Postoperative urinary symptoms after transobturator tape in normal-weight compared with overweight and obese woman
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Objective To examine the clinical outcome of obesity in women who underwent the transobturator tape procedure for stressurinary incontinence and to compare postoperative urinary symptoms after transobturator tape surgery betweennormal-weight women and overweight and obese women. Methods We performed a retrospective cohort study of the risk of postoperative urinary symptoms, including recurrenceafter transobturator tape surgery, in normal-weight women compared with overweight and obese women at ourinstitution from January 2009 through October 2011. We compared the body mass index (BMI) among the fourgroups. The primary outcome was the occurrence of postoperative urinary symptoms. Results Three hundred ten patients who underwent transobturator tape surgery were reviewed. At the 1-year follow-up, 281women were analyzed: 89 (34%) normal-weight women, 78 (25%) overweight women, 101 (37%) obese 1 women,and 13 (3%) obese 2 women. There was a significant difference in the occurrence of postoperative urinary symptoms. They occurred in 3.4% (n=3) of normal-weight women, 5.1% (n=4) of overweight women, and 12.9% (n=13) of obese1 women (P=0.038). The most common postoperative urinary symptom was frequent urination (n=14). There wasa significant difference in leakage; it occurred in 1.1% (n=1) of normal-weight women, 3.9% (n=3) of overweightwomen, and 7.9% (n=8) of obese 1 women (P=0.139). Postoperative urinary symptoms were almost four times morelikely to occur in obese 1 women than in normal-weight women. Conclusion Transobturator tape surgery seems effective regardless of BMI, but obese women had a higher occurrence ofpostoperative urinary symptoms than did normal-weight women.
Abstract
Objective To examine the clinical outcome of obesity in women who underwent the transobturator tape procedure for stressurinary incontinence and to compare postoperative urinary symptoms after transobturator tape surgery betweennormal-weight women and overweight and obese women. Methods We performed a retrospective cohort study of the risk of postoperative urinary symptoms, including recurrenceafter transobturator tape surgery, in normal-weight women compared with overweight and obese women at ourinstitution from January 2009 through October 2011. We compared the body mass index (BMI) among the fourgroups. The primary outcome was the occurrence of postoperative urinary symptoms. Results Three hundred ten patients who underwent transobturator tape surgery were reviewed. At the 1-year follow-up, 281women were analyzed: 89 (34%) normal-weight women, 78 (25%) overweight women, 101 (37%) obese 1 women,and 13 (3%) obese 2 women. There was a significant difference in the occurrence of postoperative urinary symptoms. They occurred in 3.4% (n=3) of normal-weight women, 5.1% (n=4) of overweight women, and 12.9% (n=13) of obese1 women (P=0.038). The most common postoperative urinary symptom was frequent urination (n=14). There wasa significant difference in leakage; it occurred in 1.1% (n=1) of normal-weight women, 3.9% (n=3) of overweightwomen, and 7.9% (n=8) of obese 1 women (P=0.139). Postoperative urinary symptoms were almost four times morelikely to occur in obese 1 women than in normal-weight women. Conclusion Transobturator tape surgery seems effective regardless of BMI, but obese women had a higher occurrence ofpostoperative urinary symptoms than did normal-weight women.
참고문헌 (14)
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