Department of Urology and Pediatric Urology, University hospital Marburg, Philipps University, Marburg, Germany.
BMC Urol. 2014 Feb 20;14:20. doi: 10.1186/1471-2490-14-20.
Only limited data are available on the outcome of tension-free obturator tape (TOT) procedures in overweight and obese women. We would like to verify the objective and subjective outcomes of TOT in women with a higher body mass index (BMI).
We evaluated the records of 116 patients who had undergone TOT, stratifying by BMI into normal weight (n = 31), overweight (n = 56), and obese (n = 29) groups. We compared pre- and postoperative evaluations, including subjective and objective outcome of TOT, complications, and quality of life assessed by validated questionnaires (ICIQ-SF and KHQ).
The median follow-up was 21 months. There were no significant differences between different groups in terms of objective cure rate and subjective success, quality of life scores and postoperative complications.
Our data demonstrate that TOT procedure is safe and effective. BMI did not influence the outcome of TOT procedures at a median of 21 months after surgery and represents no contraindication for continence surgery. The success of the outcome of TOT procedure in females and the occurrence of complications are not negatively affected by obesity.
仅有有限的数据可用于超重和肥胖女性的无张力闭孔吊带（TOT）手术的结果。我们希望验证在更高 BMI 的女性中 TOT 的客观和主观结果。
我们评估了 116 名接受 TOT 的患者的记录，根据 BMI 分为正常体重（n = 31）、超重（n = 56）和肥胖（n = 29）组。我们比较了术前和术后评估，包括 TOT 的主观和客观结果、并发症以及通过验证问卷（ICIQ-SF 和 KHQ）评估的生活质量。
中位随访时间为 21 个月。在客观治愈率和主观成功率、生活质量评分和术后并发症方面，不同组之间没有显著差异。
我们的数据表明 TOT 手术是安全有效的。BMI 并未在术后 21 个月的中位数上影响 TOT 手术的结果，也不是控尿手术的禁忌症。TOT 手术在女性中的结果成功率和并发症的发生不受肥胖的负面影响。
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