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One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women

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Abstract

Introduction

The purpose of this study was to assess the impact of body mass index (BMI) on tension-free vaginal tape (TVT) success rates, patient satisfaction, and complications 1 year following surgery.

Methods

Baseline and 1-year postsurgery outcomes were abstracted, including Urogenital Distress Inventory (UDI-6) scores, Incontinence Impact Questionnaire (IIQ-7) scores, and patient satisfaction ratings. Multivariable logistic and linear regression analyses were performed to examine relationships between outcomes and BMI.

Results

Subjects (N = 195) with a mean age of 59.3 ± 12.6 were included. There was significant improvement within each group (all p values <0.01) in total UDI-6 and IIQ-7 scores from baseline to 1 year postsurgery; all groups had high patient satisfaction. No differences in improvement or complications rates were observed among the BMI cohorts (all p values >0.05).

Conclusion

Differential counseling of overweight or obese women regarding outcomes of the TVT procedure is not supported by these results; longer follow-up is warranted.

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Conflicts of interest

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Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 618 South 18th Street, NHB Room 219, Birmingham, AL, USA

    Lindsay B. Killingsworth & Holly E. Richter

  2. Department of Obstetrics and Gynecology, Greenville Hospital Systems University Medical Center, Greenville, SC, USA

    Thomas L. Wheeler II

  3. Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education and Clinical Center, Birmingham, AL, USA

    Kathryn L. Burgio & David T. Redden

  4. Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA

    Kathryn L. Burgio

  5. Department of Obstetrics and Gynecology, University of Virginia, Charlottesville, VA, USA

    Tovia E. Martirosian

  6. School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA

    David T. Redden

Authors
  1. Lindsay B. Killingsworth
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  2. Thomas L. Wheeler II
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  3. Kathryn L. Burgio
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  4. Tovia E. Martirosian
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  5. David T. Redden
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  6. Holly E. Richter
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Corresponding author

Correspondence to Holly E. Richter.

Additional information

Partially supported by the National Institute of Diabetes and Digestive and Kidney Diseases DK068389 to HER.

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Killingsworth, L.B., Wheeler, T.L., Burgio, K.L. et al. One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women. Int Urogynecol J 20, 1103–1108 (2009). https://doi.org/10.1007/s00192-009-0909-7

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  • DOI: https://doi.org/10.1007/s00192-009-0909-7

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