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International Urogynecology Journal

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01-04-2018 | Original Article

Influence of body mass index on short-term subjective improvement and risk of reoperation after mid-urethral sling surgery

Authors: Vibeke Weltz, Rikke Guldberg, Michael D. Larsen, Bjarne Magnussen, Gunnar Lose

Published in: International Urogynecology Journal | Issue 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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Title: Influence of body mass index on short-term subjective improvement and risk of reoperation after mid-urethral sling surgery
Authors: Vibeke Weltz
Rikke Guldberg
Michael D. Larsen
Bjarne Magnussen
Gunnar Lose
Publication date: 01-04-2018
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 4/2018
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-018-3570-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Influence of body mass index on short-term subjective improvement and risk of reoperation after mid-urethral sling surgery

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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