INTRODUCTION - We evaluate the impact of severe obesity on surgical outcomes of the transobturator tape (TOT) procedure in patients with stress urinary incontinence (SUI).
METHODS - In total, 32 women with severe obesity (body mass index [BMI] >35 kg/m(2)) were included in the study.
All patients were preoperatively evaluated with history, pelvic examination, ultrasonography, and cough stress test. All patients completed the International Consultation on Incontinence Questionnaire-Short form (ICIQ-SF) preoperatively and at the postoperative follow-up. Cure of incontinence was defined as being completely dry after surgery. Cure was assessed subjectively and objectively. Subjective improvement defined as an International Consultation on Incontinence Questionnaire-Short form (ICIQ-SF) score ≤12 and satisfaction with surgery. Failure was defined as having no change or worsening of urinary incontinence after surgery. Postoperative patient satisfaction was assessed using a visual analog scale.
RESULTS - The mean follow-up time and mean BMI were 40. 9 ± 20. 9 months and 38 ± 3 kg/m(2), respectively. According to preoperative ICIQ-SF questionnaire scores, 20 patients (62. 5%) had severe and 12 patients (37. 5 %) had very severe urinary incontinence symptoms. No patient had slight or moderate symptoms. None of the patients experienced worsening symptoms after surgery. Objective cure, subjective cure, subjective improvement and patient satisfaction rates were 81. 2%, 46. 8%, 37. 5%, and 84. 3% respectively. Our overall complication rate was 9. 3%. None of the patients experienced intraoperative complications.
CONCLUSIONS - In experienced hands, TOT is an effective and safe procedure to treat SUI, with minimal complications in severe obese women.
Canadian Urological Association journal = Journal de l'Association des urologues du Canada. 2015 Aug 10 [Epub]
Tarik Yonguc, Ozgu Aydogdu, Ibrahim Halil Bozkurt, Tansu Degirmenci, Bulent Gunlusoy, Volkan Sen, Serkan Yarimoglu
Izmir Bozyaka Training and Research Hospital, Urology Clinic, Turkey. , Izmir Bozyaka Training and Research Hospital, Urology Clinic, Turkey. , Izmir Bozyaka Training and Research Hospital, Urology Clinic, Turkey. , Izmir Bozyaka Training and Research Hospital, Urology Clinic, Turkey. , Izmir Bozyaka Training and Research Hospital, Urology Clinic, Turkey. , Izmir Bozyaka Training and Research Hospital, Urology Clinic, Turkey. , Izmir Bozyaka Training and Research Hospital, Urology Clinic, Turkey.