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KMID : 0877720050090010028
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Journal of Korean Continence Society
2005 Volume.9 No. 1 p.28 ~ p.33
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Outcome of Mid-urethral Sling Procedures in Korean Women with Stress Urinary Incontinence according to Body-mass Index
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Ku Ja-Hyeon
Kim Soo-Woong
Paick Jae-Seung
Shin Jae-Wook
Yang Ji-Hyun
Oh Jin-Gyu
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Abstract
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Purpose: The aim of this study is to determine whether the outcome of the mid-urethral sling procedures may be influenced by the body-mass index in Korean women with stress urinary incontinence(SUI).
Materials and Methods: A total of 285 women 28 to 80 years old with a minimum follow-up of 6 months were included in the study. Patients were stratified as follows: normal weight, 18.5~23 kg/m2; overweight, 23~27.5 kg/m2; obesity, 27.5 kg/m2 or higher.
Results: There was no significant complication. Bladder perforations were noted in 11 cases(4.9%, 3.8% and 2.2% in the normal weight, overweight and obesity group, p=0.449). There was no significant difference between the three groups for cure rate(p=0.173). The rates of postoperative urinary retention were 9.9%, 10.1% and 15.6% in the normal weight, overweight and obesity group(p=0.396). No significant difference was found between the three groups in the persistence of urgency(p=0.312). Seventy-nine patients(27.7%) had symptoms suggestive of voiding disorder, postoperatively. The incidence of these symptoms was not significant difference in the three groups(p=0.106).
Conclusion:ONCLUSION: Our results demonstrate the feasibility and safety of the mid-urethral sling procedures for obese Korean women with SUI. Additional studies, including prospective randomized trials with longer follow-up, are needed to verify these findings.
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KEYWORD
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Urinary incomtinence, Bladder, Obesity, Polypropylene, Urethra
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