在耻骨上放置中尿道吊带时，体重指数是膀胱切除术的危险因素。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-09-01 Epub Date: 2009-06-06 DOI:10.1007/s00192-009-0915-9

Gena C Dunivan, AnnaMarie Connolly, Mary L Jannelli, Ellen C Wells, Elizabeth J Geller

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引用次数: 7

摘要

前言与假设:本研究旨在探讨身体质量指数(BMI)是否是耻骨上入路膀胱切除术治疗压力性尿失禁的危险因素。方法:回顾性分析2005年6月至2007年10月在耻骨上尿道中部放置吊带的病例。收集的数据包括人口统计学、BMI、既往和伴随手术史。主要结果是在放置吊带期间膀胱切除术。结果:在198名女性中，129名BMI < 30 kg/m2, 69名BMI >或= 30 kg/m2。BMI < 30 kg/m2组18例(14.0%)，BMI >或= 30 kg/m2组3例(4.3%)(p = 0.04)。在控制混杂因素后，BMI < 30 kg/m2仍然是膀胱切除术的危险因素(OR 4.63, 95% CI 1.20-17.86)，既往抗失禁手术也是如此(OR 3.55, 95% CI 1.01-12.50)。结论:BMI < 30 kg/m2可能是耻骨上入路放置吊带时膀胱切开术的危险因素。

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Body mass index as a risk factor for cystotomy during suprapubic placement of mid-urethral slings.

Introduction and hypothesis: This study aims to investigate whether body mass index (BMI) is a risk factor for cystotomy during sling placement via suprapubic approach for stress urinary incontinence.

Methods: Retrospective chart review was performed for suprapubic mid-urethral sling placement between June 2005 and October 2007. Data collected included demographics, BMI, and history of prior and concomitant procedures. Primary outcome was cystotomy during sling placement.

Results: Of 198 women identified, 129 had a BMI < 30 kg/m2 and 69 had a BMI > or = 30 kg/m2. There were 18 (14.0%) cystotomies in the BMI < 30 kg/m2 group and three (4.3%) in the BMI > or = 30 kg/m2 group (p = 0.04). BMI < 30 kg/m2 remained a risk factor for cystotomy after controlling for confounders (OR 4.63, 95% CI 1.20-17.86), as did prior anti-incontinence surgery (OR 3.55, 95% CI 1.01-12.50).

Conclusions: BMI < 30 kg/m2 may be a risk factor for cystotomy during sling placement utilizing the suprapubic approach.

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International urogynecology journal and pelvic floor dysfunction

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