Rechberger Tomasz, Futyma Konrad, Jankiewicz Katarzyna, Adamiak Aneta, Bogusiewicz Michał, Skorupski Paweł
II Department of Gynecology, Medical University of Lublin, Lublin, Poland.
Int Urogynecol J. 2010 Jul;21(7):801-6. doi: 10.1007/s00192-010-1116-2. Epub 2010 Feb 24.
A few series comparing the clinical efficacy of midurethral slings in obese and postmenopausal patients are available. The aim of the study was to assess clinical efficacy of suburethral tape operations for the surgical treatment of female stress urinary incontinence (SUI) stratified by obesity, menopause and ageing.
Five hundred thirty-seven patients underwent either retropubic or transobturator sling procedure. Patients were randomly allocated into two study groups in a ratio of 1:1. After 18 months, 398 women were available for a follow-up efficacy evaluation.
The clinical effectiveness of surgical SUI treatment did not depend on patients' body mass index (BMI) and type of midurethral sling, but menopausal status and ageing significantly influenced the outcome of the surgery.
We found that BMI does not influence the clinical effectiveness of SUI treatment, whereas both menopause and ageing had a detrimental influence on the final outcome of the surgery.
已有一些系列研究比较了肥胖和绝经后患者中尿道吊带术的临床疗效。本研究的目的是评估根据肥胖、绝经和年龄分层的女性压力性尿失禁（SUI）手术治疗中尿道下吊带术的临床疗效。
537例患者接受了耻骨后或经闭孔吊带手术。患者按1:1的比例随机分为两个研究组。18个月后，398名女性可进行随访疗效评估。
手术治疗SUI的临床效果不取决于患者的体重指数（BMI）和中尿道吊带类型，但绝经状态和年龄对手术结果有显著影响。
我们发现BMI不影响SUI治疗的临床效果，而绝经和年龄对手术最终结果均有不利影响。
