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Postoperative urinary symptoms after transobturator tape in normal-weight compared with overweight and obese woman

 Hyun Jin Lee  ;  Young Bin Won  ;  Yun Jin Park  ;  Mi Kyung Kong  ;  Sang Wook Bai 
 Obstetrics & Gynecology Science, Vol.61(3) : 374-378, 2018 
Journal Title
 Obstetrics & Gynecology Science 
Issue Date
Body mass index ; Obesity ; Transobturator tape ; stress Urinary incontinence
Objectives: To examine the clinical outcome of obesity in women who underwent the transobturator tape procedure for stress urinary incontinence and to compare postoperative urinary symptoms after transobturator tape surgery between normal-weight women and overweight and obese women. Methods: We performed a retrospective cohort study of the risk of postoperative urinary symptoms, including recurrence after transobturator tape surgery, in normal-weight women compared with overweight and obese women at our institution from January 2009 through October 2011. We compared the body mass index (BMI) among the four groups. The primary outcome was the occurrence of postoperative urinary symptoms. Results: Three hundred ten patients who underwent transobturator tape surgery were reviewed. At the 1-year follow-up, 281 women were analyzed: 89 (34%) normal-weight women, 78 (25%) overweight women, 101 (37%) obese 1 women, and 13 (3%) obese 2 women. There was a significant difference in the occurrence of postoperative urinary symptoms. They occurred in 3.4% (n=3) of normal-weight women, 5.1% (n=4) of overweight women, and 12.9% (n=13) of obese 1 women (P=0.038). The most common postoperative urinary symptom was frequent urination (n=14). There was a significant difference in leakage; it occurred in 1.1% (n=1) of normal-weight women, 3.9% (n=3) of overweight women, and 7.9% (n=8) of obese 1 women (P=0.139). Postoperative urinary symptoms were almost four times more likely to occur in obese 1 women than in normal-weight women. Conclusion: Transobturator tape surgery seems effective regardless of BMI, but obese women had a higher occurrence of postoperative urinary symptoms than did normal-weight women.
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1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실)
Yonsei Authors
공미경(Kong, Mi Kyung)
박윤진(Park, Yunjin)
배상욱(Bai, Sang Wook) ORCID logo https://orcid.org/0000-0001-7724-7552
원영빈(Won, Young Bin) ORCID logo https://orcid.org/0000-0002-7345-7090
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