Tension-free vaginal tape procedure is an ideal treatment for obese patients

Lovatsis, Danny; Gupta, C. K.; Dean, Erin; Lee, Francis

doi:10.1016/j.ajog.2003.09.041

Cited by 69 publications

(37 citation statements)

References 11 publications

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“…[20][21][22][23] Lovatsis et al have recently showed that the short-term cure rates of TVT were not significantly different in obese versus non-obese patients. 24 Our data confirms these results with longterm follow up.…”

Section: Discussionsupporting

confidence: 82%

Long‐term results of tension‐free vaginal tape for female urinary incontinence: Follow up over 6 years

et al. 2007

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Objective: To describe the long-term outcome of using tension-free vaginal tape (TVT) with and without associated procedures. Methods: A questionnaire was mailed to a population of 61 women who had undergone TVT surgery more than 6 years ago. Of this population, 41 (80%) had suffered from stress urinary incontinence (SUI). The questionnaire included questions about urinary symptoms, satisfaction and quality of life. The questionnaire was answered by 51 of the 61 women. Results: Mean follow up was 83 months. The women with SUI had a persistent cure rate of 80% with a satisfaction rate of 97%. The cure rate after 6 years was 37% in women with mixed incontinence. Concomitant hysterectomy (relative risks = 0.87) and body mass index (BMI) do not alter the long-term results of TVT procedure. Peroperative bladder injury is not associated with an increased risk of long-term lower urinary tract symptoms (LUTS) or with a decreased satisfaction rate (relative risks = 0.85). Conclusions: Concomitant hysterectomy, increased BMI and bladder injury do not alter good long-term results of TVT.

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Section: Discussionsupporting

confidence: 82%

Long‐term results of tension‐free vaginal tape for female urinary incontinence: Follow up over 6 years

et al. 2007

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“…Their findings indicated that TVT is a safer, more effective, easier, and less invasive surgery for USI regardless of the patient's BMI and that it favorably compares with the laparoscopic Burch procedure, which requires advanced surgical skills [18]. Lovatsis et al's data [13] did not demonstrate any difference in cure rate of the TVT procedure between obese and non-obese patients. Given the finding of fewer complications, the authors suggested that this procedure might be an ideal surgical treatment modality for USI in obese women [13].…”

Section: Discussionmentioning

confidence: 91%

“…Lovatsis et al's data [13] did not demonstrate any difference in cure rate of the TVT procedure between obese and non-obese patients. Given the finding of fewer complications, the authors suggested that this procedure might be an ideal surgical treatment modality for USI in obese women [13]. Mukherjee and Constantine [19] compared the data of 242 women who underwent the TVT procedure with a follow-up of 6 months.…”

Section: Discussionmentioning

confidence: 92%

“…O'Sullivan et al [3] demonstrated poor outcomes in obese women who underwent needle suspension. According to a recent publication by Lovatsis et al [13], the traditional surgeries have variable success rates in these women, are more technically difficult, and may carry increased morbidity. Zivkovic et al [5] reported that the continence rates at 5-year follow-up for anterior colporrhaphy, anterior colporrhaphy with needle suspension of the bladder neck, and Burch colposuspension were 58%, 51%, and 86 % respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies reported high cure rates of 78.9% to 84.7% after long-term follow-up [15,16] and described relatively low intraoperative and postoperative complication rates [17]. However, there are few published short-term studies on the outcomes of the TVT procedure in overweight and obese women [13,[18][19][20]. Chung et al retrospectively compared the efficacy and safety of 91 cases of TVT procedures and 51 laparoscopic Burch procedures.…”

Section: Discussionmentioning

confidence: 99%

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Does patient weight influence the outcome of the tension-free vaginal tape procedure?

et al. 2006

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Urinary stress incontinence (USI) is more common in obese women. The influence of obesity on surgical treatment for USI is controversial. We sought to determine whether obesity affects the outcome of the tension-free vaginal tape (TVT) procedure. The retrospective data of 81 women that underwent the TVT procedure between 04/1998 and 12/2000 were studied. The study cohort women (aged 37-87 years) were subdivided into three groups according to body mass index (BMI): normal (BMI = <25)-group 1, overweight (BMI = 25-29)-group 2, and obese (BMI = >30)-group 3. All women underwent preoperative examinations, including detailed medical history and physical examination with stress tests and urodynamic studies. Follow-up included post-procedure check-up meetings at 1, 3, 6, and 12 months and once yearly thereafter (minimal follow-up = 52 months). Intra-and postoperative complications and success rates were compared among the three groups. Twenty-six (32.1%) women had normal BMI, 21 (25.9%) were overweight, and 34 (42%) were obese. Six intraoperative complications were recorded, including 5 bladder injuries and 1 urethral injury, none of which required surgical re-intervention. Eight reported postoperative complications included 1 bladder erosion, 3 urethral obstructions, 4 vaginal erosions (1 patient suffered from concomitant urethral obstruction and vaginal erosion). Five patients diagnosed with postoperative surgical complications underwent corrective surgery. There were no significant intergroup differences among the complication rates. The success rates were 84.6%, 81%, and 79.4% in groups 1, 2, and 3 respectively. Increased BMI may have a slight negative impact on TVT results, but the long-term success rate of 79.4% in obese women and the lack of any direct correlation between BMI and complications sanction their undergoing TVT.

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Midurethral Slings

Bales¹,

Fedunok²

2007

Female Urology

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Tension-free vaginal tape procedure is an ideal treatment for obese patients

Cited by 69 publications

References 11 publications

Long‐term results of tension‐free vaginal tape for female urinary incontinence: Follow up over 6 years

Long‐term results of tension‐free vaginal tape for female urinary incontinence: Follow up over 6 years

Does patient weight influence the outcome of the tension-free vaginal tape procedure?

Midurethral Slings

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