ArticleInternational urogynecology journal2016
Incontinence surgery in obese women: comparative analysis of short- and long-term outcomes with a transobturator sling.
Article in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 19 citations in OpenAlex.
- Influence of age, BMI and parity on the success rate of midurethral slings for stress urinary incontinence.PloS one · 2018Trial
- Intraoperative and Postoperative Complications Rate Following Elective Pelvic Reconstructive Surgery in Women with Severe Obesity: A Retrospective Cohort Study.International urogynecology journal · 2025Article
- Obesity as an independent risk factor for poor long-term outcome after mid-urethral sling surgery.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Intraoperative and early postoperative complications in women with stress urinary incontinence treated with suburethral slings: a randomised trial.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020Article
- Obesity and Stress Urinary Incontinence: Impact on Pathophysiology and Treatment.Current urology reports · 2018Review
- Five years after midurethral sling surgery for stress incontinence: obesity continues to have an impact on outcomes.International urogynecology journal · 2017Article
- King's Health Questionnaire to assess subjective outcomes after surgical treatment for urinary incontinence: can it be useful?International urogynecology journal · 2017Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisMidurethral 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.
methodsWe 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.
resultsBaseline 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 assessment also showed no significant differences between groups at all follow-up visits. At 48 months our follow-up rate was 59 % (n = 96) and 60.4 % (n = 72) in the non-obese and obese group respectively (p = 0.9).
conclusionsThe TVT-O procedure is effective and safe in the long term for stress incontinence treatment, regardless of BMI.
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