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Published in: International Urogynecology Journal 9/2009

01-09-2009 | Original Article

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

Authors: Lindsay B. Killingsworth, Thomas L. Wheeler II, Kathryn L. Burgio, Tovia E. Martirosian, David T. Redden, Holly E. Richter

Published in: International Urogynecology Journal | Issue 9/2009

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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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Metadata
Title
One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women
Authors
Lindsay B. Killingsworth
Thomas L. Wheeler II
Kathryn L. Burgio
Tovia E. Martirosian
David T. Redden
Holly E. Richter
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 9/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-0909-7

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