Outcome of Mid-urethral Sling Procedures in Korean Women with Stress Urinary Incontinence according to Body-mass Index.
- Author:
Ja Hyeon KU
1
;
Jin Gyu OH
;
Jae Wook SHIN
;
Ji Hyun YANG
;
Soo Woong KIM
;
Jae Seung PAICK
Author Information
1. Department of Urology, Seoul National University College of Medicine, Seoul, Korea. jspaick@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Urinary incontinence;
Bladder;
Obesity;
Polypropylene;
Urethra
- MeSH:
Aged, 80 and over;
Female;
Follow-Up Studies;
Humans;
Incidence;
Obesity;
Overweight;
Polypropylenes;
Suburethral Slings*;
Urethra;
Urinary Bladder;
Urinary Incontinence*;
Urinary Retention
- From:Journal of the Korean Continence Society
2005;9(1):28-33
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study is to determine whether the outcome of the mid-urethral sling procedures may be influenced by the body-mass index in Korean women with stress urinary incontinence(SUI). MATERIALS AND METHODS: A total of 285 women 28 to 80 years old with a minimum follow-up of 6 months were included in the study. Patients were stratified as follows: normal weight, 18.5~23 kg/m2; overweight, 23~27.5 kg/m2; obesity, 27.5 kg/m2 or higher. RESULTS: There was no significant complication. Bladder perforations were noted in 11 cases(4.9%, 3.8% and 2.2% in the normal weight, overweight and obesity group, p=0.449). There was no significant difference between the three groups for cure rate(p=0.173). The rates of postoperative urinary retention were 9.9%, 10.1% and 15.6% in the normal weight, overweight and obesity group(p=0.396). No significant difference was found between the three groups in the persistence of urgency(p=0.312). Seventy-nine patients(27.7%) had symptoms suggestive of voiding disorder, postoperatively. The incidence of these symptoms was not significant difference in the three groups(p=0.106). CONCLUSION: Our results demonstrate the feasibility and safety of the mid-urethral sling procedures for obese Korean women with SUI. Additional studies, including prospective randomized trials with longer follow-up, are needed to verify these findings.
