A comperative study for short-term surgical outcomes of midurethral sling procedures in obese and non-obese women with stress urinary incontinence()

There is little data comparing the surgical outcomes of tension-free vaginal tape (TVT) and transobturator tape (TOT) procedures in obese women. Therefore, we aimed to compare the surgical outcomes of TOT and TVT procedures among obese women with a diagnosis of stress urinary incontinence (SUI). One hundred and eighty-nine women who underwent TVT or TOT procedures due to pure SUI were included. Women in whom the body mass index (BMI) was ≥30 kg/m(2) were considered as obese, while <30 kg/m(2) were non-obese. And women with BMI ≥35 kg/m(2) was defined as morbidly obese. At sixth month postoperative follow-up, neither the comparison of TVT and TOT results in obese women nor the comparison of TVT or TOT results between obese and non-obese women showed any significant differences in terms of objective and subjective cure rates, quality of life improvements, or intra/postoperative complications. TVT and TOT procedures also have similar effectiveness among morbidly obese women. We have concluded that TVT and TOT operations seem to be equally effective and safe surgical treatment procedures for female SUI regardless of BMI.

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology. 2016 Oct 19 [Epub ahead of print]

Mahmut Kuntay Kokanalı, Sabri Cavkaytar, Demet Kokanalı, Orhan Aksakal, Melike Doganay

a Department of Obstetrics and Gynaecology , Zekai Tahir Burak Woman's Health Education and Research Hospital , Ankara , Turkey.