Dunivan Gena C, Connolly AnnaMarie, Jannelli Mary L, Wells Ellen C, Geller Elizabeth J
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, 3032 Old Clinic Building, Campus Box 7570, Chapel Hill, NC 27599-7570, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Sep;20(9):1127-31. doi: 10.1007/s00192-009-0915-9. Epub 2009 Jun 6.
This study aims to investigate whether body mass index (BMI) is a risk factor for cystotomy during sling placement via suprapubic approach for stress urinary incontinence.
Retrospective chart review was performed for suprapubic mid-urethral sling placement between June 2005 and October 2007. Data collected included demographics, BMI, and history of prior and concomitant procedures. Primary outcome was cystotomy during sling placement.
Of 198 women identified, 129 had a BMI < 30 kg/m2 and 69 had a BMI > or = 30 kg/m2. There were 18 (14.0%) cystotomies in the BMI < 30 kg/m2 group and three (4.3%) in the BMI > or = 30 kg/m2 group (p = 0.04). BMI < 30 kg/m2 remained a risk factor for cystotomy after controlling for confounders (OR 4.63, 95% CI 1.20-17.86), as did prior anti-incontinence surgery (OR 3.55, 95% CI 1.01-12.50).
BMI < 30 kg/m2 may be a risk factor for cystotomy during sling placement utilizing the suprapubic approach.
本研究旨在调查体重指数（BMI）是否是经耻骨上途径放置吊带治疗压力性尿失禁时膀胱切开术的危险因素。
对2005年6月至2007年10月期间经耻骨上途径进行的耻骨后中段尿道吊带置入术进行回顾性病历审查。收集的数据包括人口统计学资料、BMI以及既往和同期手术史。主要结局是吊带置入期间的膀胱切开术。
在确定的198名女性中，129名BMI<30kg/m²，69名BMI≥30kg/m²。BMI<30kg/m²组有18例（14.0%）发生膀胱切开术，BMI≥30kg/m²组有3例（4.3%）（p=0.04）。在控制混杂因素后，BMI<30kg/m²仍是膀胱切开术的危险因素（OR 4.63，95%CI 1.20-17.86），既往抗尿失禁手术也是如此（OR 3.55，95%CI 1.01-12.50）。
BMI<30kg/m²可能是经耻骨上途径放置吊带期间膀胱切开术的危险因素。
