Single incision mid-urethral slings: impact of obesity on outcomes

Meschìa, Michele; Rossi, Gabriela; Bertini, Silvia; Sommacal, Arianna; Foina, Sara; Sandretti, Francesca; Barbacini, Pietro

doi:10.1016/j.ejogrb.2013.08.007

Cited by 22 publications

(13 citation statements)

References 21 publications

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“…A 1-year follow-up study on 206 patients after insertion of single-incision sling reported its outcomes by BMI groups. A subjective improvement was noted among all the BMI groups, but a lesser objective efficacy was noted with an increasing BMI [18,33].…”

Section: Obesity and Urinary Stress Incontinencementioning

confidence: 83%

Obesity and pelvic floor dysfunction

Ramalingam

Monga

2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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Section: Obesity and Urinary Stress Incontinencementioning

confidence: 83%

Obesity and pelvic floor dysfunction

Ramalingam

Monga

2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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“…Intra-abdominal pressure increases with the increase in the body weight, and this may affect the strength of pelvic floor by inducing nerve and muscle injuries ( 26 ). In a study by Meschia et al, 206 patients were divided into three groups as normal weight (BMI <25kg/m 2 ), overweight (BMI 25-29.9kg/m2), and obese (BMI≥30kg/m 2 ); the success rate was found to be higher in the normal weight group compared to obese patients (91.3% versus 75%, p=0.049) ( 8 ). They emphasized that the evaluation of the ICIQ-SF and Patient Global Impression of Improvement scores were stated to have significantly lower improvement in obese patients when compared to normal or overweight patients.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, sling surgical procedures (suburethral sling, vaginal wall slings, transvaginal tape, transobturator midurethral sling (TOS), single-incision sling) used in the surgical treatment of SUI are the first choice in most patients ( 8 ). The single-incision sling is a less invasive procedure and it has been developed to be an alternative to the TOS procedure.…”

Section: Introductionmentioning

confidence: 99%

Transobturator Midurethral Slings versus Single-Incision Slings for Stress Incontinence in Overweight Patients

et al. 2015

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Purpose:To compare transobturator midurethral sling (TOS) and single-incision sling procedures in terms of their effects on urinary incontinence and the quality of life in overweight (BMI ≥25-29.9 kg/m2) female patients using the International Consultation on Incontinence Questionnaire scoring form (ICIQ-SF) and Quality of Life of Persons with Urinary Incontinence scoring form (I-QOL).Materials and Methods:In this prospective trial, the patients were divided into two groups consecutively; first 20 overweight female patients underwent the TOS (Unitape T®,Promedon, Cordoba, Argentina) procedure and the subsequent 20 consecutive overweight female patients underwent the single-incision sling [TVT-secur (Ethicon Inc., Sommerville, USA)] procedure. Age, urinary incontinence period, parity and daily pads usage were recorded. No usage of pads was defined as subjective cure rate postoperatively. Before the operation and 6. month after the surgery, the patients completed the ICIQ-SF and I-QOL.Results:There was no significant difference between the two groups in terms of mean age, duration of incontinence, parity, and BMI (p>0.05). ICIQ-SF and I-QOL revealed that the patients in the TOS group showed significantly better improvement (76.20% versus 64.10%, p=0.001, 81.31% versus 69.28%, p=0.001, respectively). In addition, subjective cure rates were found higher in TOS group (75% versus 55%, p=0.190).Conclusions:The existing data is showed that incontinence symptoms and the quality of life have higher improvement in overweight female patients who underwent the TOS procedure. It is likely that the TOS procedure may provide stronger urethral support and better contributes to continence in this group of patients.

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“…According to our results, BMI does not represent a risk factor for recurrence. The few available evidence for SUI recurrence after SIS focus on the impact of obesity, with contrasting results . Moore et al work demonstrated with the same type of SIS that outcomes are independent of BMI.…”

Section: Discussionmentioning

confidence: 99%

“…The few available evidence for SUI recurrence after SIS focus on the impact of obesity, with contrasting results. [21][22][23][24] Moore et al 21 work demonstrated with the same type of SIS that outcomes are independent of BMI. This result is also consistent with evidence from a systematic review for standard midurethral slings.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for stress urinary incontinence recurrence after single‐incision sling

Palmieri

Frigerio

Spelzini

et al. 2018

Neurourology and Urodynamics

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Our study identifies SUI severity expressed with ICIQ-SF scores and low detrusor pressure at maximum flow as independent risk factors for SUI recurrence after SIS implantation while only a trend was found for reduced urethral mobility. Therefore, preoperative assessment of symptoms and urodynamics evaluation may play a key role in improving preoperative counseling and tailoring surgical treatment.

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Single incision mid-urethral slings: impact of obesity on outcomes

Cited by 22 publications

References 21 publications

Obesity and pelvic floor dysfunction

Obesity and pelvic floor dysfunction

Transobturator Midurethral Slings versus Single-Incision Slings for Stress Incontinence in Overweight Patients

Risk factors for stress urinary incontinence recurrence after single‐incision sling

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