded use of clam ileocystoplasty. A steady increase was observed in the insertion of artificial urinary sphincter (\n AUS<\/jats:styled-content>\n ) devices in men, related to\n PPI<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Mid\u2010urethral synthetic tapes now represent the mainstream treatment of\n SUI<\/jats:styled-content>\n in women, but tape\u2010related complications have led to an increase in procedures to remove these devices. The uptake of botulinum toxin A and sacral neuromodulation has led to fewer clam ileocystoplasty procedures being performed. The steady increase in insertions of\n AUSs<\/jats:styled-content>\n in men is unsurprising and reflects the widespread uptake of radical prostatectomy in recent years. There are limitations to results sourced from the\n HES<\/jats:styled-content>\n database, with potential inaccuracy of coding; however, these data support the trends observed by experts in this field.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.12650","type":"journal-article","created":{"date-parts":[[2014,2,7]],"date-time":"2014-02-07T06:31:29Z","timestamp":1391754689000},"page":"268-277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["The changing face of urinary continence surgery in\n E<\/scp>\n ngland: a perspective from the\n H<\/scp>\n ospital\n E<\/scp>\n pisode\n S<\/scp>\n tatistics database"],"prefix":"10.1111","volume":"114","author":[{"given":"John","family":"Withington","sequence":"first","affiliation":[{"name":"Guy's and St Thomas\u2019 NHS Hospitals\u2019 Trust King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadaf","family":"Hirji","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas\u2019 NHS Hospitals\u2019 Trust King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Sahai","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas\u2019 NHS Hospitals\u2019 Trust King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,5,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.08427.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.09.019"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(11)70162-0"},{"key":"e_1_2_7_5_1","first-page":"11","volume-title":"EAU Guidelines","author":"Schr\u00f6der A","year":"2010"},{"key":"e_1_2_7_6_1","unstructured":"Department of Health UK.2013.Hospital Episode Statistics. 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