Body Mass Index and Outcome of Tension-Free Vaginal Tape

Rafii, Arash; Daraı̈, Émile; Haab, F.; Samain, Emmanuel; Levardon, M; Deval, Bruno

doi:10.1016/s0302-2838(03)00009-5

Cited by 103 publications

(62 citation statements)

References 19 publications

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“…In our study as with that of Rafii et al [20] the incidence of de novo urgency was relatively high (above 23%) among the overweight and obese women.…”

Section: Discussionsupporting

confidence: 88%

“…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%

“…There was no significant difference in the numbers of complications among the obese and the other groups, and the authors concluded that the TVT procedure is at least as effective in obese as in non-obese women; hence, this might be offered confidently to obese women with USI [19]. Rafii et al [20] compared the TVT procedure in 38 patients with BMI >30 and 149 patients with BMI <30. Obesity was not found to be a risk factor for failure of the procedure, yet the mixed incontinence and procedure failure rates were significantly higher in the obese group.…”

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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“…In our study as with that of Rafii et al [20] the incidence of de novo urgency was relatively high (above 23%) among the overweight and obese women.…”

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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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“…Obesity is one of the important risk factors for the development of urinary incontinence with old age, in addition to vaginal delivery, history of gynecological surgery, body mass index, menopausal status, smoking, and coffee and alcohol consumption [1,2]. Some authors have described an increase of intra-ab-dominal pressure in obese patients [3], and this phenomenon may stress the pelvic floor, possibly causing nerve and muscular injury that might lead to a higher prevalence of SUI [4]. Also, increased body mass index (BMI) is known to be associated with urge and mixed urinary incontinence [5].…”

Section: Introductionmentioning

confidence: 99%

“…In the tension-free vaginal tape (TVT) era, on the other hand, obesity may not influence the outcomes because the procedure is less invasive [4,[7][8][9]. However, obesity may be associated with a high incidence of postoperative urge incontinence after the TVT procedure [4].…”

Section: Introductionmentioning

confidence: 99%

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Tchey

Kim

et al. 2010

Int Neurourol J

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Purpose: The purpose of our study was to evaluate the influence of obesity on clinical characteristics, quality of life (QoL), and outcomes in patients with stress urinary incontinence (SUI) who underwent the transobturator tape (TOT) surgery. Materials and Methods: The medical records of SUI patients who underwent the TOT operation from January 2007 to February 2009 were retrospectively reviewed. Patients with any neurologic diseases that affect the voiding pattern were excluded, and 107 patients were enrolled. The patients were divided into nonobese (BMI<25) and obese (BMI≥25) groups. The preoperative evaluation consisted of history taking, physical examination, cystometrography, 3-day frequency-volume chart, King's Health Questionnaire (KHQ), and symptom perception scale questionnaires. Results:The nonobese group consisted of 55 (51.4%) patients and the obese group of 52 (48.6%). The median age was 49.0 (range, 30.8-73.5) years in the nonobese group and 52.7 (range, 35.5-73.5) years in the obese group (p>0.05). The obese group showed a higher SUI symptom grade, urethral hypermobility, urgency, and urge incontinence scale than did the nonobese group (each p<0.05). Neither the domains of the KHQ nor the items on the 3-day frequency-volume chart differed between the two groups (each p>0.05). After the operation, the symptom scales and parameters in the 3-day frequency-volume chart of the obese group were similar to those of the nonobese group (each p>0.05). The objective success, recurrence, and complication rates at 1year were similar in the two groups (each p>0.05). Conclusions: Obese SUI patients had worse SUI symptom grade, urgency, and urge incontinence symptoms than did nonobese patients. However, surgical correction by the TOT operation could restore the symptoms and voiding parameters as effectively in obese patients as in nonobese patients.

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Midurethral Slings

Bales¹,

Fedunok²

2007

Female Urology

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Body Mass Index and Outcome of Tension-Free Vaginal Tape

Cited by 103 publications

References 19 publications

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

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

Influence of Obesity on Short-term Surgical Outcome of the Transobturator Tape Procedure in Patients with Stress Urinary Incontinence

Midurethral Slings

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