The Outcome of a Single-Incision Sling versus Trans-Obturator Sling in Overweight and Obese Women with Stress Urinary Incontinence at 3-Year Follow-Up
<i<Background</i<: Being overweight or obese is a risk factor for incontinence and has negative impacts on the surgical outcomes. Compared with trans-obturator sling (TOS), single incision sling (SIS) is a new generation of anti-incontinence surgery. However, the data on SIS in overweight and obese women remains limited. <i<Methods</i<: This retrospective study analyzed the objective and subjective cure rate of overweight and obese women who underwent sling surgeries. Other evaluations included valid questionnaires to assess quality of life and 1-hour pad test to quantify urine leakage. Surgical characteristics and adverse events were also analyzed. <i<Results</i<: A total of 217 patients were analyzed with a median follow-up period of 37.3 months (range, 9−84 months). For overweight and obese patients, the objective and subjective cure rate were comparable (all <i<p</i< > 0.05). However, the SIS group had worse post-operative incontinence-related symptom distress (<i<p</i< < 0.001) and 1-hour pad test (<i<p</i< = 0.047). On the other hand, SIS had a shorter surgery time (<i<p</i< = 0.017) and lower pain score (<i<p</i< < 0.001). <i<Conclusions</i<: Compared with TOS, SIS had non-significant cure rates in the overweight and obese women. SIS had worse urine leakage and incontinence symptoms, but less surgical and wound pain in obese women. Thorough pre-operative counseling is necessary..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:8 |
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| Enthalten in: |
Journal of Clinical Medicine - 8(2019), 8, p 1099 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hui-Hsuan Lau [VerfasserIn] |
|---|
| Links: |
doi.org [kostenfrei] |
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| Themen: |
Body mass index |
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| doi: |
10.3390/jcm8081099 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
DOAJ001396188 |
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| 245 | 1 | 4 | |a The Outcome of a Single-Incision Sling versus Trans-Obturator Sling in Overweight and Obese Women with Stress Urinary Incontinence at 3-Year Follow-Up |
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| 520 | |a <i<Background</i<: Being overweight or obese is a risk factor for incontinence and has negative impacts on the surgical outcomes. Compared with trans-obturator sling (TOS), single incision sling (SIS) is a new generation of anti-incontinence surgery. However, the data on SIS in overweight and obese women remains limited. <i<Methods</i<: This retrospective study analyzed the objective and subjective cure rate of overweight and obese women who underwent sling surgeries. Other evaluations included valid questionnaires to assess quality of life and 1-hour pad test to quantify urine leakage. Surgical characteristics and adverse events were also analyzed. <i<Results</i<: A total of 217 patients were analyzed with a median follow-up period of 37.3 months (range, 9−84 months). For overweight and obese patients, the objective and subjective cure rate were comparable (all <i<p</i< > 0.05). However, the SIS group had worse post-operative incontinence-related symptom distress (<i<p</i< < 0.001) and 1-hour pad test (<i<p</i< = 0.047). On the other hand, SIS had a shorter surgery time (<i<p</i< = 0.017) and lower pain score (<i<p</i< < 0.001). <i<Conclusions</i<: Compared with TOS, SIS had non-significant cure rates in the overweight and obese women. SIS had worse urine leakage and incontinence symptoms, but less surgical and wound pain in obese women. Thorough pre-operative counseling is necessary. | ||
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