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Treatment of Stress Urinary Incontinence: Does Race Matter?
Brittni Boyd, Noelani Guaderrama1, Zimin Zhuang2
1Division of Female Pelvic Medicine and Reconstructive Surgery, Southern California Permanente Medical Group, Irvine, CA.
Urogynecology (Philadelphia, Pa.)
|May 6, 2024
Summary
Racial minority women with stress urinary incontinence (SUI) are less likely to receive surgical treatment, including the gold standard sling procedure. They are more likely to receive conservative management compared to White women.
Area of Science:
- Urology
- Pelvic Health
- Health Disparities
Background:
- Stress urinary incontinence (SUI) affects a significant patient population.
- Understanding treatment patterns across diverse demographics is crucial for equitable care.
Purpose of the Study:
- To examine treatment patterns and surgical complications for SUI.
- To describe SUI treatment and complications in a racially and ethnically diverse population.
Main Methods:
- Retrospective cohort study of 67,187 patients with new SUI diagnosis.
- Analysis of treatment modalities: pessary, pelvic floor physical therapy, surgery.
- Logistic regression to assess race/ethnicity association with treatment and surgical complications.
Main Results:
- Hispanic women were the largest racial/ethnic group (47.5%).
- Racial/ethnic minority women had decreased odds of receiving any SUI treatment compared to White women.
- Minority women were less likely to receive sling procedures and more likely to receive conservative management.
Conclusions:
- Racial minority women face significant disparities in SUI treatment.
- They are less likely to undergo gold-standard surgical interventions.
- Disparities in access to care and treatment modality selection require further investigation.
