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Erschienen in: International Urogynecology Journal 9/2009

01.09.2009 | Original Article

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

verfasst von: Gena C. Dunivan, AnnaMarie Connolly, Mary L. Jannelli, Ellen C. Wells, Elizabeth J. Geller

Erschienen in: International Urogynecology Journal | Ausgabe 9/2009

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Abstract

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 ≥ 30 kg/m2. There were 18 (14.0%) cystotomies in the BMI < 30 kg/m2 group and three (4.3%) in the BMI ≥ 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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Metadaten
Titel
Body mass index as a risk factor for cystotomy during suprapubic placement of mid-urethral slings
verfasst von
Gena C. Dunivan
AnnaMarie Connolly
Mary L. Jannelli
Ellen C. Wells
Elizabeth J. Geller
Publikationsdatum
01.09.2009
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 9/2009
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-0915-9

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