Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing burch and synthetic sling techniques

 Vol. 43 (x): 2017 Novembro 11.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2017.0232


ORIGINAL ARTICLE

Leo Francisco Limberger 1, Fernanda Pacheco Faria 1, Luciana Silveira Campos 1, Karin Marise Jaeger Anzolch 2, Alexandre Fornari 2, 3
1 Serviço de Ginecologia do Hospital Nossa Senhora da Conceição, Porto Alegre, RS, Brasil; 2 Hospital Moinhos de Vento, Porto Alegre, RS, Brasil; 3 Ambulatório de Disfunções miccionais da Santa Casa de Porto Alegre, Porto Alegre, RS, Brasil

ABSTRACT

Introduction: Surgical treatment of urinary incontinence progressed significantly with the introduction of synthetic slings. However, in some public Brazilian hospitals, the costs of these materials prevent their routine use.

Objective: To compare the costs of ambulatory synthetic sling surgery with an historical series of patients submitted to Burch surgery in a Brazilian public hospital.

Materials and Methods: Twenty nine incontinent patients were selected to synthetic sling surgery. Demographic data were prospectively collected and also the costs of the procedure, including drugs and materials, use of surgical and recovery wards, medical staff and hospitalization. These data were compared to the costs of 29 Burch surgeries performed before the introduction of synthetic slings.

Results: Demographic data were similar, although median age was lower in the group submitted to Burch surgery (46.3±8.6 versus 56.2±11.3 (p<0.001)). Cost was signifi­cantly lower in patients submitted to sling in all items, except for time spent in recov­ery ward. Total value of 29 Burch surgeries was R$ 217.766.12, and of R$ 68.049.92 of 29 patients submitted to sling surgery (p<0.001).

Conclusion: Burch surgery was more expensive than ambulatory synthetic transobtu­rator sling surgery, even when the cost of the synthetic sling was considered.

Keywords:  Urinary Incontinence; Suburethral Slings; Costs and Cost Analysis

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