The Impact of Obesity on Perioperative Complications in Prolapse Patients ≥ 70 Years Old.

Stephanie W Zuo, Rachel Noorani, Kristina Warner, Anne M Suskind, Halina M Zyczynski, Mary F Ackenbom

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Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Stephanie W ZuoDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Virginia School of Medicine, Charlottesville, VA, 22902, USA. stephanie.zuo@uvahealth.org.ORCID http://orcid.org/0000-0003-0067-9159

Rachel NooraniUniversity of Virginia School of Medicine, Charlottesville, VA, USA.

Kristina WarnerDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.

Anne M SuskindDepartment of Urology, University of California, San Francisco, CA, USA.

Halina M ZyczynskiDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pittsburgh Medical Center and Magee-Womens Research Institute, Pittsburgh, PA, USA.

Mary F AckenbomDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pittsburgh Medical Center and Magee-Womens Research Institute, Pittsburgh, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisObesity is a recognized risk factor for developing pelvic organ prolapse and for perioperative complications. As the population ages, an increasing number of older, obese individuals with prolapse may opt for surgical repair. This study assesses the association between obesity and short-term perioperative adverse events (AEs) in women ≥ 70 years undergoing vaginal and laparoscopic prolapse surgery.

methodsThis is a secondary analysis of a retrospective cohort study of older women undergoing vaginal and laparoscopic prolapse surgery at two medical centers from 2016 to 2023. Patients were classified as nonobese (< 30 kg/m

resultsOf 1507 older women, 20.8% (n = 314) were class 1 obese and 6.0% (n = 90) were class 2+ obese. Obese patients were younger and more likely to be frail, hypertensive, and diabetic (p < 0.05). Obese patients experienced greater estimated intraoperative blood loss (p < 0.05). Obesity was not associated with composite AEs or major AEs on multivariable analysis, but was found to be predictive of postoperative hematoma. Class 1 obese women had a 2.7-times greater odds (95% CI 1.17-6.22) and class 2+ obese women had a 4.7-times greater odds (95% CI 1.61-13.43) of hematoma compared to nonobese women. Obesity was not associated with major hematoma, defined as ≥5 cm or requiring medical or surgical intervention.

conclusionsObesity in older surgical patients is not associated with a greater incidence of composite AEs, but may be associated with postoperative hematomas.

Indexed as

ObesityOlder adultPostoperative outcomesProlapse surgerySurgical complications

Identifiers

PMID42268414

DOI10.1016/j.ijgo.2009.10.019

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