One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women.

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-09-01 Epub Date: 2009-05-16 DOI:10.1007/s00192-009-0909-7

Lindsay B Killingsworth, Thomas L Wheeler, Kathryn L Burgio, Tovia E Martirosian, David T Redden, Holly E Richter

{"title":"One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women.","authors":"Lindsay B Killingsworth, Thomas L Wheeler, Kathryn L Burgio, Tovia E Martirosian, David T Redden, Holly E Richter","doi":"10.1007/s00192-009-0909-7","DOIUrl":null,"url":null,"abstract":"Introduction: The purpose of this study was to assess the impact of body mass index (BMI) on tension-free vaginal tape (TVT) success rates, patient satisfaction, and complications 1 year following surgery.Methods: Baseline and 1-year postsurgery outcomes were abstracted, including Urogenital Distress Inventory (UDI-6) scores, Incontinence Impact Questionnaire (IIQ-7) scores, and patient satisfaction ratings. Multivariable logistic and linear regression analyses were performed to examine relationships between outcomes and BMI.Results: Subjects (N = 195) with a mean age of 59.3 +/- 12.6 were included. There was significant improvement within each group (all p values <0.01) in total UDI-6 and IIQ-7 scores from baseline to 1 year postsurgery; all groups had high patient satisfaction. No differences in improvement or complications rates were observed among the BMI cohorts (all p values >0.05).Conclusion: Differential counseling of overweight or obese women regarding outcomes of the TVT procedure is not supported by these results; longer follow-up is warranted.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 9","pages":"1103-8"},"PeriodicalIF":0.0000,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0909-7","citationCount":"56","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International urogynecology journal and pelvic floor dysfunction","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s00192-009-0909-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2009/5/16 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 56

Abstract

Introduction: The purpose of this study was to assess the impact of body mass index (BMI) on tension-free vaginal tape (TVT) success rates, patient satisfaction, and complications 1 year following surgery.

Methods: Baseline and 1-year postsurgery outcomes were abstracted, including Urogenital Distress Inventory (UDI-6) scores, Incontinence Impact Questionnaire (IIQ-7) scores, and patient satisfaction ratings. Multivariable logistic and linear regression analyses were performed to examine relationships between outcomes and BMI.

Results: Subjects (N = 195) with a mean age of 59.3 +/- 12.6 were included. There was significant improvement within each group (all p values <0.01) in total UDI-6 and IIQ-7 scores from baseline to 1 year postsurgery; all groups had high patient satisfaction. No differences in improvement or complications rates were observed among the BMI cohorts (all p values >0.05).

Conclusion: Differential counseling of overweight or obese women regarding outcomes of the TVT procedure is not supported by these results; longer follow-up is warranted.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

无张力阴道带(TVT)中尿道吊带在超重和肥胖妇女中的一年结果。

简介:本研究的目的是评估体重指数(BMI)对无张力阴道胶带(TVT)成功率、患者满意度和术后1年并发症的影响。方法:提取基线和术后1年的结果，包括泌尿生殖窘迫量表(UDI-6)评分、尿失禁影响问卷(IIQ-7)评分和患者满意度评分。采用多变量逻辑分析和线性回归分析来检验结果与BMI之间的关系。结果:纳入研究对象195例，平均年龄59.3±12.6岁。各组间均有显著改善(p值均为0.05)。结论:这些结果不支持超重或肥胖妇女对TVT手术结果的区别咨询;需要更长的随访时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

International urogynecology journal and pelvic floor dysfunction

自引率

0.00%

发文量

期刊最新文献

Overactive bladder: a new paradigm. Case of longitudinal vaginal septum with pelvic organ prolapse. Fistulization between ectopic ureteral stump and uterus following nephroureterectomy: case report. Accidental introduction of a contraceptive vaginal ring into the urinary bladder. Vesical endometriosis following the menopause.