Surgery for stress XXXX in Finland 1987-2009.

@entity1 @entity365 @entity322 @entity307
INTRODUCTION AND HYPOTHESIS: To estimate the incidence rates of stress @entity322 (SUI) surgery among Finnish @entity1 from 1987 to 2009 by age, and to evaluate the trends in SUI surgery. METHODS: We conducted a retrospective register-based study. All SUI procedures on adult @entity1 over age 18  years in Finland were identified from the nationwide Care Register for Health Care. Age-specific incidence rates @entity307 ,000 @entity1 were calculated for each year. The cumulative incidence of SUI surgery was calculated. RESULTS: There were 38,340 procedures for SUI in 1987-2009. The overall age-adjusted incidence rate increased 2.6-fold from 0.5/1,000 @entity1 in 1987 to 1.3/1,000 in 2002, but declined thereafter by 2009 to 0.8/1,000. There was a six-fold increase in the incidence rate in the age group 60-69 years and a ten-fold increase in the age group 70-79 years from 1987 to 2002. These marked increases in operation rates coincided with the increased use of @entity365 ( @entity365 ). In 2002, @entity365 accounted for 96  % of all SUI procedures. Mid-urethral slings with transobturator techniques surpassed @entity365 in popularity in 2007. The life-long cumulative incidence of SUI surgery was 9.9  % in 2002 and 6.3  % in 2009. CONCLUSIONS: The incidence rates of SUI surgery increased significantly in Finland, especially among @entity1 aged 60 to 79  years. Mid-urethral slings have become the dominant procedure.
