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Introduction and Hypothesis <p>This study is aimed at analyzing global public interest in treatment modalities for stress urinary incontinence (SUI) from 2004 to 2025 using Google Trends, a digital tool that captures real-time search behavior.</p> Methods <p>Google Trends data were collected for eight urinary incontinence treatment modalities, including both conservative and surgical options, over a 21-year period. The search terms analyzed were: “pelvic floor exercise” (PFE), “artificial urinary sphincter” (AUS), “transobturator tape”, “Burch colposuspension,” “midurethral sling” (MUS), “Bulkamid”, “tension-free vaginal tape”, and “pubovaginal sling” (PVS). Linear regression was used to evaluate the direction and magnitude of trend changes, and Pearson correlation analysis assessed inter-relationships among modalities. Data were retrieved on 2 April 2025, and analyzed using IBM SPSS Statistics.</p> Results <p>Pelvic floor exercise demonstrated the strongest and most consistent upward trend among all modalities (R<sup>2</sup> = 0.664, adjusted R<sup>2</sup> = 0.663, <i>p</i> &lt; 0.001). MUS also showed a pronounced and statistically significant increase in relative search volume (RSV) over time (R<sup>2</sup> = 0.535, adjusted R<sup>2</sup> = 0.533, <i>p</i> &lt; 0.001). Bulkamid demonstrated a strong positive temporal trend (R<sup>2</sup> = 0.585, adjusted R<sup>2</sup> = 0.583, <i>p</i> &lt; 0.001). AUS exhibited a statistically significant upward trend over the study period (R<sup>2</sup> = 0.284, adjusted R<sup>2</sup> = 0.281, <i>p</i> &lt; 0.001). Burch colposuspension showed a significant but more modest increase in RSV (R<sup>2</sup> = 0.293, adjusted R<sup>2</sup> = 0.290, <i>p</i> &lt; 0.001). Sling-based surgical techniques demonstrated statistically significant declines in public interest over time.</p> Conclusions <p>Public interest is shifting toward conservative management, especially PFE, whereas interest in certain surgical techniques is declining. These findings highlight evolving treatment preferences and the need for region-specific health strategies. Despite its limitations, Google Trends can help to monitor awareness and inform future public health efforts</p>

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Evaluating Global Online Search Trends for Urinary Incontinence Treatment Modalities: Insights from Google Trends

  • 期刊论文

  • 发表日期：

    2026年2月5日

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  • Hakan Akdere,
  • Atınç Tozsin,
  • Burak Akgül,
  • Muhidin Hassan İbrahim,
  • Selçuk Güven,
  • Kamran Ahmed

摘要

Introduction and Hypothesis

This study is aimed at analyzing global public interest in treatment modalities for stress urinary incontinence (SUI) from 2004 to 2025 using Google Trends, a digital tool that captures real-time search behavior.

Methods

Google Trends data were collected for eight urinary incontinence treatment modalities, including both conservative and surgical options, over a 21-year period. The search terms analyzed were: “pelvic floor exercise” (PFE), “artificial urinary sphincter” (AUS), “transobturator tape”, “Burch colposuspension,” “midurethral sling” (MUS), “Bulkamid”, “tension-free vaginal tape”, and “pubovaginal sling” (PVS). Linear regression was used to evaluate the direction and magnitude of trend changes, and Pearson correlation analysis assessed inter-relationships among modalities. Data were retrieved on 2 April 2025, and analyzed using IBM SPSS Statistics.

Results

Pelvic floor exercise demonstrated the strongest and most consistent upward trend among all modalities (R2 = 0.664, adjusted R2 = 0.663, p < 0.001). MUS also showed a pronounced and statistically significant increase in relative search volume (RSV) over time (R2 = 0.535, adjusted R2 = 0.533, p < 0.001). Bulkamid demonstrated a strong positive temporal trend (R2 = 0.585, adjusted R2 = 0.583, p < 0.001). AUS exhibited a statistically significant upward trend over the study period (R2 = 0.284, adjusted R2 = 0.281, p < 0.001). Burch colposuspension showed a significant but more modest increase in RSV (R2 = 0.293, adjusted R2 = 0.290, p < 0.001). Sling-based surgical techniques demonstrated statistically significant declines in public interest over time.

Conclusions

Public interest is shifting toward conservative management, especially PFE, whereas interest in certain surgical techniques is declining. These findings highlight evolving treatment preferences and the need for region-specific health strategies. Despite its limitations, Google Trends can help to monitor awareness and inform future public health efforts