Incontinence surgery in obese women: comparative analysis of short- and long-term outcomes with a transobturator sling

International Urogynecology Journal
Inês PereiraAna Luísa Ribeirinho

Abstract

Midurethral slings (MUS) are still discussed in complex incontinence situations, such as obesity, lacking sustained efficacy validation in this particular sub-population. We hypothesized that the outcomes of a transobturator MUS, such as TVT-O, do not differ according to body mass index (BMI) over a 4-year period. We conducted a retrospective analysis of 281 women who underwent TVT-O at our institution, between 2004 and 2012. Patients were stratified into obese (BMI ≥ 30 kg/m(2)) or non-obese (BMI < 30 kg/m(2)). We compared preoperative and postoperative parameters, including objective cure (negative stress test), complications, and quality of life scores. Data were collected at 0, 6, 12, 24, and 48 months. We used Fisher's exact test for categorical variables and Student's t test or the Mann-Whitney U test for continuous variables. Baseline characteristics of the obese (n = 122) and non-obese groups (n = 159) were similar. We found no significant differences between groups in terms of objective cure rates at all follow-up evaluations, with 95.8 % and 95 % at 48 months in the non-obese and obese groups respectively. There were no significant differences in the cumulative complication rates of both groups. Quality of life assess...Continue Reading

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Citations

Oct 1, 2016·International Urogynecology Journal·Erin A BrennandUNKNOWN Calgary Women’s Pelvic Health Research Group
Jun 27, 2017·Current Opinion in Urology·Andrea MariKarl-Dietrich Sievert
Jul 18, 2016·International Urogynecology Journal·Rita LuzAlexandre Valentim-Lourenço
Feb 23, 2018·Current Urology Reports·Alex FuselierAlex Gomelsky
Jul 25, 2019·Revista da Associação Médica Brasileira·Paula da Silva FeitosaAna Carolina Marchesini

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