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Google searches for stress urinary incontinence treatment options: a worldwide trend analysis in the synthetic mesh controversy era.
Guérin, Sonia; Khene, Zine-Eddine; Peyronnet, Benoit; Bensalah, Karim; Zimmern, Philippe E.
Afiliación
  • Guérin S; Department of Urology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390-9110, USA.
  • Khene ZE; Department of Obstetrics, Gynecology and Human Reproduction, Rennes University Hospital, 16 Boulevard de Bulgarie, Rennes, France.
  • Peyronnet B; Department of Urology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390-9110, USA.
  • Bensalah K; Department of Urology, Rennes University Hospital, 2 Rue Henri Le Guilloux, 35033, Rennes Cedex 9, France.
  • Zimmern PE; Department of Urology, Rennes University Hospital, 2 Rue Henri Le Guilloux, 35033, Rennes Cedex 9, France.
World J Urol ; 41(8): 2217-2223, 2023 Aug.
Article en En | MEDLINE | ID: mdl-37358599
PURPOSE: To analyze trends in worldwide public interest in the treatment options for stress urinary incontinence around the latest FDA 2019 ban on vaginal mesh for prolapse. METHODS: We used the web-based tool Google Trends to analyse online searches related to the following terms: 'pelvic floor muscle exercises', 'continence pessary', 'pubovaginal slings', 'Burch colposuspension', 'midurethral slings', 'injectable bulking agents'. Data were expressed as relative search volume on a scale of 0-100. Comparisons of annual relative search volume and average annual percentage change, were analyzed to assess loss or gain of interest. Finally, we assessed the impact of the last FDA alert. RESULTS: The mean annual relative search volume for midurethral slings was 20% in 2006 and significantly decreased until 8% in 2022 (p < 0.01). A regular decrease interest was recorded for autologous surgeries but a regain of interest for pubovaginal slings was registered since 2020 (+ 2.8%; p < 0.01). Conversely, a steep interest was noted for injectable bulking agents (average annual percentage change: + 4.4%; p < 0.01) and conservative therapies (p < 0.01). When trends were compared before and after the FDA 2019 alert, a lower research volume was found for midurethral slings, while a higher research volume was observed all others treatments (all p < 0.05). CONCLUSION: The online public researches about midurethral slings have considerably decreased following warnings on the use of transvaginal mesh. There seems to be a growing interest in conservative measures, bulking agents, and recently pubovaginal slings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Incontinencia Urinaria de Esfuerzo / Cabestrillo Suburetral Límite: Female / Humans Idioma: En Revista: World J Urol Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Incontinencia Urinaria de Esfuerzo / Cabestrillo Suburetral Límite: Female / Humans Idioma: En Revista: World J Urol Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania