Summary & Timescale of the Data
The 2-year data collection period was from 1 January 2014 to 31 December 2015.
1990 SUI procedures were recorded from 96 Consultants at 82 centres in the United Kingdom (1850 procedures for England only), including 184 private patients from 37 Consultants. Two of the Consultants that returned data are not BAUS members.
96% of the operations (1,793) proceeded with no reported complications. There were 72 cases (4%) in which a peri-operative complication was recorded. Of the 1,159 (58%) patients with follow-up recorded, 1,110 (96%) had a record of whether or not there was a post-operative complication. For 998 (90%) patients, no post-operative complications occurred.
There were no deaths during the study period.
82.5% (1644) of the procedures were performed for primary SUI and 17.5% (346) were for recurrent SUI. All data were entered by hand and there was no bulk uploading of data from other systems.
- Median number of cases per consultant: 16 (range 1 - 83)
- Median number of cases per centre: 15 (range 1 - 88)
HES figures for 2014 and 2015 indicate that urologists undertook 2,681 stress urinary incontinence (SUI) procedures in England, of which the BAUS audit has captured data on 69%. Gynaecologists performed 14,476 SUI procedures in England during the same period.
Surgery for recurrent SUI
Surgery for recurrent incontinence is likely to be more complex. Our data show that patients undergoing surgery after a previous failed incontinence procedure are:
- more likely to be catheter dependent after surgery,
- more likely to leave theatre with a catheter in place,
- less likely to be able to pass urine after surgery,
- more likely to start unplanned clean intermittent self-catheterisation (CISC),
- slightly more likely to have peri-operative complications, and
- twice as likely (2% vs 1%) to have post-operative Clavien Dindo complications of Grade III level or greater.
Timeline for 2014 / 2015 Data
|29 Jan 2016
||Deadline for submission of data to BAUS
|05 Feb 2016
||Summaries of data returned to Consultant contributors for validation
|08 Mar 2016
||Second (revised) summary of data sent to Consultant contributors for validation
|24 Mar 2016
||Final deadline for corrections and additional data
||Data was extracted from the web-based database. Once extracted, the data was transferred to a Microsoft Access™ database and Microsoft Excel™ spreadsheet, before being imported into Tableau™ for generation of the final analyses.
|18 Apr 2016
||All contributing surgeons were sent a link to the BAUS website so they could see exactly how their data would be presented