Body mass index does not influence the outcome of anti-incontinence surgery among women whereas menopausal status and ageing do: a randomised trial

Rechberger, Tomasz; Futyma, Konrad; Jankiewicz, Katarzyna; Adamiak, Aneta; Bogusiewicz, Michał; Skorupski, Paweł

doi:10.1007/s00192-010-1116-2

Cited by 59 publications

(42 citation statements)

References 21 publications

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“…So far, however, only one study has been reported for the relationship of obesity and TOT outcomes. Rechberger et al conducted 269 retropubic and 268 transobturator sling procedures and demonstrated that BMI does not influence the clinical effectiveness of SUI treatment [15]. However, they did not assess voiding symptoms, and we believe that the retropubic approach may have a greater chance of de novo urgency.…”

Section: Discussionmentioning

confidence: 91%

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Tchey

Kim

et al. 2010

Int Neurourol J

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Purpose: The purpose of our study was to evaluate the influence of obesity on clinical characteristics, quality of life (QoL), and outcomes in patients with stress urinary incontinence (SUI) who underwent the transobturator tape (TOT) surgery. Materials and Methods: The medical records of SUI patients who underwent the TOT operation from January 2007 to February 2009 were retrospectively reviewed. Patients with any neurologic diseases that affect the voiding pattern were excluded, and 107 patients were enrolled. The patients were divided into nonobese (BMI<25) and obese (BMI≥25) groups. The preoperative evaluation consisted of history taking, physical examination, cystometrography, 3-day frequency-volume chart, King's Health Questionnaire (KHQ), and symptom perception scale questionnaires. Results:The nonobese group consisted of 55 (51.4%) patients and the obese group of 52 (48.6%). The median age was 49.0 (range, 30.8-73.5) years in the nonobese group and 52.7 (range, 35.5-73.5) years in the obese group (p>0.05). The obese group showed a higher SUI symptom grade, urethral hypermobility, urgency, and urge incontinence scale than did the nonobese group (each p<0.05). Neither the domains of the KHQ nor the items on the 3-day frequency-volume chart differed between the two groups (each p>0.05). After the operation, the symptom scales and parameters in the 3-day frequency-volume chart of the obese group were similar to those of the nonobese group (each p>0.05). The objective success, recurrence, and complication rates at 1year were similar in the two groups (each p>0.05). Conclusions: Obese SUI patients had worse SUI symptom grade, urgency, and urge incontinence symptoms than did nonobese patients. However, surgical correction by the TOT operation could restore the symptoms and voiding parameters as effectively in obese patients as in nonobese patients.

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Section: Discussionmentioning

confidence: 91%

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Tchey

Kim

et al. 2010

Int Neurourol J

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“…20 Among different techniques which can be used in SUI treatment, MUS is effective in obese patients. 11,12 There are several studies about incontinence surgery in obese patients, but the results of these studies are contradictory. Most of the studies investigating the results of sling procedures comprise the surgical outcomes of TVT procedure.…”

Section: Discussionmentioning

confidence: 99%

“…In these studies, midurethral sling (MUS) procedures have been effective with minimal complications in obese patients. [10][11][12] However the influence of obesity on surgical outcomes of TOT procedure is still controversial and the situation is more complicated when it comes to severely obese patients.…”

Section: Introductionmentioning

confidence: 99%

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Do severe obese patients with stress urinary incontinence benefit from transobturator tape procedure? 3-year surgical outcome

Yonguç

Aydoğdu

Bozkurt

et al. 2015

CUAJ

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Introduction:We evaluate the impact of severe obesity on surgical outcomes of the transobturator tape (TOT) procedure in patients with stress urinary incontinence (SUI). Methods: In total, 32 women with severe obesity (body mass index [BMI] >35 kg/m 2 ) were included in the study. All patients were preoperatively evaluated with history, pelvic examination, ultrasonography, and cough stress test. All patients completed the International Consultation on Incontinence Questionnaire-Short form (ICIQ-SF) preoperatively and at the postoperative followup. Cure of incontinence was defined as being completely dry after surgery. Cure was assessed subjectively and objectively. Subjective improvement defined as an International Consultation on Incontinence Questionnaire-Short form (ICIQ-SF) score ≤12 and satisfaction with surgery. Failure was defined as having no change or worsening of urinary incontinence after surgery. Postoperative patient satisfaction was assessed using a visual analog scale. Results: The mean follow-up time and mean BMI were 40.9 ± 20.9 months and 38 ± 3 kg/m 2 , respectively. According to preoperative ICIQ-SF questionnaire scores, 20 patients (62.5%) had severe and 12 patients (37.5 %) had very severe urinary incontinence symptoms. No patient had slight or moderate symptoms. None of the patients experienced worsening symptoms after surgery. Objective cure, subjective cure, subjective improvement and patient satisfaction rates were 81.2%, 46.8%, 37.5%, and 84.3% respectively. Our overall complication rate was 9.3%. None of the patients experienced intraoperative complications. Conclusion: In experienced hands, TOT is an effective and safe procedure to treat SUI, with minimal complications in severe obese women.

