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Outcome of tension-free obturator tape procedures in obese and overweight women

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Abstract

Introduction and hypothesis

Little data are available on the outcome of tension-free obturator tape (TVT-O) procedures in obese and overweight women. We hypothesized that the subjective and objective outcomes of TVT-O in women with a higher body mass index (BMI) would differ from those with a lower BMI.

Methods

We retrospectively reviewed the records of 129 patients who had undergone TVT-O, stratifying by BMI into normal weight (n = 39), overweight (n = 58), and obese (n = 32) groups. We compared pre- and postoperative evaluations, including subjective and objective outcome of TVT-O, complications, and quality of life assessed by validated questionnaires.

Results

The median follow-up was 24 months. There were no significant differences between groups in terms of objective cure rate and subjective success, quality of life scores, or postoperative complications.

Conclusion

BMI did not influence the outcome of TVT-O procedures at a median of 24 months after surgery.

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Abbreviations

SUI:

Stress urinary incontinence

TVT:

Tension-free vaginal tape

TVT-O:

Tension-free vaginal tape obturator

BMI:

Body mass index

DO:

Detrusor overactivity

UDI-6:

Urogenital Distress Inventory

IIQ-7:

Incontinence Impact Questionnaire

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Conflicts of interest

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Authors and Affiliations

  1. Mackay Memorial Hospital, Taipei, Taiwan

    Po-En Liu

  2. Evergreen Clinic, Taipei, Taiwan

    Po-En Liu

  3. Mackay Medicine, Nursing and Management College, Taipei, Taiwan

    Po-En Liu, Ru-Jhu Chang & Tsung-Hsien Su

  4. Department of Otorhinolaryngology, Mackay Memorial Hospital, Taipei, Taiwan

    Chin-Hui Su

  5. Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, 92 Sec. 2 Chung-San North Road, Taipei, 104, Taiwan

    Hui-Hsuan Lau, Wen-Chu Huang & Tsung-Hsien Su

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  1. Po-En Liu
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  2. Chin-Hui Su
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  3. Hui-Hsuan Lau
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  4. Ru-Jhu Chang
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  5. Wen-Chu Huang
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  6. Tsung-Hsien Su
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Correspondence to Tsung-Hsien Su.

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Liu, PE., Su, CH., Lau, HH. et al. Outcome of tension-free obturator tape procedures in obese and overweight women. Int Urogynecol J 22, 259–263 (2011). https://doi.org/10.1007/s00192-010-1311-1

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  • DOI: https://doi.org/10.1007/s00192-010-1311-1

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