The association between obesity and stage II or greater prolapse

Washington, Blair B.; Erekson, Elisabeth A.; Kassis, Nadine C.; Myers, Deborah L.

doi:10.1016/j.ajog.2010.01.016

Cited by 38 publications

(26 citation statements)

References 18 publications

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“…Association between POP and bodyweight: Four new studies addressed obesity and prolapse, [24,[26][27][28] and support the findings from the previous review that obesity and prolapsed may be linked.…”

Section: (21) Lifestyle Interventions For Pop Symptomssupporting

confidence: 79%

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Dumoulin

Hunter

Moore

et al. 2014

Neurourology and Urodynamics

115

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AimsThe objective of the 5th International Consultation on Incontinence (ICI) chapter on Adult Conservative Management was to review and summarize the new evidence on conservative management of urinary incontinence (UI) and pelvic organ prolapse (POP) in order to compile a current reference source for clinicians, health researchers, and service planners. In this paper, we present the review highlights and new evidence on female conservative management. MethodsRevision and updates of the 4th ICI Report using systematic review covering years 2008-2012. ResultsEach section begins with a brief definition and description of the intervention followed by a summary, where possible, of both the state and level of evidence for prevention and treatment, and ends with a "grade of recommendation." The paper concludes with areas identified as requiring further research. ConclusionsFor UI, there are no prevention trials on lifestyle interventions. There are, however, few new intervention trials of lifestyle interventions involving weight loss and fluid intake with improved levels of evidence and grade of recommendation. Outside of pre-and post-natal pelvic floor muscle training (PFMT) trials for the prevention of female UI, there is a dearth of PFMT prevention trials for women with UI. PFMT remains the first-line treatment for female UI with high levels of evidence and grades of recommendation. Bladder training levels of evidence and grades of recommendation are maintained. For POP, new evidence supports the effectiveness of physiotherapy in the treatment of POP and there are now improved levels of evidence and grades of recommendation. Neurourol. Urodynam. 35:15-20, 2016.

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Section: (21) Lifestyle Interventions For Pop Symptomssupporting

confidence: 79%

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Dumoulin

Hunter

Moore

et al. 2014

Neurourology and Urodynamics

115

View full text Add to dashboard Cite

show abstract

“…En un artículo reciente publicado por Washington et al 17 intentaron definir mejor la correlación de las variables obesidad y prolapso, tomando en cuenta la severidad del mismo según el grado. No encontraron asociación estadística entre obesidad y prolapsos mayores o iguales al grado 2, pese a la mayor repercusión descrita en cuanto a sintomatología relacionada en las pacientes obesas.…”

Section: Discussionunclassified

Factores de riesgo en el fracaso de la reparación quirúrgica del prolapso de suelo pelviano

et al. 2011

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Recibido el 5 de febrero de 2011; aceptado el 14 de marzo de 2011 Accesible en línea el 6 mayo 2011 PALABRAS CLAVEProlapso órganos pelvianos; Cirugía con mallas; Recidiva; Factores de riesgo ResumenIntroducción: La cirugía del prolapso de órganos pelvianos (POP) presenta resultados variables de recurrencia y complicaciones. El objetivo es analizar nuestros resultados para conocer los factores que se asocian al fracaso anatómico y funcional tras la corrección con malla del POP. Material y métodos: Estudio retrospectivo de 69 pacientes intervenidas de POP en nuestro centro. Se registró la edad, IMC, número de partos, cirugía pélvica previa, menopausia, calidad de vida, incontinencia urinaria, frecuencia-urgencia asociada y presencia de POP de alto grado, compartimentos reparados, mallas usadas, uretrosuspensión e histerectomía vaginal durante la cirugía y las complicaciones. Se evaluó a las pacientes al mes, a los 6 y 12 meses, considerando fracaso de la cirugía si se extruyó la malla, si la paciente no estaba satisfecha o si recidivó. Se describe la muestra, se analizan la relación de las variables analizadas mediante análisis univariante (Chi cuadrado y U Mann-Whitney) y se estudia qué variables pueden tener valor predictivo en el fracaso de la reparación (regresión logística múltiple). Resultados: En 17 casos la cirugía se consideró fracaso al año de seguimiento. El IMC (29,6 ± 2,03 vs 27,1 ± 3,32), número de partos (3,4 ± 0,71 vs 2,8 ± 1,88), la menopausia, la presencia de frecuencia-urgencia y el número de mallas se asociaron al fracaso del tratamiento. Las variables independientes predictivas de fracaso según la regresión logística fueron: IMC, número de partos y la presencia de urgencia-incontinencia. Conclusión: El sobrepeso-obesidad, el número de partos previos y la sintomatología de incontinencia-urgencia preexistente son factores asociados al fracaso anatómico y funcional tras la reparación del POP.

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“…The association between obesity and symptoms of pelvic-floor discomfort varies within the literature, which most likely reflects the use of different methodologies. 5 Some researchers have not found obesity to be an independent risk factor for prolapse progression. 4,5,21 Conversely, others have found that being overweight or obese was strongly associated with a high rate of global prolapse (OR 2.09; CI95% 1.1-3.6); 4 however, these investigators did not perform a physical examination with a speculum or compare their results with a control group of non-obese women.…”

Section: Articlementioning

confidence: 99%

“…5 Some researchers have not found obesity to be an independent risk factor for prolapse progression. 4,5,21 Conversely, others have found that being overweight or obese was strongly associated with a high rate of global prolapse (OR 2.09; CI95% 1.1-3.6); 4 however, these investigators did not perform a physical examination with a speculum or compare their results with a control group of non-obese women. Because increased abdominal pressure (as observed for obese women) is probably a risk factor for genital prolapse, we hypothesize that correction of the anterior compartment in this population could modify the posterior compartment and provoke a de novo prolapse of the posterior compartment.…”

Section: Articlementioning

confidence: 99%

“…3 Although previous studies have reported a correlation between obesity and pelvic-organ prolapse (POP), there is still ongoing debate on this association. 4,5 As the prevalence of obesity and discomfort from POP is increasing in the Western world, it is important for surgeons to know how to manage such patients. In obese women, surgery may be associated with an increased risk of both perioperative and postoperative complications.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

Thubert

Dabi

Joubert

et al. 2017

UIJ

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The aim of this study was to assess the impact of body-mass index on robot-assisted laparoscopic sacrocolpopexy (RALSCP). A retrospective study was conducted on women who underwent a RALSCP. Data were collected prospectively from 17 obese and 78 non-obese patients treated between January 2008 and January 2013. Obesity was defined as a body-mass index (BMI) of ≥30 kg/m 2 . Relationships with outcome analysed using MannWhitney U-test and Fisher's exact test. The operating time was the same in both groups: 220 vs 200 min in the obese and non-obese groups, respectively (P=0.232). The median follow-up was 12 months in both non-obese and obese patients. Overall anatomic repair rate was 94.1% and 97.4% for obese and non-obese patients, respectively (P=0.95). The overall reoperation rate (including surgery for de novo urinary-stress incontinence) was 5.9% for obese vs 11.5% for non-obese patients (P=0.8). These findings suggest that RALSCP is a viable option for obese women. The complication rates and outcomes for obese women were similar to those for non-obese women.

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The association between obesity and stage II or greater prolapse

Cited by 38 publications

References 18 publications

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Conservative management for female urinary incontinence and pelvic organ prolapse review 2013: Summary of the 5th International Consultation on Incontinence

Factores de riesgo en el fracaso de la reparación quirúrgica del prolapso de suelo pelviano

Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

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