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. 2019 Aug 28;9(8):e029878. doi: 10.1136/bmjopen-2019-029878

Table 1.

OPCS-4 codes and counts of SUI procedures with relevant diagnosis (ICD-10) code N39.3

OPSC-4 Description All operations* N (%) First operations†
N (%)
Mid urethral tape insertions
M53.3 Introduction of tension-free vaginal tape 16 665 (57.9) 16 415 (58.6)
M53.6 Introduction of transobturator tape 8866 (30.8) 8722 (31.2)
Injection of urethral bulking agents
M56.3 Endoscopic injection of inert substance into outlet of female bladder 1628 (5.7) 1435 (5.1)
Other abdominal/vaginal operations
M51.1 Abdominoperineal suspension of urethra 32 (0.1) 29 (0.1)
M51.2 Endoscopic suspension of neck of bladder 6 (<0.1) 6 (<0.1)
M51.8 Other specified combined abdominal and vaginal operations to support outlet of female bladder 15 (0.1) 13 (<0.1)
M51.9 Unspecified combined abdominal and vaginal operations to support outlet of female bladder 2 (<0.1) 2 (<0.1)
M52.1 Suprapubic sling operation 355 (1.2) 328 (1.2)
M52.2 Retropubic suspension of neck of bladder 78 (0.3) 76 (0.3)
M52.3 Colposuspension of neck of bladder 587 (2.0) 533 (1.9)
M52.8 Other specified abdominal operations to support outlet of female bladder 20 (0.1) 15 (0.1)
M52.9 Unspecified abdominal operations to support outlet of female bladder 3 (<0.1) 2 (<0.1)
M53.1 Vaginal buttressing of urethra 130 (0.5) 126 (0.5)
M53.8 Other specified vaginal operations to support outlet of female bladder 302 (1.0) 216 (0.8)
M53.9 Unspecified vaginal operations to support outlet of female bladder 5 (<0.1) 4 (<0.1)
M55.2 Implantation of artificial urinary sphincter into outlet of female bladder 18 (0.1) 11 (<0.1)
M55.6 Insertion of retropubic device for female stress urinary incontinence NEC 56 (0.2) 52 (0.2)
M55.8 Other specified other open operations on outlet of female bladder 14 (<0.1) 8 (<0.1)
M55.9 Unspecified other open operations on outlet of female bladder 0 (0) 0 (0)
M58.8 Other specified other operations on outlet of female bladder 7 (<0.1) 4 (<0.1)
M58.9 Unspecified other operations on outlet of female bladder 0 (0) 0 (0)
Total 28 789 27 997

*For 77 episodes of care out of 28 712 eligible episodes, two procedures were recorded and both are included in the overall count.

†For episodes of care where two procedures were recorded, only the more invasive or specified procedure is counted as first operation.

ICD-10, International Classification of Diseases Tenth Revision; N39.3, stress urinary incontinence ICD-10 code; OPCS, Office for Population Censuses and Surveys Classification; SUI, stress urinary incontinence.