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[Trends in the use of midurethral slings after the new legislation: A nationwide survey].

Authors :
Hermieu N
Hermieu JF
Schoentgen N
Aoun R
Xylinas E
Deffieux X
Fernandez H
Cosson M
Gamé X
Peyronnet B
Ouzaid I
Source :
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie [Prog Urol] 2021 Jun; Vol. 31 (7), pp. 422-429. Date of Electronic Publication: 2021 Apr 15.
Publication Year :
2021

Abstract

Introduction: The French Department of Health published on October 23, 2020 a decree governing acts associated with mid-urethral sling (MUS) operations. The aim of this study was to evaluate the changes in practice following this new legislation.<br />Methods: A cross-sectional study was carried out among French urologists and gynecologists using an online survey to collect changes in practices since the publication of the decree.<br />Results: From January to February 2021, 436 surgeons participated in the survey. Among these surgeons, 87% were aware of the new legislation and 56% of them considered the decree as useless. The order resulted in an increase in working time in 81% of cases. Among these surgeons, 66% of the surgeons worked in tertiary referral centers for the management of incontinence, of which 55% had a multidisciplinary meeting in urogynecology. Among the surgeons, 31% considered this meeting to be useful but 80% considered that it did not lead to any change in surgical indications, even though 33% of complications of BSU were discussed there. In conclusion, 61% of surgeons felt more reluctant to schedule a BSU placement with this new legislation.<br />Conclusion: The majority of questioned surgeons considered the decree as useless. It generated few changes in practices which already respected the law on information, consultation, consent, experience and training. Most urologists and gynecologists are more reluctant to offer MUS after this new legislation.<br />Level of Evidence: 4.<br /> (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)

Details

Language :
French
ISSN :
1166-7087
Volume :
31
Issue :
7
Database :
MEDLINE
Journal :
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie
Publication Type :
Academic Journal
Accession number :
33863637
Full Text :
https://doi.org/10.1016/j.purol.2021.03.003