MATERIALS AND METHODS: A total of 151 women underwent SPARC between June 2001 and March 2009 at a single tertiary academic center. A complete urodynamic investigation was performed preoperatively. A minimum follow-up of 12 months was required, which left data of 93 individuals for analyses. Participants were divided into the following: A, non-obese (BMI 18.5 to < 25 kg/m2), B, overweight (BMI 25 to < 30 kg/m2), and C, obese (BMI 30-35 kg/m2). Objective and subjective cure rates, as well as overall success rate and self-perceived severity of bother, were measured. Moreover, participants were asked about their satisfaction after surgery.
RESULTS: Median follow-up was 7.6 years. Mean number of pads/day, pad test, and self-perceived severity of bother were significantly reduced overall, as well as in each BMI category (P < 0.001). In multivariable analyses, BMI was not an independent predictor of objective cure rate, coded either as continuous (P = 0.108) or as categorical variable (P for trend 0.301). Similarly, BMI was not an independent predictor of subjective cure rate, both coded as continuous (P = 0.475) and as categorical variable (P for trend 0.690). Overall, 92% (A), 85% (B), and 80% (C) of participants were satisfied with the surgical outcome at follow-up, respectively.
CONCLUSIONS: BMI failed to achieve independent predictor status regarding objective and subjective cure rate at follow-up. A high BMI is not a contraindication to SPARC, more studies are recommended to confirm these findings.
Written by:
Mohamad Al-Ali B, Hutterer GC, Puchwein E, Pummer K, Novara G, Primus G. Are you the author?
Department of Urology, Medical University of Graz (MUG), Auenbruggerplatz 7, 8036, Graz, Austria.
Reference: World J Urol. 2011 Dec 4. Epub ahead of print.
doi: 10.1007/s00345-011-0805-x
PubMed Abstract
PMID: 22138882
UroToday.com Stress Urinary Incontinence Section
