TY - JOUR
T1 - Can obesity impact mesh exposure rate after mid-urethral sling operation? Medium term follow-up
AU - Daykan, Yair
AU - Klein, Zvi
AU - Eliner, Or
AU - O'Reilly, Barry A.
AU - Yagur, Yael
AU - Belkin, Shir
AU - Ribak, Rachel
AU - Arbib, Nissim
AU - Schonman, Ron
N1 - Publisher Copyright:
© 2022 Elsevier B.V.
PY - 2023/1
Y1 - 2023/1
N2 - Objective: To study mesh exposure rates among obese (BMI ≥ 30 kg/m2) vs non-obese women after mid-urethral sling (MUS) operation. Study design: This retrospective cohort study included all patients who underwent MUS surgery for stress urinary incontinence April 2014–April 2021 in a tertiary-level university hospital. Data from obese and non-obese patients were compared. Results: A total of 120 (41 %) obese patients and 172 (59 %) non-obese patients who had mid-urethral sling surgery were compared. Of the cohort, 265 (90.7 %) underwent TVT-obturator, 15 (5.1 %) mini-sling TVT, and 12 (4.1 %) retro-pubic TVT. Diabetes mellitus was significantly more prevalent in the obese group (p =.01), without other demographic differences. Mesh post-operative exposure rate was 5.4 % during the study. The obese group had lower incidence of mesh exposure than the non-obese group (1.6 % vs 8.1 % respectively, p =.018). Mean follow-up was 51 months (range 8–87 months) without significant differences between groups (49.9 ± 21.2 vs 51.5 ± 22.3, p =.548). Pelvic organ prolapse, cystocele, and rectocele stages were significantly higher in non-obese patients. Similar numbers of post-menopausal women were in each group. Conclusion: This follow-up after MUS surgery showed an association between obesity and lower rate of mesh exposure. Further research is needed to evaluate correlations between estrogen and mesh exposure.
AB - Objective: To study mesh exposure rates among obese (BMI ≥ 30 kg/m2) vs non-obese women after mid-urethral sling (MUS) operation. Study design: This retrospective cohort study included all patients who underwent MUS surgery for stress urinary incontinence April 2014–April 2021 in a tertiary-level university hospital. Data from obese and non-obese patients were compared. Results: A total of 120 (41 %) obese patients and 172 (59 %) non-obese patients who had mid-urethral sling surgery were compared. Of the cohort, 265 (90.7 %) underwent TVT-obturator, 15 (5.1 %) mini-sling TVT, and 12 (4.1 %) retro-pubic TVT. Diabetes mellitus was significantly more prevalent in the obese group (p =.01), without other demographic differences. Mesh post-operative exposure rate was 5.4 % during the study. The obese group had lower incidence of mesh exposure than the non-obese group (1.6 % vs 8.1 % respectively, p =.018). Mean follow-up was 51 months (range 8–87 months) without significant differences between groups (49.9 ± 21.2 vs 51.5 ± 22.3, p =.548). Pelvic organ prolapse, cystocele, and rectocele stages were significantly higher in non-obese patients. Similar numbers of post-menopausal women were in each group. Conclusion: This follow-up after MUS surgery showed an association between obesity and lower rate of mesh exposure. Further research is needed to evaluate correlations between estrogen and mesh exposure.
KW - Exposure
KW - Mesh
KW - Mid urethral sling
KW - Obesity
KW - Stress urinary incontinence
UR - http://www.scopus.com/inward/record.url?scp=85142751010&partnerID=8YFLogxK
U2 - 10.1016/j.ejogrb.2022.11.014
DO - 10.1016/j.ejogrb.2022.11.014
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C2 - 36442380
AN - SCOPUS:85142751010
SN - 0301-2115
VL - 280
SP - 98
EP - 101
JO - European Journal of Obstetrics and Gynecology and Reproductive Biology
JF - European Journal of Obstetrics and Gynecology and Reproductive Biology
ER -
