Outcome of tension-free obturator tape procedures in obese and overweight women

Liu, Po-En; Su, Ching‐Hua; Lau, Hui-Hsuan; Chang, Ru-Jhu; Huang, Wen‐Chen; Su, Tsung-Hsien

doi:10.1007/s00192-010-1311-1

Cited by 36 publications

(19 citation statements)

References 18 publications

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“…Therefore comparability between this studies is limited (may not always be given). Also in two studies using the transobturator tape procedures no significant association between BMI and surgical outcome were found [18,19]. Even if cure was defined differently in these two studies the results are in line with our findings after a follow up of nearly 2 years.…”

Section: Discussionsupporting

confidence: 90%

TOT Approach in stress urinary incontinence (SUI) – outcome in obese female

et al. 2014

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BackgroundOnly limited data are available on the outcome of tension-free obturator tape (TOT) procedures in overweight and obese women. We would like to verify the objective and subjective outcomes of TOT in women with a higher body mass index (BMI).MethodsWe evaluated the records of 116 patients who had undergone TOT, stratifying by BMI into normal weight (n = 31), overweight (n = 56), and obese (n = 29) groups. We compared pre- and postoperative evaluations, including subjective and objective outcome of TOT, complications, and quality of life assessed by validated questionnaires (ICIQ-SF and KHQ).ResultsThe median follow-up was 21 months. There were no significant differences between different groups in terms of objective cure rate and subjective success, quality of life scores and postoperative complications.ConclusionsOur data demonstrate that TOT procedure is safe and effective. BMI did not influence the outcome of TOT procedures at a median of 21 months after surgery and represents no contraindication for continence surgery. The success of the outcome of TOT procedure in females and the occurrence of complications are not negatively affected by obesity.

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Section: Discussionsupporting

confidence: 90%

TOT Approach in stress urinary incontinence (SUI) – outcome in obese female

et al. 2014

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“…These factors were not related to bladder injury or to urinary retention. Liu et al (2011) reported that obesity was not a risk factor for surgical failure just like Revicky reported in his review.…”

Section: Success and Failurementioning

confidence: 78%

Surgical Complications with Synthetic Materials

Ortega-Castillo¹,

Neri-Ruz²

2012

Urinary Incontinence

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“…We believe that BMI categories used in the present study reflect the influence of obesity on the outcomes of surgery more suitably for Asians. Until now, a few studies involving the Asian population have used these BMI categories [9], [10], [12], however, the follow-up duration was only <2 years. Therefore, the present study had the longest duration of follow-up among the studies with BMI categories for the Asian population.…”

Section: Discussionmentioning

confidence: 99%

The Long-Term Influence of Body Mass Index on the Success Rate of Mid-Urethral Sling Surgery among Women with Stress Urinary Incontinence or Stress-Predominant Mixed Incontinence: Comparisons between Retropubic and Transobturator Approaches

Jeong

Lee

et al. 2014

PLoS ONE

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ObjectivesMid-urethral sling (MUS) surgery for the treatment of urinary incontinence has been widespread since the introduction of tension-free vaginal tape in the mid-1990s. The majority of studies with short-term follow-up <2 years found no differences in the surgical outcomes according to body mass index (BMI). However, considering the chronic influence of obesity on pelvic floor musculature, it is cautiously speculated that higher BMI could increase stress on pelvic floor and sub-urethral tape, possibly decreasing the long-term success rate in the obese population. We aimed to compare the long-term effects of BMI on the outcomes of MUS between women with retropubic and transobturator approaches.MethodsWe performed a retrospective analysis on 243 consecutive women who received MUS and were followed up for ≥36 months. The influence of BMI on the success rates was separately estimated and the factors for treatment failure were examined using logistic regression in either approach.ResultsThe mean follow-up was 58.4 months, and 30.5% were normal weight, 51.0% overweight, and 18.5% obese. Patients received either the retropubic (30.5%) or transobturator (69.5%) approach. The success rates (%) under the transobturator approach differed according to the BMI groups (94.3, 88.6, and 78.6, respectively; P = 0.037) while those under the retropubic approach were not different according to the BMI groups. However, in multivariate models, only the presence of preoperative mixed urinary incontinence (MUI) was proven to be the risk factor for treatment failure in the transobturator approach (OR 6.39, P = 0.003). The percent of subjects with MUI was higher in obese women than in non-obese women with the transobturator approach.ConclusionsBMI was not independently associated with failures in either approach. Higher success rates in women with lower BMI in the transobturator approach were attributed to the lower percent of preoperative MUI in those with lower BMI.

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Outcome of tension-free obturator tape procedures in obese and overweight women

Abstract: BMI did not influence the outcome of TVT-O procedures at a median of 24 months after surgery.

Cited by 36 publications

References 18 publications

TOT Approach in stress urinary incontinence (SUI) – outcome in obese female

TOT Approach in stress urinary incontinence (SUI) – outcome in obese female

Surgical Complications with Synthetic Materials

The Long-Term Influence of Body Mass Index on the Success Rate of Mid-Urethral Sling Surgery among Women with Stress Urinary Incontinence or Stress-Predominant Mixed Incontinence: Comparisons between Retropubic and Transobturator Approaches

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