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.
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.
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.
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.
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Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie. 2021 Apr 13 [Epub ahead of print]
N Hermieu, J-F Hermieu, N Schoentgen, R Aoun, E Xylinas, X Deffieux, H Fernandez, M Cosson, X Gamé, B Peyronnet, I Ouzaid
Service de chirurgie urologique, hôpital Bichat Claude-Bernard, AP-HP, Université de Paris, Paris, France., Service de gynécologie obstétrique et médecine de la reproduction, hôpital Antoine-Béclère, AP-HP, Clamart, France., Service de gynécologie et obstétrique, hôpital de Bicêtre, AP-HP, Le Kremlin Bicêtre, France., Service de gynécologie, CHU Jeanne-de-Flandre, Lille, France., Département d'urologie, transplantation rénale et andrologie, CHU Rangueil, Toulouse, France., Service de chirurgie urologique, CHU de Rennes, Rennes, France., Service de chirurgie urologique, hôpital Bichat Claude-Bernard, AP-HP, Université de Paris, Paris, France. Electronic address: .
PubMed http://www.ncbi.nlm.nih.gov/pubmed/33863637