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OBJECTIVE-Describe U.S. trends in female stress urinary incontinence (SUI) surgery. METHODS-NationalHospital Discharge Survey (NHDS) data was analyzed for ICD-9-CM codes from 1979-2004. Age-adjusted procedure rates were calculated using 1990 census data. RESULTS-Number

Objectives To describe national trends for inpatient procedures for pelvic organ prolapse from 1979–2006. Study Design The National Hospital Discharge Survey was analyzed for patient and hospital demographics and ICD-9-CM diagnostic and procedures codes from 1979 to 2006. Age-adjusted rates (AARs) per 1000 women were calculated using the 1990 U.S. Census data. Results There was a significantly decreasing trend in the AARs for inpatient prolapse procedures, from 2.93 to 1.52 per 1000 women from 1979–2006. AARs for hysterectomy decreased from 8.39 to 4.55 per 100 women from 1979–2006. Over the study period, AARs remained at about the 1979 level among the women ≥52 years old (2.73 to 2.86, p=0.075). In women <52 years old, AARs declined to less than one-third of the 1979 rate (3.03 to 0.84, p<0.001). Conclusions AARs for inpatient procedures for prolapse in the U.S. remained stable for women ≥52 years old from 1979–2006, rates declined by two-thirds for women <52.