TOT Approach in stress urinary incontinence (SUI) – outcome in obese female

BMC Urology

Research Article

Peter J Olbert¹  Axel Hegele¹  Friederike Ludt¹  Rainer Hofmann¹  Carsten Frohme¹  Zoltan Varga² 

[1] Department of Urology and Pediatric Urology, University hospital Marburg, Philipps University, Marburg, Germany;Department of Urology, District hospital Sigmaringen, Sigmaringen, Germany;

关键词: Body mass index;    Obesity;    Obese female;    Stress urinary incontinence;    Transobturator tape (TOT);   

DOI  :  10.1186/1471-2490-14-20

 received in 2013-08-26, accepted in 2014-02-15,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundOnly limited data are available on the outcome of tension-free obturator tape (TOT) procedures in overweight and obese women. We would like to verify the objective and subjective outcomes of TOT in women with a higher body mass index (BMI).MethodsWe evaluated the records of 116 patients who had undergone TOT, stratifying by BMI into normal weight (n = 31), overweight (n = 56), and obese (n = 29) groups. We compared pre- and postoperative evaluations, including subjective and objective outcome of TOT, complications, and quality of life assessed by validated questionnaires (ICIQ-SF and KHQ).ResultsThe median follow-up was 21 months. There were no significant differences between different groups in terms of objective cure rate and subjective success, quality of life scores and postoperative complications.ConclusionsOur data demonstrate that TOT procedure is safe and effective. BMI did not influence the outcome of TOT procedures at a median of 21 months after surgery and represents no contraindication for continence surgery. The success of the outcome of TOT procedure in females and the occurrence of complications are not negatively affected by obesity.

【 授权许可】

CC BY   
© Frohme et al.; licensee BioMed Central Ltd. 2014