Årsrapport inkontinens 2013. Inkontinenskirurgi 2013 - 3267 op i Gynop + GKR – 6 % recidiv TVT 55 %TOT 24 % TVT-O 19 % Minislyngor < 2 %Periuretrala injektioner.

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Presentation transcript:

Årsrapport inkontinens 2013

Inkontinenskirurgi op i Gynop + GKR – 6 % recidiv TVT 55 %TOT 24 % TVT-O 19 % Minislyngor < 2 %Periuretrala injektioner 1 %

Inkontinenskirurgi 2013 Möjligt att registrera Botox – behandling vid ideopatisk överaktiv blåsa 3 st behandlingar

Standardpatient inkontinens 80 % ASA 1 eller ASA 2 BMI < 35 Endast inkontinenskirurgi ( ej komb prolaps) Patient < 70 år Primär operation (ej recidiv) Slyngplastik Inte minislynga eller periuretral injektion

Andel patienter 65 år eller äldre vid inkontinensoperation

Standardpatient inkontinens Blandinkontinens ????? (läckage vid ansträngning och läckage vid trängning) (INTE – läckage vid ansträngning och har trängningar utan läckage) Vems uppgift ? Läkares bedömning vid inskrivning ? Patientens svar i enkäten ?

Varför varierar andelen blandinkontinens ? Verklig geografisk variation? Olika indikationer ? Indikationsglidning ? Slarvig/oärlig diagnostik? Okunskap vid diagnostik ? Varierande inställning till krav/risk på gott resultat ?

Inkontinensoperationer/ kvinnor (folkbokföringsort)

Typ av anestesi vid inkontinenskirurgi 2013

2012 Jämfört 2013

Andel inkontinensoperationer i narkos

Hur gör vi i fortsättningen ? Vilka patienter ?Ålder, inkontinenstyp? Vilka metoder ?Anestesiform ? Vilka utfallsmått? Vilka analyser ?