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Stress Incontinence Surgery Does Not Cause Pelvic Malignancy: A Population-Based Cohort Study.

Humberto R Vigil1,2,3, Christopher J D Wallis3,4, Bo Zhang5

  • 1Division of Urology, University of Ottawa, Ottawa, Ontario, Canada.

The Journal of Urology
|April 8, 2021
PubMed
Summary
This summary is machine-generated.

Women undergoing stress urinary incontinence surgery, with or without mesh, show no increased risk of pelvic malignancy. This large population study found a reduced risk of developing pelvic cancers after surgery compared to controls.

Keywords:
neoplasmssuburethral slingsurinary incontinencewomen

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Area of Science:

  • Urogynecology
  • Oncology
  • Epidemiology

Background:

  • Stress urinary incontinence surgery is a common procedure for women.
  • Concerns exist regarding potential long-term risks, including pelvic malignancies, associated with surgical mesh.
  • Understanding the oncological outcomes of stress urinary incontinence surgery is crucial for patient counseling and clinical practice.

Purpose of the Study:

  • To investigate the association between stress urinary incontinence surgery (mesh and nonmesh) and the subsequent development of pelvic malignancies.
  • To compare the risk of pelvic cancers in women who underwent stress urinary incontinence surgery versus a control group.

Main Methods:

  • Retrospective cohort study of women in Ontario, Canada (2002-2015).
  • Inclusion criteria: women without prior pelvic malignancy undergoing stress urinary incontinence surgery.
  • Primary outcome: composite of any pelvic malignancy; secondary outcome: individual cancer types. Survival analysis using Cox proportional-hazards model.

Main Results:

  • 74,968 women underwent stress urinary incontinence surgery; 5,505,576 in the control group.
  • Median follow-up of 8.5 years.
  • Women who had stress urinary incontinence surgery had a significantly reduced risk of pelvic malignancy (mesh: HR 0.68; nonmesh: HR 0.37) compared to controls, independent of surgical approach.

Conclusions:

  • Stress urinary incontinence surgery, whether using mesh or nonmesh, is not associated with an increased risk of pelvic malignancy.
  • A reduced risk of pelvic malignancy was observed following stress urinary incontinence surgery in a large, population-based cohort.
  • These findings support the safety of stress urinary incontinence surgery regarding long-term oncological outcomes.