Influence of body mass index on short-term subjective improvement and risk of reoperation after mid-urethral sling surgery
- 12.02.2018
- Original Article
Erschienen in:
- Verfasst von
- Vibeke Weltz
- Rikke Guldberg
- Michael D. Larsen
- Bjarne Magnussen
- Gunnar Lose
- Erschienen in
- International Urogynecology Journal | Ausgabe 4/2018
Abstract
Introduction and hypothesis
The objective was to evaluate the impact of body mass index (BMI) on the subjective improvement and risk of reoperation after first-time mid-urethral sling surgery.
Methods
Data were retrieved from the national Danish Urogynaecological Database, including women with first-time surgery with mid-urethral polypropylene slings from 2011 to 2016. The subjective improvement was assessed by the difference in symptoms based on the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) completed pre- and 3 months postoperatively. A reoperation was defined as any new surgical procedure for stress urinary incontinence performed within the study period.
Results
During the study period, 6,414 mid-urethral sling procedures were performed; 80.0% of these women filled out both pre- and post-surgical International Consultation on Incontinence Questionnaire (ICI-Q) forms. 42.4% had a BMI < 25, 34.6% had BMI 25–30, 16.9% had BMI 30–35, and 6.0% BMI >35. The subjective improvement after surgery was high in all BMI categories and there were no differences between the categories. The overall cumulative hazard proportion at 2 years of follow-up was 1.9% (CI 95%: 1.6–2.3) and after 5 years 2.4% (CI 95%: 2.0–2.9). Adjusted for age, smoking, and use of alcohol, the cumulative hazard proportion after 2 years of follow-up was 3.2% (CI 95%: 1.6–6.2) for women with BMI >35 and after 5 years 4.0% (CI 95%: 2.0–7.7), which was the highest proportion of reoperation in the study. The crude hazard ratio was 1.84 (CI 95%: 0.89–3.83) women with BMI >35 and the adjusted hazard ratio was 1.94 (CI 95%: 0.92–4.09).
Conclusions
We found high subjective improvement after the first-time surgery unrelated to BMI. Women with a BMI over 35 had the highest proportion of reoperations, although this was not statistically significant.
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- Titel
- Influence of body mass index on short-term subjective improvement and risk of reoperation after mid-urethral sling surgery
- Verfasst von
-
Vibeke Weltz
Rikke Guldberg
Michael D. Larsen
Bjarne Magnussen
Gunnar Lose
- Publikationsdatum
- 12.02.2018
- Verlag
- Springer London
- Erschienen in
-
International Urogynecology Journal / Ausgabe 4/2018
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023 - DOI
- https://doi.org/10.1007/s00192-018-3570-1
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