Cost Analysis of Vaginal Anti-incontinence Procedures at a Tertiary Care Center

Prevalence and cost of surgical treatment for female stress urinary incontinence in Brazil: A comparison between abdominal and vaginal approaches

“…23 Another critical consideration is the potential long-term costs secondary to complications such as urinary tract infections, recurrent incontinence and repeat surgery, voiding dysfunction including urinary retention, mesh erosion or exposure, or de novo urge UI. 6 The cost regarding parameters such as complications and reoperations is not accounted for in this Brazilian data, so the financial burden associated with these complications, and its impact on total cost, cannot be fully appreciated. Also, information in the DATASUS does not present information concerning reoperations, so it is possible for the same patient to be listed more than once.…”

“…5 The total cost of UI in the United States was estimated at 12 billion dollars in 1995 (cost data provided from Medicare and private payer insurance), which is a considerable economic burden to the American healthcare system, with SUI accounting for the majority (75%) of this total cost. 6 This same burden in Brazil, however, is not known.…”

Patient and economic benefits of psychological support for noncompliant patients

“…Surgical costs vary depending on what is required, ranging from €25 per min in France to €82 per minute in Sweden, for a 120–240 min operation ( Zwolsman et al, 2019 ). In the United Kingdom costs range between £1,790 for trans-vaginal tape (TVT or mesh) and £4,753 for excision of the uterus ( NHS, 2019 ), and costs in United States range from $3,311 for mid-urethral sling to $5,721 for autologous fascial sling ( Wong et al, 2020 ). Given the variation in surgery costs, and that the cheapest surgical option (TVT) is no longer deemed suitable ( Wise, 2018 ), a median of these surgical alternative costs could (very) conservatively be estimated as £4,000 per patient.…”