The Effect of Obesity on the Outcome of Successful Surgery for Genuine Stress Incontinence

Brieger, Geoffrey; Korda, Andrew

doi:10.1111/j.1479-828x.1992.tb01905.x

Cited by 42 publications

(29 citation statements)

References 7 publications

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“…Other authors have noted an increased failure rate of stress incontinence surgery in women who were overweight 27 . In our study, although there was no difference in the success rate between normal or overweight women and obese (with a body mass index over 30), there were wide confidence intervals.…”

Section: Discussionmentioning

confidence: 99%

Long term follow up of the cruciate fascial sling for women with genuine stress incontinence

Hawkins

2002

BJOG: An International Journal of Obstetrics and Gynaecology

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Objective To determine the long term success of the cruciate fascial sling procedure for the treatment of genuine stress incontinence in women. Design In 1998, a pre-validated questionnaire was sent to all women who had a cruciate fascial sling between 1979 and 1996 under the care of the senior author at a District General Hospital and in private practice. Participants Questionnaires were sent to 246 women; 198 (80%) were returned.Results Overall, 142 women felt that they were much improved or cured. The success rate was 74% (95% CI 70% -81%) in women having the sling as a primary procedure and 67% (95% CI 54% -81%) in women having the sling as a secondary procedure. There was no relationship between symptom severity score and age at time surgery, duration of follow up, current weight or body mass index, previous surgery for stress incontinence or concomitant surgery. Of the 103 women with six or more years of follow up, 29 felt that their operation had failed, 16 of whom thought that it lasted between five and 10 years. Urgency was experienced by 29% of women, three needed to perform intermittent self-catheterisation, and 9% found it difficult to empty their bladder. Thirty-seven women (19%) experienced problems that they attributed to the abdominal wound. Conclusion Although inevitably there are some failures over time, the cruciate fascial sling has good long term success rates. Direct comparison with the literature is impossible, as few studies have relied on properly validated questionnaires.

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Section: Discussionmentioning

confidence: 99%

Long term follow up of the cruciate fascial sling for women with genuine stress incontinence

Hawkins

2002

BJOG: An International Journal of Obstetrics and Gynaecology

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“…They concluded that morbidly obese women with USI can undergo operations for this disorder with a good chance for success, and that the sling operation may be the procedure of choice for this population. Brieger and Korda [2] reported an increased failure rate among obese women who underwent bladder neck needle suspension and retropubic procedures. O'Sullivan et al [3] demonstrated poor outcomes in obese women who underwent needle suspension.…”

Section: Discussionmentioning

confidence: 99%

“…The influence of obesity on the outcome of surgical treatment is unclear. While some authors report high failure and postoperative complication rates [2,3], others do not consider obesity to be a risk factor with regard to failure or surgical complications [4,5].…”

Section: Introductionmentioning

confidence: 99%

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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“…Le tableau proposé par Cummings et Rodning [13] rapporte les taux de succès parmi les travaux publiés [13][14][15][16][17] dans les années 1980-1990, avec le plus souvent des cohortes de faibles effectifs (Tableau 4).…”

Section: Iu Et Obésitéunclassified

Chirurgie de l’incontinence urinaire à l’effort chez la femme obèse

Fatton¹

2010

Pelv Perineol

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Résumé L'obésité constitue un facteur de risque clairement démontré de l'incontinence urinaire de la femme. En cas de surpoids, un programme de réduction pondérale améliore l'incontinence urinaire avec une diminution du nombre d'épisodes de fuites et peut donc être proposé en traitement de première intention. Les résultats du TVT (tension-free vaginal tape) chez les patientes obèses sont comparables à ceux obtenus chez les patientes de poids normal, et cette intervention constitue la procédure de choix pour le traitement chirurgical de l'incontinence urinaire d'effort en cas d'obésité. L'obésité ne constitue pas non plus un facteur de risque pour les complications per-et postopératoires. Mots clés Incontinence urinaire à l'effort · Obésité · TVTAbstract Obesity is an established risk factor for SUI. Among overweight women, a weight loss program improves urinary incontinence with a rediction in the frequency of self-reported urinary incontinence episodes and may be suggested as a first line therapy. Success rate after TVT are similar among obese patients and normal weight patients and TVT is the prime procedure to treat SUI in obese patients. Obesity does not appear as a risk factor for intra-and postoperative complications.

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The Effect of Obesity on the Outcome of Successful Surgery for Genuine Stress Incontinence

Cited by 42 publications

References 7 publications

Long term follow up of the cruciate fascial sling for women with genuine stress incontinence

Long term follow up of the cruciate fascial sling for women with genuine stress incontinence

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

Chirurgie de l’incontinence urinaire à l’effort chez la femme obèse

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