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“…During the research, retropubic and transobturator sling procedures were applied to 537 female patients with SUI. After an 18 month follow-up, 398 patients were evaluated, and it was demonstrated that BMI did not have any affect on the surgery result, while menopausal status and age were found to be independent risk factors decreasing the success of the sling procedures [21]. In a study with 184 female patients where collagen was used as the periurethral injection material [22], similar to our study, it is reported that the previous anti-incontinence treatment is an important factor contributing to the success of the treatment in the patients who had been reported 'cure' for more than one year after the injection.…”

Section: Discussionmentioning

confidence: 99%

Efficiency of Injection Therapy for Stress Incontinence:a Retrospective Evaluation of 8 Years Results

Ener¹

2013

Ann Clin Anal Med

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ÖzetAmaç: Stres üriner inkontinansı olan seçilmiş kadın hastalarda, transüretral Coaptite® enjeksiyonunun etkinliğini ve BMİ, menopozal durum önceden geçi-rilmiş anti-inkontinans cerrahisinin prediktif değerini inceledik. Gereç ve Yön-tem: Genel anestezi açısından yüksek risk taşıyan, transüretral enjeksiyon tedavisi uygulanmış olan, stres üriner inkontinanslı 45 kadın hasta retrospektif olarak incelendi. Enjeksiyon sonrası dönemde 1. ay, 12. ay ve 8. yıl kontrollerinde ICIQ-SF, QoL skorları ve ped testi değerlendirmeleri yapıldı. Bulgular:Enjeksiyon öncesi dönemle karşılaştırıldığında, 1. ve 12. ay ped testi sonuçla-rı anlamlı, son kontroldeki ped testi sonucu ise anlamsız olarak bulundu. Sorgulama formları incelendiğinde, ped testine benzer şekilde enjeksiyon sonrası dönemdeki skorlar istatistiksel olarak anlamlı bulundu. Ancak ped testinden farklı olarak, her 2 sorgulama formunda da son kontroldeki skorların, istatistiksel olarak anlamlı değişiklikler gösterdiği tespit edildi. Transüretral enjeksiyon tedavisinin başarısı menopozal durum, BMİ ve önceden geçirilmiş antiinkontinans cerrahisine gore değerlendirildi. QoL ve ICIQ-SF skoru %değişim-leri ve ped testi değerleri, uzun dönem takipte, enjeksiyon öncesi dönemle karşılaştırıldığında, istatistiksel olarak anlamlı bulunmadı. Tartışma: Transü-retral enjeksiyon, SÜİ'ı olan seçilmiş hastalarda kolay ve etkili bir yöntemdir.BMİ, önceden geçirilmiş anti-inkontinans cerrahisi ve menopozal durum, uzun dönem takipte, transüretral enjeksiyon sonuçlarını etkilememektedir. Anahtar KelimelerSÜİ; Transüretral Enjeksiyon; VKİ; Geçirilmiş Anti-İnkontinans Cerrahisi; Menopozal Durum Abstract Aim: To evaluate the long term affectivity of transurethral Calcium Hydroxylapatite (CaHA; Coaptite®) injection therapy and the predictive importance of Body Mass Index (BMI), menopausal status and previous anti-incontinence surgery in selected female patients with stress urinary incontinence (SUI). Material and Method: Forty-five female patients with SUI, and having high risks for general anesthesia, received transurethal injection therapy, were evaluated retrospectively. First month, 12th month, and 8th year of postinjection period were evaluated in terms of International Consultatiton on Incontinence Questionnaire Short Form (ICIQ-SF), Quality of Life (QoL) score, and pad test. Results: While the pad test of 1st and 12th months' showed statistically significance, the pad test of last visit was found insignificant, when compared with pre-injection term. Through the evaluations of questionnaire forms similar to the pad test, it was observed that the post-injection scores showed statistically significance. However, unlike to the pad test, for each of both questionnaires, statistically significant differences were detected at the last examination's scores, as well. When we examined the success of the transurethral injection treatment according to menopausal status, BMI, and previous anti-incontinence surgery, it was observed that QoL and ICIQ-SF score %variation, and 24 hr pad test value...

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Body mass index does not influence the outcome of anti-incontinence surgery among women whereas menopausal status and ageing do: a randomised trial

Abstract: We found that BMI does not influence the clinical effectiveness of SUI treatment, whereas both menopause and ageing had a detrimental influence on the final outcome of the surgery.

Cited by 59 publications

References 21 publications

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Do severe obese patients with stress urinary incontinence benefit from transobturator tape procedure? 3-year surgical outcome

Efficiency of Injection Therapy for Stress Incontinence:a Retrospective Evaluation of 8 Years Results

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