{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:03:34Z","timestamp":1791241414128,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,12,18]],"date-time":"2020-12-18T00:00:00Z","timestamp":1608249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine available data relating to the surgical management of stress urinary incontinence (SUI) in Australia before, during and after a well\u2010publicized Senate Inquiry into transvaginal mesh use and to consider outcomes in the context of global guideline changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>The annual number of surgical procedures for the management of SUI by procedure type and age group for the years 2008\/2009\u20132017\/2018 was obtained from the Australian Government Department of Human Services database using Medicare Benefits Schedule item numbers. The data extracted were limited to women aged 25\u00a0years and older. These data were used to calculate age\u2010specific and age\u2010standardized rates, so as to accurately analyse trends in the usage of different procedures. Hospital Episode Statistics for mid\u2010urethral sling (MUS) insertions were obtained for England\u2019s National Health Service from the Health and Social Care Information Centre for the years 2008\/2009\u20132016\/2017. These data were also used to calculate annual age\u2010standardized rates for comparison purposes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Rates declined for most SUI procedures over time (MUS, colposuspension, fascial slings) except for urethral bulking agents. The absolute number of MUSs implanted in 2008\/2009 was 5729, which decreased to 3127 in the 2017\/2018 financial year. Over the decade, the annual rate for MUS implantation per 100\u00a0000 population halved from 78 to 36. Over this same period, the rate of usage of bulking agents doubled, although represented a low volume of procedures (overall numbers increased from 304 to 698, representing an increase from four to eight procedures per 100\u00a0000 population). The age\u2010specific peak rate for MUS and Burch colposuspension changed over the decade from 55\u201364\u00a0years to 65\u201374\u00a0years, suggesting that women are deferring surgical treatment until later in life. Over the last decade, the total number of surgical procedures performed in Australia to treat SUI has decreased markedly from 6812 to 4279. This represents a decrease in the annual rate per 100\u00a0000 population from 93 to 49.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There are clear changes evident for SUI management in the past decade in Australia, including an overall decline in operative numbers, which correlate with international advisory notifications and local investigations. The results of the Australian Senate inquiry, including removal of single\u2010incision mini\u2010slings, greater availability of patient resources, and greater regulation of SUI procedures, will probably have ongoing effects. Surgeons need to ensure that sufficient training and patient education continue in order to maintain appropriate access to treatment of SUI in the future.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15302","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T12:20:35Z","timestamp":1607084435000},"page":"95-102","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Stress urinary incontinence in the mesh complication era: current Australian trends"],"prefix":"10.1111","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9459-4326","authenticated-orcid":false,"given":"Rebecca","family":"Mathieson","sequence":"first","affiliation":[{"name":"Bendigo Health Bendigo Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4823-5832","authenticated-orcid":false,"given":"Rebecca","family":"Kippen","sequence":"additional","affiliation":[{"name":"School of Rural Health Monash University Bendigo Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5609-3769","authenticated-orcid":false,"given":"Todd","family":"Manning","sequence":"additional","affiliation":[{"name":"Bendigo Health Bendigo Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janelle","family":"Brennan","sequence":"additional","affiliation":[{"name":"Bendigo Health Bendigo Vic. Australia"},{"name":"School of Rural Health Monash University Bendigo Vic. Australia"},{"name":"St Vincent\u2019s Hospital Melbourne Fitzroy Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2010.532284"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01902378"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2010.01217.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12445"},{"key":"e_1_2_7_6_1","volume-title":"Urogynaecologic Surgical Mesh: Update on the Safety and Effectiveness of Transvaginal Placement for Pelvic Organ Prolapse","author":"United States Food & Drug Administration","year":"2011"},{"key":"e_1_2_7_7_1","unstructured":"Senate Standing Committees on Community Affairs.Number of women in Australia who have had transvaginal mesh implants and related matters.Commonwealth of Australia 2018"},{"key":"e_1_2_7_8_1","unstructured":"Department of Human Services.Medicare Australia Statistics: Australian Government 2018. Available at:http:\/\/medicarestatistics.humanservices.gov.au\/statistics\/mbs_item.jsp. Accessed February 2020"},{"key":"e_1_2_7_9_1","unstructured":"Health and Social Care Information Centre.Retrospective review of surgery for urogynaecological prolapse and stress urinary incontinence using tape or mesh: Hospital Episode Statistics England: NHS Digital 2018"},{"key":"e_1_2_7_10_1","unstructured":"Office for National Statistics UK.2011 Census: Population and Household Estimates for the United Kingdom. In: Statistics OfN editor 2012"},{"key":"e_1_2_7_11_1","unstructured":"Medicines and Healthcare Products Regulatory Agency.Summaries of the Safety\/Adverse Effects of Vaginal Tapes\/Slings\/Meshes for Stress Urinary Incontinence and Prolapse.York:University of York 2012"},{"key":"e_1_2_7_12_1","unstructured":"NHS England.Mesh Working