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BMC Urology

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Open Access 01-12-2014 | Research article

TOT Approach in stress urinary incontinence (SUI) – outcome in obese female

Authors: Carsten Frohme, Friederike Ludt, Zoltan Varga, Peter J Olbert, Rainer Hofmann, Axel Hegele

Published in: BMC Urology | Issue 1/2014

Abstract

Background

Only limited data are available on the outcome of tension-free obturator tape (TOT) procedures in overweight and obese women. We would like to verify the objective and subjective outcomes of TOT in women with a higher body mass index (BMI).

Methods

We evaluated the records of 116 patients who had undergone TOT, stratifying by BMI into normal weight (n = 31), overweight (n = 56), and obese (n = 29) groups. We compared pre- and postoperative evaluations, including subjective and objective outcome of TOT, complications, and quality of life assessed by validated questionnaires (ICIQ-SF and KHQ).

Results

The median follow-up was 21 months. There were no significant differences between different groups in terms of objective cure rate and subjective success, quality of life scores and postoperative complications.

Conclusions

Our data demonstrate that TOT procedure is safe and effective. BMI did not influence the outcome of TOT procedures at a median of 21 months after surgery and represents no contraindication for continence surgery. The success of the outcome of TOT procedure in females and the occurrence of complications are not negatively affected by obesity.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2490/14/20/prepub

Title: TOT Approach in stress urinary incontinence (SUI) – outcome in obese female
Authors: Carsten Frohme
Friederike Ludt
Zoltan Varga
Peter J Olbert
Rainer Hofmann
Axel Hegele
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: BMC Urology / Issue 1/2014
Electronic ISSN: 1471-2490
DOI: https://doi.org/10.1186/1471-2490-14-20

At a glance: The STEP trials

Springer Medicine

TOT Approach in stress urinary incontinence (SUI) – outcome in obese female

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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