The association between personal history and the outcomes of transobturator sling surgery

Abstract

SUMMARY OBJECTIVE: This study aims to verify the association between risk factors for the onset of SUI and transobturator suburethral sling surgical treatment outcomes. PATIENTS AND METHODS: A retrospective study was conducted with 57 patients operated by the Pelvic Floor Surgery Service. Demographic data were compiled from the sample, the body mass index (BMI) was calculated, and the patients were divided according to the response to the surgical treatment. RESULTS: A total of 77.2% of the sample was cured or improved after surgical treatment. Out of the total sample, 75.4% of the women were postmenopausal, and 73.7% denied current or past smoking. The median age was 61 years, the median number of births was 4.0, the median BMI was 28.6 kg/m2, and 50.9% of the sample was classified as pre-obese. BMI, menopausal status, age, smoking, and sexual activity were not factors associated with the surgical outcome. However, parity equal to or greater than 5 was associated with worse postoperative results (p = 0.004). CONCLUSIONS: among risk factors associated with the emergence of SUI, only parity greater than 4 showed a negative impact on transobturator sling surgery outcomes.

Quality of life following transobturator sling surgery for female stress urinary incontinence

“…The most common type of UI is stress urinary incontinence (SUI), which accounts for as many as 50% of all incontinence cases among women, and is typically induced by a sudden increase in intra-abdominal pressure, such as when sneezing or laughing [1]. The aetiology of this form of incontinence in women has been attributed to factors such as age, menopause or obesity [2], although other possible causes are neurological diseases, metabolic diseases, diuretics, pelvic surgery, and situations of a chronic increase in intraabdominal pressure such as in obesity [3].…”

“…While reported outcomes of both approaches have been similar, transobturator slings have been associated with fewer complications, and shorter surgical time and hospital stay [4]. The effects of predisposing factors for SUI on the success of sling treatment, however, have been little explored [3].…”