Group Interim Report.London:NHS England 2015"},{"key":"e_1_2_7_13_1","unstructured":"Mesh Oversight Group.Mesh Oversight Group Report.Leeds:NHS England 2017"},{"key":"e_1_2_7_14_1","unstructured":"Recommendations of the Mesh Pause Clinical Advisory Group [press release].London:National Health Service 2018"},{"key":"e_1_2_7_15_1","unstructured":"FDA Public Health Notification: Serious Complications Associated with Transvaginal Placement of Surgical Mesh in Repair of Pelvic Organ Prolapse and Stress Urinary Incontinence [press release].MD:Centre for Devices and Radiological Health \u2010 Food and Drug Administration 2008"},{"key":"e_1_2_7_16_1","unstructured":"Results of Review into Urogynaecological Surgical Mesh Implants [press release].Therapeutic Goods Administration (TGA) Australian Government Department of Health 2014"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41585-019-0230-2"},{"key":"e_1_2_7_18_1","unstructured":"United States Food & Drug Administration.510(k) Clearances 2018. Available at:https:\/\/www.fda.gov\/medical\u2010devices\/device\u2010approvals\u2010denials\u2010and\u2010clearances\/510k\u2010clearances. Accessed August 2020"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017125"},{"key":"e_1_2_7_20_1","unstructured":"Department of Health.Submission to the Senate Community Affairs Reference Committee: Inquiry into the number of women in Australia who have had transvaginal mesh implants and related matters.Australian Government;2017"},{"key":"e_1_2_7_21_1","unstructured":"Australian Commission on Safety and Quality in Healthcare.Treatment Options for Stress Urinary Incontinence. Available at:https:\/\/wwwsafetyandqualitygovau\/publications\u2010and\u2010resources\/resource\u2010library\/treatment\u2010options\u2010stress\u2010urinary\u2010incontinence\u2010sui.Sydney NSW 2018"},{"key":"e_1_2_7_22_1","unstructured":"The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.Position statement on midurethral slings 2014(amended 2018)"},{"key":"e_1_2_7_23_1","unstructured":"Urological Society of Australia and New Zealand.Position statement: Mesh midurethral slings 2015"},{"key":"e_1_2_7_24_1","unstructured":"American Urological Association Society of Urodynamics Female Pelvic Medicine & Urogenital Reconstruction.Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA\/SUFU Guideline (2017).MD:American Urological Association 2017"},{"key":"e_1_2_7_25_1","unstructured":"American Urogynecologic Society Society of Urodynamics Female Pelvic Medicine & Urogenital Reconstruction.Position Statement: Mesh Midurethral Slings for Stress Urinary Incontinence 2018"},{"key":"e_1_2_7_26_1","unstructured":"American Urological Association.AUA Position Statement on the Use of Vaginal Mesh for the Surgical Treatment of Stress Urinary Incontinence (SUI).MD:American Urological Association 2011(revised 2019)."},{"key":"e_1_2_7_27_1","unstructured":"Australian Commission on Safety and Quality in Healthcare.Guidance for Hospital Credentialing of Senior Medical Practitioners to Undertake Transvaginal Mesh Surgery for Stress Urinary Incontinence.Sydney NSW 2018"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.02.2885"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000569"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3354-z"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.2590"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22923"},{"key":"e_1_2_7_33_1","unstructured":"PalinM.Damaged for Life: Thousands of Australian Women Suffer Devastating Side Effects in Country\u2019s \u2018Biggest Medical Scandal\u2019 2017. Available at:https:\/\/www.news.com.au\/lifestyle\/health\/health\u2010problems\/damaged\u2010for\u2010life\u2010thousands\u2010of\u2010australian\u2010women\u2010suffer\u2010devastating\u2010side\u2010effects\u2010in\u2010countrys\u2010biggest\u2010medical\u2010scandal\/news\u2010story\/54744a31c01dfef9a032e4754298a5a8pp. Accessed August 2020"},{"key":"e_1_2_7_34_1","unstructured":"KnausC.Australian Women Win Landmark Vaginal Mesh Class Action against Johnson & Johnson 2019. Available at:https:\/\/www.theguardian.com\/australia\u2010news\/2019\/nov\/21\/australian\u2010women\u2010win\u2010landmark\u2010vaginal\u2010mesh\u2010class\u2010action\u2010against\u2010johnson\u2010johnson. Accessed August 2020"},{"key":"e_1_2_7_35_1","unstructured":"Federal Court of Australia.Digital Law Library Judgements Search 2020. Available at:https:\/\/www.fedcourt.gov.au\/digital\u2010law\u2010library\/judgments\/search. Accessed November 2020"},{"key":"e_1_2_7_36_1","unstructured":"WeyantC.Vaginal Mesh Lawsuit: The Meneo Law Group 2020. Available at:https:\/\/www.consumersafety.org\/medical\u2010device\u2010lawsuits\/vaginal\u2010mesh\/. Accessed August 2020"},{"key":"e_1_2_7_37_1","unstructured":"United States Judicial Panel on Multidistrict Litigation.MDL Statistics Report \u2010 Distribution of Pending MDL Dockets by District Washington DC United States of America 2020. Accessed October 2020"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-018-3705-4"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14541"},{"key":"e_1_2_7_40_1","volume-title":"Admitted Patient Care 2017\u201318: Australian Hospital Statistics","author":"Australian Institute of Health and Welfare","year":"2019"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbju.15302","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.15302","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/bju.15302","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.15302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T08:35:46Z","timestamp":1761726946000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.15302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,18]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1111\/bju.15302"],"URL":"https:\/\/doi.org\/10.1111\/bju.15302","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,18]]},"assertion":[{"value":"2020-12-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}